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Table 3 Univariable and Multivariable Generalized linear mixed Models Assessing PrEP Interruptions* (N = 280 participants reporting on 828 study visits)

From: Examining the secondary impacts of the COVID-19 pandemic on syndemic production and PrEP use among gay, bisexual and other men who have sex with men (GBM) in Vancouver, Canada

On PrEP interruption at interview date

  

No (N = 720)

Yes (N = 108)

Yes vs. No

Yes vs. No

Variable

Total N

N

(%)

N

(%)

OR

95% CI

p-value

aOR

95% CI

p-value

Annual income

828

            

Less than 30,000

 

199

(27.6)

35

(32.4)

        

30,000 to 59,999

 

264

(36.7)

34

(31.5)

0.70

0.31

1.57

0.383

    

60,000 or higher

 

257

(35.7)

39

(36.1)

0.92

0.38

2.19

0.841

    

Ethnicity

828

            

Canadian

 

318

(44.2)

49

(45.4)

        

Aboriginal

 

7

(1.0)

1

(0.9)

0.95

0.02

56.35

0.978

    

European

 

173

(24.0)

24

(22.2)

0.69

0.26

1.86

0.461

    

Asian

 

146

(20.3)

17

(15.7)

0.60

0.21

1.75

0.352

    

African/Caribbean/Black

 

8

(1.1)

  

NA

       

Mixed Race

 

16

(2.2)

5

(4.6)

2.28

0.20

26.48

0.509

    

Another ethnicity

 

52

(7.2)

12

(11.1)

2.06

0.53

8.04

0.298

    

Sexual identity

828

            

Gay

 

608

(84.4)

91

(84.3)

        

Bisexual

 

26

(3.6)

2

(1.9)

0.64

0.08

5.09

0.676

    

Another sexual identity

 

86

(11.9)

15

(13.9)

0.83

0.31

2.25

0.718

    

Gender identity

828

            

Cisgender

 

675

(93.8)

101

(93.5)

        

Another gender identity

 

45

(6.3)

7

(6.5)

0.98

0.25

3.80

0.975

    

Highest level of education

828

            

High school or less

 

49

(6.8)

7

(6.5)

        

Greater than high school

 

671

(93.2)

101

(93.5)

0.77

0.19

3.09

0.707

    

Current employment

828

            

No

 

130

(18.1)

21

(19.4)

        

Yes

 

590

(81.9)

87

(80.6)

0.82

0.37

1.84

0.629

    

Current relationship with a main partner

828

            

No

 

408

(56.7)

49

(45.4)

        

Yes

 

312

(43.3)

59

(54.6)

2.13

1.12

4.05

0.021

3.58

1.62

7.92

0.002

Time period

828

            

Before COVID (MAR 2018 to MAR 16 2020)

 

559

(77.6)

48

(44.4)

        

After COVID (SEP 2020 to APR 2021)

 

161

(22.4)

60

(55.6)

9.76

4.81

19.81

< 0.001

9.25

4.06

21.1

< 0.001

Overall PrEP eligibility

822

            

No

 

129

(18.0)

41

(38.3)

        

Yes

 

586

(82.0)

66

(61.7)

0.20

0.10

0.43

< 0.001

0.25

0.11

0.60

0.002

Syndemic Conditions

             

HADS Anxiety

813

            

Normal/Mild (score 10 or less)

 

533

(75.5)

78

(72.9)

        

Moderate/Severe (score 11 to 21)

 

173

(24.5)

29

(27.1)

1.21

0.60

2.46

0.597

    

HADS Depression

810

            

Normal/Mild (score 10 or less)

 

653

(92.9)

90

(84.1)

        

Moderate/Severe (score 11 to 21)

 

50

(7.1)

17

(15.9)

4.45

1.58

12.55

0.005

4.80

1.43

16.16

0.011

Polysubstance use P6M

813

            

No

 

352

(49.9)

58

(54.2)

        

Yes

 

354

(50.1)

49

(45.8)

0.61

0.31

1.20

0.152

Not selected

   

Binge drinking measured by Alcohol Use AUDIT-C

820

            

No (Score less than 4)

 

320

(44.8)

50

(47.6)

        

Yes (Score 4 or more)

 

395

(55.2)

55

(52.4)

0.70

0.36

1.36

0.288

    

IPV experiences

826

            

No

 

475

(66.2)

88

(81.5)

        

Yes

 

243

(33.8)

20

(18.5)

0.26

0.12

0.58

0.001

0.38

0.15

0.95

0.038

Experiences growing up as a child: Sexual abuse

815

            

Never

 

550

(77.5)

88

(83.8)

        

Ever

 

160

(22.5)

17

(16.2)

0.58

0.22

1.55

0.277

    

Experiences growing up as a child: Touched

816

            

Never

 

453

(63.7)

75

(71.4)

        

Ever

 

258

(36.3)

30

(28.6)

0.55

0.24

1.30

0.175

    

Experiences growing up as a child: Threatened

812

            

Never

 

636

(90.0)

96

(91.4)

        

Ever

 

71

(10.0)

9

(8.6)

0.95

0.25

3.55

0.933

    

Experiences growing up as a child: Sexual things

816

            

Never

 

526

(74.0)

86

(81.9)

        

Ever

 

185

(26.0)

19

(18.1)

0.54

0.21

1.38

0.197

    

Continuous Variables

Total N

Median

(Q1-Q3)

Median

(Q1-Q3)

OR

95% CI

P-value

    

P6M Number of male sex partners

828

8

(4–15)

2

(1–5)

0.92

0.88

0.96

< 0.001

Not Selected

Treatment Optimism Scale

828

22

(20–25)

21

(18–25)

0.92

0.86

0.99

0.028

0.93

0.85

1.02

0.107

Age

828

33

(29–40)

32

(27–36)

0.98

0.94

1.01

0.182

0.94

0.89

0.98

0.009

  1. Acronyms: HADS = Hospital Anxiety and Depression Scale; P6M = Past Six Months; AUDIT-C = Alcohol Use Disorders Identification Test; IPV = Interpersonal violence; OR = Odds Ratio
  2. *Participants could be included in analysis if they have ever used PrEP before the current visit. Also the mixed effects model considered clustering, so the ORs could not be replicated by the frequencies. Not selected means variables were removed in the model selection process