Table 3.
Factors Associated with Willingness to Use Preexposure Prophylaxis Among Trans Women: Multivariable Logistic Regression Results (N=355)
| Variables | Adjusted odds ratio | 95% Confidence interval | p Value |
|---|---|---|---|
| Sociodemographic characteristics | |||
| Age (years) | 1.00 | 0.87–1.15 | 0.96 |
| Monthly income (INR) | 1.00 | 0.99–1.00 | 0.36 |
| Education (<high school vs. ≥high school) | 2.00 | 1.17–3.42 | 0.01 |
| Sex work (no vs. yes) | 28.92 | 8.79–95.16 | <0.001 |
| Prior PrEP awareness (no vs. yes) | 0.91 | 0.25–3.33 | 0.89 |
| Sexual risk | |||
| Inconsistent condom use with any type of male partners (no vs. yes) | 0.34 | 0.08–1.37 | 0.13 |
| Frequency of anal sex (low vs. high) | 0.21 | 0.12–0.37 | <0.001 |
| Forced sex in the past 12 months (no vs. yes) | 0.78 | 0.22–2.74 | 0.70 |
| Perceived risk of contracting HIV (low vs. moderate/high) | 1.07 | 0.30–3.78 | 0.91 |
| Ever had an HIV test (no vs. yes) | 2.06 | 0.50–8.50 | 0.31 |
| Discrimination experiences | |||
| Discrimination by health care providers (no vs. yes) | 0.25 | 0.06–0.97 | 0.04 |
| Discrimination by family members (no vs. yes) | 0.08 | 0.05–0.14 | <0.001 |
| Preferences (venue and pricing) | |||
| Access venue for PrEP (Govt. hospitals/other venues vs. CBOs/NGOs) | 0.58 | 0.31–1.10 | 0.09 |
| Pricing of PrEP (charged vs. free) | 2.46 | 0.36–16.53 | 0.35 |
| Perceived benefits of taking PrEP (total score) | 2.17 | 1.91–2.47 | <0.001 |
| Perceived disadvantages of PrEP | |||
| Worried that others might think PrEP user as HIV positive (no vs. yes) | 1.32 | 0.52–3.34 | 0.55 |
| Worried about what male regular partner might think if PrEP is used (no vs. yes) | 8.25 | 4.46–15.24 | <0.001 |
| Difficult to take PrEP daily (no vs. yes) | 0.30 | 0.18–0.49 | <0.001 |
| Risk compensation: “PrEP use would avoid the hassle of using condoms” (no vs. yes) | 0.41 | 0.07–2.42 | 0.33 |