Table 2.
Relative Risk Ratios (RRR) for prevention-effective adherence trajectory among transgender women indicated for and/or using PrEP in the LITE cohort (N=540)
| Unadjusted Relative Risk Ratios | Adjusted Relative Risk Ratios | |||||||
|---|---|---|---|---|---|---|---|---|
| Reference Group: Group 4: Consistent indication/PrEP adherent | RRR | P-value | 95% CI | aRRR | P-value | 95% CI | ||
|
| ||||||||
| Group 1: Consistent indication/no PrEP | ||||||||
|
| ||||||||
| Youth (Aged 18–24) | 1.18 | 0.67 | 0.56 | 2.5 | 1.18 | 0.69 | 0.52 | 2.66 |
| Black | 0.98 | 0.95 | 0.53 | 1.81 | 0.62 | 0.25 | 0.28 | 1.40 |
| Latina | 0.78 | 0.44 | 0.41 | 1.48 | 0.47 | 0.06 | 0.21 | 1.04 |
| Census division (ref=New England) | ||||||||
| Mid-Atlantic | 0.80 | 0.66 | 0.30 | 2.12 | 0.92 | 0.88 | 0.31 | 2.69 |
| South Atlantic | 0.97 | 0.94 | 0.40 | 2.36 | 1.02 | 0.96 | 0.37 | 2.86 |
| College education or higher (ref=high school diploma/GED or less) | 0.57 | 0.08 | 0.30 | 1.07 | 0.63 | 0.22 | 0.30 | 1.31 |
| Homelessness¶ | 1.69 | 0.16 | 0.82 | 3.51 | 2.07 | 0.09 | 0.88 | 4.82 |
| Arrest¶ | 2.81 | 0.07 | 0.92 | 8.59 | 2.56 | 0.16 | 0.69 | 9.52 |
| Uninsured¶ | 2.52 | 0.05 | 1.00 | 6.32 | 1.47 | 0.48 | 0.51 | 4.24 |
| Lab-confirmed STI¶ | 2.37 | 0.01 | 1.22 | 4.61 | 2.54 | 0.02 | 1.16 | 5.57 |
| 1 or more current partner using PrEP¶ | 0.25 | <0.001 | 0.13 | 0.47 | 0.18 | <0.001 | 0.09 | 0.36 |
| 6+ months since last healthcare encounter | 4.90 | <0.01 | 1.53 | 15.71 | 5.66 | 0.02 | 1.40 | 22.85 |
| Anticipated discrimination in healthcare | 0.90 | 0.73 | 0.49 | 1.64 | 1.02 | 0.95 | 0.50 | 2.07 |
| Group 2: Initial indication/no PrEP | ||||||||
|
| ||||||||
| Youth (Aged 18–24) | 2.90 | <0.001 | 1.64 | 5.11 | 3.04 | <0.001 | 1.60 | 5.78 |
| Black | 0.78 | 0.32 | 0.49 | 1.26 | 0.62 | 0.14 | 0.33 | 1.17 |
| Latina | 0.80 | 0.38 | 0.49 | 1.31 | 0.71 | 0.27 | 0.39 | 1.30 |
| Census division (ref=New England) | ||||||||
| Mid-Atlantic | 0.66 | 0.26 | 0.32 | 1.36 | 0.73 | 0.45 | 0.32 | 1.67 |
| South Atlantic | 0.52 | 0.06 | 0.26 | 1.04 | 0.8 | 0.58 | 0.36 | 1.78 |
| College education or higher (ref=high school diploma/GED or less) | 0.69 | 0.16 | 0.42 | 1.15 | 0.9 | 0.75 | 0.49 | 1.67 |
| Homelessness¶ | 1.66 | 0.09 | 0.92 | 2.99 | 1.87 | 0.10 | 0.89 | 3.94 |
| Arrest¶ | 1.31 | 0.61 | 0.47 | 3.65 | 1.03 | 0.97 | 0.28 | 3.81 |
| Uninsured¶ | 1.50 | 0.33 | 0.66 | 3.4 | 1.52 | 0.38 | 0.59 | 3.91 |
| Lab-confirmed STI¶ | 0.43 | <0.01 | 0.23 | 0.8 | 0.45 | 0.03 | 0.21 | 0.94 |
| 1 or more current partner using PrEP¶ | 0.19 | <0.001 | 0.12 | 0.31 | 0.15 | <0.001 | 0.09 | 0.27 |
