Participant characteristics | Associations with insertive anal sex | Associations with receptive anal sex | Associations with both types of anal sex | |||
---|---|---|---|---|---|---|
Bivariate analyses (95% CI) | Multivariable analyses (95% CI) | Bivariate analyses (95% CI) | Multivariable analyses (95% CI) | Bivariate analyses (95% CI) | Multivariable analyses (95% CI) | |
Age categories | ||||||
 16–19 years | Ref | Ref | Ref | Ref | Ref | Ref |
 20–24 years | 0.71 (0.50–0.99) ** | 0.55 (0.38–0.81) ** | 0.94 (0.71–1.24) | 0.76 (0.56–1.03) | 0.89 (0.70–1.15) | 0.75 (0.57–0.99) ** |
 25–29 years | 0.61 (0.43–0.88) ** | 0.41 (0.28–0.62) *** | 0.88 (0.65–1.18) | 0.57 (0.41–0.80) ** | 0.79 (0.60–1.03) * | 0.58 (0.43–0.78) ** |
 30–34 years | 0.72 (0.47–1.11) | 0.51 (0.31–0.83) ** | 0.91 (0.60–1.37) | 0.61 (0.38–0.97) ** | 0.86 (0.61–1.22) | 0.64 (0.43–0.95) ** |
 35 and older | 0.71 (0.42–1.19) | 0.52 (0.28–0.97) ** | 0.92 (0.51–1.62) | 0.62 (0.31–1.24) | 0.92 (0.59–1.43) | 0.72 (0.43–1.21) |
Education status | ||||||
 None/primary education only | Ref | Ref | Ref | Ref | Ref | Ref |
 Junior secondary only | 0.87 (0.44–1.71) | 0.76 (0.36–1.60) | 1.15 (0.61–2.12) | 1.03 (0.52–2.05) | 1.32 (0.75–2.33) | 1.25 (0.68–2.28) |
 Senior secondary | 1.98 (1.20–3.27) ** | 1.50 (0.84–2.58) | 1.48 (0.90–2.44) | 1.13 (0.64–1.98) | 1.82 (1.17–2.82) ** | 1.42 (0.87–2.31) |
 Higher than secondary | 2.02 (1.22–3.34) ** | 1.78 (1.01–3.14) ** | 1.94 (1.16–3.23) ** | 1.66 (0.94–2.94) | 2.05 (1.31–3.21) ** | 1.80 (1.10–2.94) ** |
 Refusal/Don’t know | 1.42 (0.36–5.51) | 1.76 (0.37–8.4) | 1.24 (0.27–5.69) | 1.42 (0.26–7.74) | 1.24 (0.33–4.60) | 1.47 (0.35–6.15) |
Sexual orientation | ||||||
 Gay or homosexual | Ref |  | Ref |  | Ref |  |
 Bisexual | 1.17 (0.93–1.48) |  | 1.04 (0.85–1.27) |  | 1.09 (0.91–1.30) |  |
 Other | – |  | 1.94 (0.19–19.7) |  | 1.98 (0.20–20.0) |  |
 Refusal/Don’t know | 4.02 (0.64–25.5) |  | 1.38 (0.09–22.2) |  | 2.95 (0.42–20.8) |  |
Gender identity | ||||||
 Male | Ref | Ref | Ref | Ref | Ref | Ref |
 Female | 1.45 (0.97–2.17) * | 1.52 (0.97–2.36) | 1.15 (0.87–1.52) | 1.21 (0.90–1.63) | 1.19 (0.92–1.55) | 1.21 (0.91–1.60) |
 Both/other | 0.82 (0.57–1.17) | 0.81 (0.56–1.18) | 0.68 (0.49–0.96) ** | 0.69 (0.48–0.98) ** | 0.76 (0.56–1.03) * | 0.77 (0.56–1.06) |
 Refusal/Don’t know | 0.82 (0.14–4.71) | 0.72 (0.09–5.47) | 0.30 (0.03–2.70) | 0.25 (0.03–2.20) | 0.47 (0.09–2.50) | 0.43 (0.07–2.59) |
Marital status | ||||||
 Single/Never Married | Ref | Ref | Ref | Ref | Ref | Ref |
