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Table 3 Binary logistic regression of factors independently associated with low adherence (< 3 pills per week or no show at month 1) among Thai MSM and TGW (N = 653)

From: Correlates of nonadherence to key population-led HIV pre-exposure prophylaxis services among Thai men who have sex with men and transgender women

Variables

Univariate

Multivariable

aOR

95% CI

p

aOR

95% CI

p

Demographic data

 Age (years)

0.002

 

0.044

  Age ≤ 25

1.67

1.20–2.31

1.49

1.01–2.21

  Age > 25

Ref

Ref

 Gender

< 0.001

 

0.005

  TGW

3.8

2.38–6.08

2.2

1.27–3.83

  Male

Ref

Ref

 Sites

< 0.001

 

  Chiang Mai/Songkhla

0.99

0.55–1.75

0.97

0 .53–1.79

0.924

  Chonburi

4.24

2.74–6.56

2.91

1.55–5.45

0.001

  Bangkok

Ref

Ref

 Nationality

0.01

 

0.28

  Thai

Ref

Ref

  Foreigner

2.57

1.24–5.30

1.57

0.70–3.52

 Marital status

0.52

 

  Single

Ref

  Living together/Married

0.98

0.58–1.67

  Divorced/Widow

0.33

0.04–2.82

 Education*

< 0.001

 

  Less than Bachelor degree

2.76

1.97–3.86

  Bachelor degree and above

Ref

 Occupation*

< 0.001

 

  Unemployed/Student

1.1

0.72–1.69

0.93

0.57–1.52

0.76

  Employed

Ref

Ref

  Service Worker (beautician, restaurant, etc.)

3.31

2.05–5.33

1.09

0.57–2.10

0.92

 Income (THB)*

0.0029

 

  Less than or equal 20,000 THB

1.73

1.20–2.49

  Greater than 20,000 THB

Ref

 Have ever had HIV testing/services at clinic before enrollment in this study

0.16

 

0.04

  New Client

1.37

0.87–2.16

1.68

1.03–2.76

  Yes

Ref

Ref

Risk behavior at baseline

 Age at first sexual intercourse (years)

0.19

 

  < 18

1.26

0.89–1.78

  ≥ 18

Ref

 HIV perceive risk in the past 3 months

0.39

 

  No risk

1.71

0.89–3.28

  Mild

1.07

0.66–1.74

  Moderate

1.16

0.72–1.89

  High

Ref

 Number of sexual partners in the past 3 months (all MSM, female and TG)

0.93

 

  No sexual partner/Single partner

Ref

  Multiple partners

1.02

0.68–1.52

 Number of sex partners in past 3 months (all MSM, female and TG)

0.27

 

  < 3

Ref

  ≥ 3

1.23

0.85–1.80

 Condom use (anal receptive or insertive) in the past 3 months

0.42

 

  Safe sex (No sexual activity + Always)

Ref

  Unprotected sex (Never + Sometimes)

1.15

0.82–1.63

 Substance/stimulant/drug use in the past 3 months

0.98

 

  No

Ref

  Yes (Overall participants that reported substance/stimulant/drug use at least once)

1

0.70–1.41

 Amphetamine-type stimulant use in the past 3 months

0.83

 

  None

Ref

  Yes

0.93

0.47–1.84

 Symptoms of STI or previously diagnosed with STI (gonorrhea, chlamydia, herpes, syphilis) in the past 3 months

0.67

 

  None

Ref

  Yes, have any STI

0.85

0.49–1.46

  Unsure

1.21

0.65–2.22

 Had group sex in the past 3 months

0.61

 

  Didn’t have group sex

Ref

  Yes, times of group sex < 3

1.27

0.56–2.89

  Yes, times of group sex ≥3

1.15

0.74–1.79

  If yes, number of partners during group sex

0.73

 

   Didn’t have group sex

Ref

   Yes, # of sex partners during group sex each time < 3

1.27

0.56–2.89

   Yes, # of sex partners during group sex each time ≥ 3

1.15

0.74–1.79

  If yes, condom usage during group sex

0.29

 

   Didn’t have group sex

Ref

   None or Sometimes

1.65

0.88–3.11

   Always

0.97

0.58–1.60

  If yes, substance usage during group sex

0.61

 

   Didn’t have group sex

Ref

   Never

1.32

0.76–2.28

   Sometimes or Always

1

0.57–1.73

  1. *Education, occupation, and income were found to have collinearity. Occupation was chosen to include into the final logistic model