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Table 3 Participant characteristics associated with consistent condom use with anal sex

From: Individual and partnership characteristics associated with consistent condom use in a cohort of cisgender men who have sex with men and transgender women in Nigeria

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) **

  1. * p ≤ 0.10
  2. ** p < 0.05
  3. *** p < 0.001