 Married/Cohabitating with a woman | 0.99 (0.64–1.52) | 1.39 (0.84–2.32) | 1.05 (0.66–1.68) | 1.28 (0.75–2.17) | 0.99 (0.66–1.47) | 1.27 (0.81–2.00) |
 Cohabitating with a man | 1.31 (0.63–2.74) | 0.78 (0.35–1.73) | 0.89 (0.45–1.76) | 0.62 (0.32–1.23) | 1.05 (0.58–1.89) | 0.72 (0.39–1.33) |
 Divorced/Separated/Widowed | 0.70 (0.36–1.37) | 0.67 (0.31–1.41) | 1.11 (0.62–1.96) | 1.10 (0.58–2.07) | 0.92 (0.54–1.56) | 0.86 (0.49–1.52) |
Disclosure to healthcare worker | ||||||
 No | Ref | Ref | Ref | Ref | Ref | Ref |
 Yes | 1.65 (1.33–2.05) *** | 1.31 (1.03–1.66) ** | 1.67 (1.36–2.05) *** | 1.39 (1.11–1.76) ** | 1.47 (1.24–1.75) *** | 1.22 (1.00–1.48) ** |
 Refusal/Don’t know | 0.83 (0.15–4.71) | 1.09 (0.15–7.7) | 0.13 (0.02–0.77) ** | 0.09 (0.02–0.43) ** | 0.45 (0.07–2.72) | 0.46 (0.06–3.32) |
Heavy Drinking in past 30 days | ||||||
 No | Ref |  | Ref |  | Ref |  |
 Yes | 1.20 (0.85–1.69) |  | 1.12 (0.77–1.64) |  | 1.12 (0.82–1.52) |  |
 Refusal/Don’t know | 0.72 (0.36–1.45) |  | 0.81 (0.38–1.76) |  | 0.75 (0.40–1.38) |  |
Access to condoms | ||||||
 Gets condoms for free | Ref | Ref | Ref | Ref | Ref | Ref |
 Buys condoms | 0.69 (0.54–0.88) ** | 0.82 (0.63 1.07) | 0.74 (0.58–0.94) ** | 0.91 (0.70–1.17) | 0.77 (0.62–0.94) ** | 0.91 (0.73–1.13) |
 Gets for free and buys them | 0.87 (0.67–1.13) | 0.81 (0.61–1.06) | 0.90 (0.70–1.15) | 0.92 (0.71–1.20) | 0.88 (0.71–1.09) | 0.86 (0.68–1.07) |
 Neither | 0.14 (0.04–0.44) ** | 0.23 (0.06–0.81) ** | 0.15 (0.06–0.38) *** | 0.18 (0.07–0.47) *** | 0.19 (0.09–0.43) *** | 0.26 (0.11–0.59) ** |
 Refusal/Don’t know | 0.81 (0.22–3.03) | 1.53 (0.32–7.24) | 0.89 (0.30–2.70) | 1.32 (0.39–4.47) | 0.72 (0.25–2.06) | 1.18 (0.39–3.59) |
Knowledge of HIV risks | ||||||
 a.) What type of sex is associated with highest HIV transmission risk? | ||||||
  All types of sex carry equal risk | Ref | Ref | Ref | Ref | Ref | Ref |
  Anal sex | 1.32 (1.02–1.70) ** | 1.15 (0.88–1.50) | 1.35 (1.07–1.70) ** | 1.19 (0.93–1.52) | 1.31 (1.07–1.60) ** | 1.16 (0.94–1.44) |
  Vaginal sex | 1.15 (0.85–1.57) | 1.28 (0.92–1.80) | 1.22 (0.87–1.70) | 1.47 (1.03–2.10) ** | 1.12 (0.86–1.46) | 1.26 (0.95–1.68) |
  Oral | 1.06 (0.61–1.87) | 1.31 (0.72–2.40) | 1.65 (0.98–2.77) * | 1.78 (1.04–3.04) ** | 1.36 (0.86–2.15) | 1.48 (0.92–2.37) |
  Refusal/Don’t know | 0.76 (0.42–1.39) | 1.20 (0.63–2.27) | 0.82 (0.47–1.44) | 1.11 (0.61–2.03) | 0.75 (0.45–1.23) | 1.04 (0.61–1.76) |
 b.) What type of anal sex is associated with the highest HIV transmission risk? | ||||||
  All types of anal sex carry equal risk | Ref |  | Ref |  | Ref |  |
