Table 3.
Relationship Between Measures of Access to Health Care and Engagement in PrEP Care Among Male Sex Workers in the US Northeast
Unadjusted |
p |
Adjusteda |
p |
|
---|---|---|---|---|
OR (95% CI) | OR (95% CI) | |||
DV: Intention to initiate PrEP (yes/no) | ||||
Having primary care provider | 1.19 (0.50 to 2.85) | 0.69 | 0.72 (0.24 to 2.15) | 0.56 |
Frequency of medical visits (past 12 months) | 1.00 (0.66 to 1.50) | 0.98 | 0.95 (0.59 to 1.53) | 0.82 |
Comfort discussing sexual practices with provider | 1.30 (0.96 to 1.75) | 0.09 | 1.34 (0.93 to 1.92) | 0.12 |
Transportation difficulties to accessing general care | 1.07 (0.77 to 1.49) | 0.69 | 1.18 (0.80 to 1.73) | 0.40 |
b (95% CI) | p | Adjusted b (95% CI) | p | |
DV: PrEP use self-efficacy | ||||
Having primary care provider | 0.06 (−0.81 to 0.92) | 0.90 | −0.65 (−1.50 to 0.20) | 0.13 |
Frequency of medical visits | 0.22 (−0.19 to 0.62) | 0.29 | 0.20 (−0.19 to 0.59) | 0.31 |
Comfort discussing sexual practices with provider | 0.49 (0.20 to 0.77) | 0.001 | 0.41 (0.11 to 0.70) | 0.008 |
Transportation-related barriers to general care | −0.03 (−0.36 to 0.30) | 0.86 | 0.18 (−0.14 to 0.50) | 0.26 |
DV: Anticipated barriers to PrEP uptake | ||||
Having primary care provider | −0.60 (−1.19 to 0.00) | 0.05 | −0.22 (−0.80 to 0.36) | 0.45 |
Frequency of medical visits (12 months) | −0.14 (−0.43 to 0.15) | 0.34 | −0.12 (−0.39 to 0.14) | 0.37 |
Comfort discussing sexual practices with provider | −0.35 (−0.56 to −0.15) | 0.001 | −0.29 (−0.49 to −0.09) | 0.006 |
Transportation difficulties to accessing general care | 0.41 (0.19 to 0.62) | <0.001 | 0.30 (0.08 to 0.51) | 0.007 |
DV: Anticipated barriers to PrEP adherence and retention | ||||
Having primary care provider | −0.25 (−1.00 to 0.51) | 0.52 | 0.15 (−0.55 to 0.85) | 0.67 |
Frequency of medical visits (past 12 months) | −0.21 (−0.57 to 0.15) | 0.24 | −0.20 (−0.52 to 0.12) | 0.22 |
Comfort discussing sexual practices with provider | −0.18 (−0.44 to 0.09) | 0.19 | −0.10 (−0.35 to 0.14) | 0.41 |
Transportation difficulties to accessing general care | 0.71 (0.46 to 0.96) | <0.001 | 0.57 (0.31 to 0.84) | <0.001 |
Adjusting for age, race/ethnicity, sexual identity, income, educational attainment, and other independent variables of interest.
aOR, adjusted odds ratio; CI, confidence interval; DV, dependent variable; OR, odds ratio; PrEP, pre-exposure prophylaxis.