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Table 4 Health behaviours and outcomes reported by men who have sex exclusively with women (MSEW), all men who have sex with men (MSM) and MSM who identified as gay in Natsal-3

From: The health and well-being of men who have sex with men (MSM) in Britain: Evidence from the third National Survey of Sexual Attitudes and Lifestyles (Natsal-3)

  MSEW All MSM   MSM who identified as gayb  
Denominators: a 5069, 6257 190, 191   107, 99  
  % [95 % CI] % [95 % CI] p-value* % [95 % CI] p-value**
Health behaviours      
 Usual alcohol consumption more than recommended levelsc 8.8 [8–9.8] 11.4 [7.2–17.6]   10.3 [5.7–18.0]  
  aAOR [95 % CI]e 1.00 1.43 [0.87–2.36] 0.156 1.67 [0.87–3.21] 0.125
 Usual frequency of binge drinkingd      
  Never or rarely 60.7 [59.1–62.3] 54.0 [44.9–62.9]   58.6 [48–68.5]  
  Monthly 17.5 [16.4–18.8] 24.9 [17.3–34.4]   25.4 [16.6–36.8]  
  Weekly or daily 21.7 [20.4–23.1] 21.1 [15.1–28.7]   16.0 [9.9–24.8]  
  aAOR [95 % CI]e,f 1.00 0.99 [0.66–1.49] 0.972 0.84 [0.49–1.45] 0.535
 Smoking status      
  Never 47.2 [45.6–48.9] 29.5 [22.7–37.4]   30.2 [21.5–40.6]  
  Ex-smoker 25.9 [24.5–27.4] 32.6 [25.2–41]   38.9 [28.8–49.9]  
  Current smoker 26.8 [25.4–28.3] 37.9 [30–46.4]   30.9 [22.1–41.4]  
  aAOR [95 % CI]e,f 1.00 1.72 [1.21–2.45] 0.003 1.37 [0.87–2.16] 0.173
 Recreational drug use, past year      
  None 84.3 [83.2–85.3] 64.0 [56–71.3]   59.1 [47.4–69.9]  
  Cannabis only 9.1 [8.3–9.9] 10.2 [6.1–16.7]   8.1 [3.2–19]  
  Cannabis and/or other drugs 6.7 [6.0–7.4] 25.8 [19.3–33.6]   32.8 [23.9–43.2]  
  aAOR [95 % CI]e,f 1.00 3.46 [2.22–5.40] <0.001 4.18 [2.33–7.49] <0.001
 Injecting drug use, ever 1.3 [1.0–1.7] 0.7 [0.2–2.8]   0.8 [0.1–5.4]  
  aAOR [95 % CI]e 1.00 0.49 [0.11–2.08] 0.332 0.53 [0.07–3.90] 0.529
 Taken any medications that have limited your sexual activity or enjoyment, past year 7.8 [7.0–8.7] 16.8 [11.3–24.2]   21.5 [12.8–33.9]  
  aAOR [95 % CI]e 1.00 2.56 [1.57–4.19] <0.001 3.24 [1.77–5.94] <0.001
Health outcomes      
 Self-reported health status [‘bad’/‘very bad’]g 3.1 [2.7–3.7] 5.2 [2.7–9.7]   9.5 [4.1–20.5]  
  aAOR [95 % CI]e 1.00 1.67 [0.88–3.18] 0.117 2.23 [0.99–5.01] 0.052
 ≥1 long-standing illness/disability/infirmity 29.9 [28.5–31.4] 38.1 [30.8–45.9]   44.1 [34.7–53.9]  
  aAOR [95 % CI]e 1.00 1.46 [1.02–2.09] 0.041 1.65 [1.03–2.67] 0.039
 Number of chronic conditionsh      
  0 68.7 [67.2–70.1] 66 [57.5–73.6]   58.4 [50.4–65.9]  
  1 20.6 [19.3–22.0] 20.2 [14.0–28.2]   22.7 [13.6–35.4]  
  ≥2 10.7 [9.8–11.8] 13.8 [8.8–21.0]   18.9 [11.0–30.7]  
  aAOR [95 % CI]e,f 1.00 1.16 [0.75–1.81] 0.67 1.31 [0.79–2.18] 0.293
 Body Mass Indexi      
  Healthy: 18.5–24.9 kg/m2 40.6 [39.1–42.1] 46.1 [37.2–55.2]   47.5 [35.8–59.5]  
  Underweight: <18.5 kg/m2 1.1 [0.9–1.5] 2.7 [1.3–5.3]   2.4 [0.9–6.1]  
  Overweight: 25–30 kg/m2 40.0 [38.4–41.6] 28.4 [21.1–36.9]   37.3 [26.9–49.0]  
  Obese: >30 kg/m2 18.3 [16.5–20.3] 22.9 [13.5–38.2]   12.8 [4.6–29.6]  
  aAOR [95 % CI]e,f 1.00 0.77 [0.54–1.11] 0.156 0.68 [0.44–1.07] 0.094
 Screened positive for depression at interviewj 8.9 [8.1–9.8] 8.9 [5.5–14.3]   6.4 [3.5–11.7]  
  aAOR [95 % CI]e 1.00 1.03 [0.62–1.70] 0.909 0.92 [0.48–1.77] 0.797
 Received treatment for depression from a health professional, past year 5.8 [5.1–6.5] 14.0 [9.2–20.5]   19.9 [11.9–31.4]  
  aAOR [95 % CI]e 1.00 2.75 [1.69–4.47] <0.001 4.03 [2.30–7.07] <0.001
 Any health condition/disability that has affected sexual activity/enjoyment, past year 15.3 [14.2–16.5] 27.1 [19.9–35.7]   29.3 [19.2–42.1]  
  aAOR [95 % CI]e 1.00 2.24 [1.48–3.39] <0.001 2.57 [1.52–4.37] <0.001
  1. All estimates are age-standardised
  2. *p-value for comparing all MSM to MSEW
  3. **p-value for comparing MSM who identified as gay in Natsal-3 to MSEW. Note that MSM who identify as gay are a subset of all MSM
  4. aUnweighted, weighted denominators defined as participants who reported at least one sexual partner in the 5 years prior to interview
  5. bMSM who identified as gay in Natsal-3 are a subset of all MSM
  6. cDefined as usual alcohol consumption greater than recommended levels of 21 units per week [34]
  7. dDefined as usually drinking more than 8 units of alcohol on one occasion [34]
  8. eaAOR = age-adjusted odds ratio
  9. fAge-adjusted odds ratio for reporting the responses in bold font [for those variables with >2 response options] relative to MSEW
  10. gIn contrast to reporting ‘very good’, ‘good’, or ‘fair’
  11. hMeasure of comorbidity includes arthritis, heart attack, coronary heart disease, angina, other forms of heart disease, hypertension, stroke, diabetes, broken hip or pelvis bone or hip replacement ever, backache lasting >3 months, any other muscle or bone disease lasting >3 months, cancer, and any thyroid condition treated in the past year [4]
  12. iBody Mass Index thresholds as per National Obesity Observatory/Public Health England [35]
  13. jAs per PHQ-2 [15, 16]