  Receptive anal sex | 1.01 (0.81–1.25) |  | 1.14 (0.93–1.40) |  | 1.08 (0.90–1.29) |  |
  Insertive anal sex | 1.02 (0.72–1.46) |  | 1.19 (0.82–1.75) |  | 1.15 (0.85–1.56) |  |
  Refusal/Don’t know | 0.85 (0.52–1.40) |  | 0.79 (0.45–1.40) |  | 0.87 (0.56–1.35) |  |
Any STI test in the past 12 months | ||||||
 No | Ref | Ref | Ref | Ref | Ref | Ref |
 Yes | 1.33 (1.08–1.64) ** | 1.18 (0.94–1.48) | 1.39 (1.13–1.70) ** | 1.24 (0.99–1.55) | 1.28 (1.07–1.52) ** | 1.14 (0.94–1.37) |
 Refusal/Don’t know | 6.28 (0.94–41.8) | 5.23 (0.45–60.3) | 2.33 (0.33–16.3) | 2.28 (0.25–20.6) | 6.15 (0.94–40.4) | 6.00 (0.68–53.2) |
Any STI diagnosis in the past 12 months | ||||||
 No | Ref |  | Ref |  | Ref |  |
 Yes | 0.93 (0.76–1.18) |  | 0.84 (0.67–1.06) |  | 0.88 (0.72–1.07) |  |
 Refusal/ Don’t know | 0.53 (0.13–2.09) |  | 0.43 (0.08–2.34) |  | 0.52 (0.15–1.81) |  |
Worry about HIV in the past 12 months? | ||||||
 Not at all worried | Ref | Ref | Ref | Ref | Ref | Ref |
 Somewhat/ a little worried | 0.94 (0.74–1.20) | 0.83 (0.70–1.08) | 1.06 (0.84–1.33) | 0.95 (0.74–1.21) | 0.97 (0.79–1.18) | 0.87 (0.70–1.07) |
 Very worried | 0.74 (0.58–0.94) ** | 0.65 (0.50–0.84) ** | 0.75 (0.59–0.95) ** | 0.65 (0.51–0.84) ** | 0.75 (0.61–0.92) ** | 0.66 (0.53–0.82) ** |
 Refusal/Don’t know | 0.55 (0.47–0.63) *** | 0.65(0.44–0.97) ** | – | – | 1.89 (0.27–13.2) | 2.27 (0.27–18.7) |
Ever previously tested for HIV? | ||||||
 No | Ref | Ref | Ref | Ref | Ref |  |
 Yes, once | 1.53 (1.11–2.10) ** | 1.07 (0.56–2.06) | 1.59 (1.19–2.13) ** | 1.89 (1.01–3.56) ** | 1.51 (1.17–1.97) ** | 1.44 (0.86–2.43) |
 Yes, more than once | 1.98 (1.50–2.61) *** | 1.36 (0.70–2.67) | 1.78 (1.37–2.30) *** | 2.02 (1.05–3.89) ** | 1.77 (1.41–2.22) *** | 1.63 (0.95–2.80) |
 Refusal/Don’t know | 13.9 (2.79–68.9) ** | 22.1 (6.68–67.5) | 5.75 (4.60–7.18) *** | 9.72 (4.93–19.2) *** | 13.2 (2.68–65.4) ** | 20.0 (6.6–60.3) ** |
Self-reported HIV | ||||||
 Negative | Ref | Ref | Ref | Ref | Ref | Ref |
 Positive | 1.30 (1.03–1.65) ** | 1.18 (0.91–1.54) | 1.29 (1.04–1.61) ** | 1.20 (0.94–1.54) | 1.22 (1.01–1.48) ** | 1.13 (0.91–1.39) |
 Unknown | 0.62 (0.48–0.81) *** | 0.82 (0.44–1.54) | 0.72 (0.56–0.92) ** | 1.53 (0.83–2.84) | 0.68 (0.55–0.85) ** | 1.10 (0.67–1.82) |
HIV results at baseline | ||||||
 Negative | Ref |  | Ref |  | Ref |  |
 Positive | 0.90 (0.73–1.10) |  | 0.89 (0.73–1.08) |  | 0.90 (0.76–1.06) |  |
Site | ||||||
 Abuja | Ref | Ref | Ref | Ref | Ref | Ref |
 Lagos | 2.03 (1.62–2.54) *** | 1.76 (1.36–2.29) *** | 1.47 (1.21–1.79) *** | 1.21 (0.95–1.54) | 1.60 (1.34–1.89) *** | 1.41 (1.15–1.73) ** |