Access to Basic HIV-Related Services and PrEP Acceptability among Men Who Have sex with Men Worldwide: Barriers, Facilitators, and Implications for Combination Prevention
Table 4
Multivariable logistics random effects modeling of factors associated with access to HIV prevention and treatment services.
Condoms
Lubricants
HIV testing*
HIV treatment*
OR
CI
OR
CI
OR
CI
OR
CI
Homophobia
0.65
0.56–0.75
0.000
0.54
0.46–0.65
0.000
0.64
0.54–0.76
0.000
0.52
0.36–0.76
0.001
Violence-MSM
0.98
0.87–1.12
0.806
0.91
0.77–1.08
0.289
0.90
0.77–1.06
0.200
1.14
0.77–1.67
0.518
Violence-HIV*
0.71
0.42–1.19
0.191
Provider stigma
0.72
0.57–0.91
0.007
1.12
0.84–1.48
0.445
1.14
0.84–1.55
0.408
Outness
0.93
0.87–0.99
0.034
0.87
0.80–0.95
0.002
0.99
0.91–1.07
0.719
1.13
0.92–1.38
0.238
Community engagement
1.26
1.09–1.47
0.002
1.25
1.04–1.48
0.014
1.18
0.98–1.42
0.081
1.14
0.80–1.62
0.465
Connection to gay community
1.18
1.06–1.30
0.002
1.18
1.05–1.34
0.008
1.21
1.06–1.36
0.003
1.10
0.85–1.42
0.483
Comfort with provider
1.40
1.27–1.54
0.000
1.53
1.36–1.72
0.000
1.85
1.65–2.08
0.000
1.82
1.40–2.38
0.000
Violence-HIV and HIV treatment access were only measured among participants who reported being HIV positive. The model for HIV testing included only HIV negative participants.