Research Article

Event-Specific Risk Factors Predicting Episodes of Unprotected Anal Intercourse with Male Nonregular Partners among Men Who Have Sex with Men Using Case-Crossover Study Design

Table 5

Factors associated with UAI involving male NRP.

Episode involving condom useEpisode involving no condom use Matched OR
Row %Row %

Sociodemographic characteristics
Age (years)
 ≤2543.256.81
 26–3551.948.10.52 (0.28–0.97)*
 36–4546.753.30.66 (0.26–1.72)
 >4647.652.40.93 (0.13–6.50)
 Do not know61.039.00.29 (0.12–0.70)**
Sexual experiences
Times of anal sex with the sex partner before
 0 times48.151.91
 1-2 times48.951.11.02 (0.49–2.12)
 ≥3 times64.435.60.28 (0.10–0.75)*
Did your sex partner have equal sex experience as you?
 About the same/do not know44.955.11
 More experience/less experience55.744.30.47 (0.27–0.79)**
Style of the partner
Physical appearance of sex partner
 Neutral46.153.91
 Masculine50.549.50.67 (0.38–1.20)
 Feminine62.537.50.16 (0.04–0.57)**
Personality of sex partner
 Passive60.539.51
 Assertive50.749.32.18 (1.07–4.45)*
 Neutral42.757.34.30 (1.81–10.17)***
 Do not know40.060.04.48 (0.35–57.46)
Liking & relationship
How much did the sex partner like you?
 1–330.869.21
 4–641.158.90.60 (0.14–2.69)
 ≥755.544.50.19 (0.04–0.81)*
 Do not know45.254.80.76 (0.17–3.47)
Spirit prior to the episode of anal sex
Tiredness before the episode
 Very energetic/energetic/normal51.748.31
 A bit tired/very tired36.163.92.73 (1.07–7.00)*
 Do not know/cannot remember40.060.01.61 (0.57–4.56)
Were you (the participant) nervous prior to the sex episode?
 Not at all54.345.71
 Not really51.948.11.33 (0.75–2.33)
 A bit/very34.865.23.32 (1.57–7.06)**
 Do not know46.253.81.61 (0.47–5.57)
Risk assessments
One week before intercourse, did you have UAI with any other male partner?
 No48.052.01
 Yes59.240.80.39 (0.18–0.85)*
How likely did you think he would be to use condoms with other male sex partners?
 Very likely/moderate/no other partners53.846.21
 Not likely/never45.454.62.29 (1.22–4.28)*
Communication  &  planning about condom use
Did you discuss condom use with partner before UAI?
 No44.455.61
 Yes63.536.50.29 (0.16–0.53)***
Did you perceive that the sex partner would like to use a condom?
 No36.963.11
 Yes76.223.80.11 (0.05–0.21)***
Did your sex partner suggest using a condom?
 No44.155.91
 Yes67.632.40.30 (0.17–0.52)***
Did your sex partner suggest NOT using a condom?
 No49.051.01
 Yes35.065.04.00 (1.84–8.68)***
Did you plan to use a condom?
 No28.771.31
 Yes59.940.10.16 (0.08–0.30)***
Did you suggest using a condom?
 No 41.358.71
 Yes68.631.40.19 (0.10–0.35)***
Did you suggest NOT using a condom?
 No 52.547.51
 Yes29.870.22.90 (1.41–5.95)**
Timing & location
Happen during weekend?
 Weekend58.941.11
 Weekday44.355.72.50 (1.49–4.20)***
Availability of condoms
Were condoms already available at the venue?
 No38.261.81
 Yes53.746.30.40 (0.22–0.71)**
Were there any notices (e.g., posters) promoting condom use at the venue then? #
 No46.453.61
 Yes54.445.60.40 (0.21–0.76)*
Were you carrying a condom?
 No47.053.01
 Yes55.944.10.45 (0.24–0.85)*
Was the sex partner carrying a condom with him?
 No46.553.51
 Yes66.733.30.27 (0.13–0.56)***

; ; .
Adjusted for location of sex episode.