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Table 3 Factors associated with HRHB among HIV-infected MSM in China

From: Behavioral verification and risk factors of HIV cross-population transmission in China: analysis of national surveillance data 1989–2022

Factors

Total

HRHB(%)

univariate analysis

multivariate analysis

OR(95%CI)

P

AOR(95%CI)

P

Total

347,041

19,893(5.7)

    

Age(years)

 15–24

98,716

4,475(4.5)

1

 

1

 

 25–34

126,341

7,751(6.1)

1.38(1.33–1.43)

 < 0.001

1.29(1.24–1.35)

 < 0.001

 35–44

61,968

4,190(6.8)

1.53(1.46–1.60)

 < 0.001

1.22 (1.16–1.29)

 < 0.001

 45–54

39,892

2,459(6.2)

1.38(1.32–1.46)

 < 0.001

1.02(0.95–1.08)

0.614

 55–64

14,238

756(5.3)

1.18(1.10–1.28)

 < 0.001

0.82(0.75–0.90)

 < 0.001

  ≥ 65

5,886

262(4.5)

0.98(0.86–1.11)

0.769

0.64(0.55–0.73)

 < 0.001

Marital status*

 Unmarried

225,100

11,760(5.2)

1

 

1

 

 Married

70,553

4,888(6.9)

1.35(1.31–1.40)

 < 0.001

1.23(1.18–1.29)

 < 0.001

 Divorced or widowed

50,541

3,206(6.3)

1.23(1.18–1.28)

 < 0.001

1.17(1.11–1.23)

 < 0.001

Ethnicity

 Han

326,395

18,426(5.6)

1

 

1

 

 Minority

20,646

1,467(7.1)

1.28(1.21–1.35)

 < 0.001

1.29(1.22–1.37)

 < 0.001

Education*

 Primary school or illiteracy

20,191

1,456(7.2)

1.42(1.34–1.50)

 < 0.001

1.32(1.24–1.40)

 < 0.001

 Middle school

89,864

6,134(6.8)

1.34(1.30–1.38)

 < 0.001

1.22(1.18–1.27)

 < 0.001

 College and above

236,968

12,302(5.2)

1

 

1

 

Diagnosis locations

 VCT

149,141

6,139(4.1)

1

 

1

 

 Hospitals

135,399

10,383(7.7)

1.94(1.87–2.00)

 < 0.001

1.91(1.85–1.98)

 < 0.001

 Others

62,501

3,371(5.4)

1.33(1.27–1.39)

 < 0.001

1.25(1.19–1.30)

 < 0.001

Regional distribution

 East

170,671

10,363(6.1)

1.22(1.18–1.27)

 < 0.001

1.17(1.13–1.22)

 < 0.001

 Central

87,132

5,048(5.8)

1.16(1.12–1.21)

 < 0.001

1.11(1.06–1.16)

 < 0.001

 West

89,238

4,482(5.0)

1

 

1

 

Years of diagnosis

 1998–2012

41,428

3,169(7.6)

1

 

1

 

 2013–2016

110,019

6,179(5.6)

0.72(0.69–0.75)

 < 0.001

0.70(0.67–0.73)

 < 0.001

 2017–2019

102,907

5,759(5.6)

0.72(0.68–0.75)

 < 0.001

0.69(0.66–0.72)

 < 0.001

 2020–2022

92,687

4,786(5.2)

0.66(0.63–0.69)

 < 0.001

0.61(0.58–0.64)

 < 0.001

Migration*

 No

195,116

11,393(5.8)

1

 

1

 

 Yes

151,925

8,500(5.6)

0.96(0.93–0.98)

0.002

1.03 (1.00–1.07)

0.061

Residence*

 Urban

283,292

15,904(5.6)

1

 

1

 

 Rural

59,891

3,793(6.3)

1.14(1.10–1.18)

 < 0.001

1.12(1.08–1.17)

 < 0.001

  1. Asterisk indicates missing values
  2. Abbreviations: OR odds ratio, CI confidence interval, AOR adjusted odds, HRHB high-risk heterosexual behavior, MSM men who have sex with men, VCT voluntary counseling and testing