Table 5.
Associations Between Latent Class Membership and Engagement in General Health Care and HIV Prevention Services
Most likely class membership | Health needs met (81%) |
Insurance statusa |
HIV test (ever; 79%) |
PrEP awareness (95%) |
PrEP useb |
|||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Parents' insurance (61%) |
Own insurance (30%) |
Current (19%) |
Past (9%) |
|||||||||||
OR | aOR | OR | aOR | OR | aOR | OR | aOR | OR | aOR | OR | aOR | OR | aOR | |
Class 1: Shared decision-making | REF | REF | REF | REF | REF | REF | REF | REF | REF | REF | REF | REF | REF | REF |
Class 2: Provider-led decision-making | 0.33*** | 0.32*** | 0.10*** | 0.12*** | 0.10*** | 0.12****** | 0.23*** | 0.26*** | 0.19*** | 0.20** | 0.40** | 0.43** | 0.47* | 0.46* |
Class 3: Patient-driven | 0.43*** | 0.42*** | 0.17** | 0.16** | 0.11*** | 0.12*** | 0.19*** | 0.21*** | 0.58 | 0.61 | 0.24*** | 0.26*** | 0.36*** | 0.37** |
All individuals in the shared decision-making class (Class 1) reported having primary care providers, and, therefore, maximum likelihood-based logistic regression models with this dependent variable did not converge and are not shown; 77% of individuals in Class 2: Provider-led decision making and 75% of individuals in Class 3: Patient-driven decision-making reported having a primary care provider (χ2(df = 2) = 71.41, p < 0.001).
Reference group: Not insured.
Reference group: No current or past PrEP use.
p < 0.05; **p < 0.01; ***p < 0.001.
aOR, adjusted odds ratio; PrEP, pre-exposure prophylaxis.
Adjusted models control for age, race/ethnicity, and sexual identity.