| 6+ months since last healthcare encounter | 1.88 | 0.26 | 0.62 | 5.67 | 2.1 | 0.29 | 0.54 | 8.21 |
| Anticipated discrimination in healthcare | 0.89 | 0.64 | 0.56 | 1.43 | 0.83 | 0.51 | 0.46 | 1.47 |
| Group 3: Declining indication/discontinued PrEP | ||||||||
|
| ||||||||
| Youth (Aged 18–24) | 2.00 | 0.08 | 0.92 | 4.36 | 1.48 | 0.38 | 0.62 | 3.56 |
| Black | 1.26 | 0.50 | 0.64 | 2.50 | 0.81 | 0.63 | 0.34 | 1.93 |
| Latina | 1.06 | 0.87 | 0.52 | 2.16 | 0.82 | 0.64 | 0.36 | 1.88 |
| Census division (ref=New England) | ||||||||
| Mid-Atlantic | 1.15 | 0.79 | 0.41 | 3.25 | 1.32 | 0.64 | 0.41 | 4.23 |
| South Atlantic | 0.65 | 0.40 | 0.24 | 1.78 | 0.88 | 0.83 | 0.28 | 2.80 |
| College education or higher (ref=high school diploma/GED or less) | 0.26 | <0.001 | 0.13 | 0.53 | 0.28 | <0.01 | 0.13 | 0.63 |
| Homelessness¶ | 2.78 | <0.01 | 1.29 | 5.99 | 2.71 | 0.03 | 1.10 | 6.70 |
| Arrest¶ | 0.78 | 0.78 | 0.15 | 4.19 | 0.91 | 0.92 | 0.15 | 5.62 |
| Uninsured¶ | 0.87 | 0.83 | 0.25 | 3.05 | 0.76 | 0.69 | 0.20 | 2.93 |
| Lab-confirmed STI¶ | 1.11 | 0.79 | 0.5 | 2.49 | 1.03 | 0.95 | 0.41 | 2.60 |
| 1 or more current partner using PrEP¶ | 0.65 | 0.21 | 0.33 | 1.28 | 0.59 | 0.18 | 0.28 | 1.27 |
| 6+ months since last healthcare encounter | 0.95 | 0.95 | 0.17 | 5.37 | 1.79 | 0.54 | 0.27 | 11.8 |
| Anticipated discrimination in healthcare | 0.94 | 0.87 | 0.47 | 1.88 | 1.01 | 0.98 | 0.46 | 2.23 |
| Group 5: Increasing indication/initiated PrEP | ||||||||
|
| ||||||||
| Youth (Aged 18–24 at enrollment) | 2.61 | 0.02 | 1.21 | 5.66 | 2.15 | 0.09 | 0.90 | 5.15 |
| Black | 1.90 | 0.07 | 0.94 | 3.84 | 1.5 | 0.37 | 0.62 | 3.66 |
| Latina | 0.75 | 0.46 | 0.36 | 1.59 | 0.64 | 0.33 | 0.26 | 1.56 |
| Census division (ref=New England) | ||||||||
| Mid-Atlantic | 0.73 | 0.58 | 0.25 | 2.17 | 0.81 | 0.74 | 0.24 | 2.80 |
| South Atlantic | 0.80 | 0.66 | 0.3 | 2.16 | 0.88 | 0.84 | 0.27 | 2.91 |
| College education or higher (ref=high school diploma/GED or less) | 0.44 | 0.03 | 0.22 | 0.9 | 0.65 | 0.31 | 0.28 | 1.49 |
| Homelessness¶ | 2.56 | 0.02 | 1.17 | 5.63 | 2.83 | 0.03 | 1.13 | 7.05 |
| Arrest¶ | 2.62 | 0.13 | 0.76 | 9.07 | 1.99 | 0.38 | 0.43 | 9.17 |
| Uninsured¶ | 1.54 | 0.45 | 0.5 | 4.73 | 1.25 | 0.72 | 0.36 | 4.32 |
| Lab-confirmed STI¶ | 1.20 | 0.65 | 0.54 | 2.71 | 0.71 | 0.49 | 0.27 | 1.87 |
| 1 or more current partner using PrEP¶ | 0.76 | 0.45 | 0.38 | 1.53 | 0.78 | 0.53 | 0.35 | 1.72 |
| 6+ months since last healthcare encounter | 2.70 | 0.15 | 0.69 | 10.54 | 3.44 | 0.14 | 0.67 | 17.52 |
| Anticipated discrimination in healthcare | 0.50 | 0.07 | 0.23 | 1.06 | 0.51 | 0.13 | 0.21 | 1.23 |
At any point over follow-up. All other indicators were assessed at baseline only.