Table 3 Factors associated with ART adherence in univariate and multivariable regression among MSM living with HIV in Jinan of China (N = 585)
Variables | Univariate regression | Multivariate regression | ||
|---|---|---|---|---|
Crude OR (95% CI) | P-value | AOR (95% CI) | P-value | |
Duration of ART (years) | 0.89 (0.83–0.96) | 0.002 | 0.88(0.81–0.95) | 0.001 |
Age | 0.99 (0.97–1.02) | 0.564 | ||
Living area | ||||
Urban area | Ref. | |||
Rural area or county town | 1.08 (0.56–2.20) | 0.827 | ||
Education | ||||
High school and below | Ref. | |||
College and above | 1.40 (0.96–2.06) | 0.082 | ||
Employment | ||||
Yes | Ref. | |||
No | 1.14 (0.57–2.50) | 0.718 | ||
Monthly income (CNY) | ||||
≤ 5000 | Ref. | |||
5001–8000 | 0.86 (0.56–1.33) | 0.501 | ||
> 8000 | 0.97 (0.60–1.61) | 0.911 | ||
Marital status | ||||
Currently unmarried | Ref. | |||
Currently married | 0.86 (0.54–1.39) | 0.591 | ||
Whether having kids | ||||
No | Ref. | |||
Yes | 0.80 (0.53–1.24) | 0.315 | ||
Whether having medical insurance | ||||
Yes | Ref. | |||
No | 0.68 (0.40–1.19) | 0.167 | ||
ART medication knowledge score | 1.19 (1.06–1.35) | 0.004 | 1.20(1.05–1.37) | 0.009 |
Sex role | ||||
Insertive role | Ref. | |||
Receptive role | 1.76 (1.03–3.03) | 0.039 | ||
Both | 1.16 (0.72–1.83) | 0.539 | ||
Sex orientation | ||||
Homosexual | Ref. | Ref. | ||
Bisexual | 0.69 (0.45–1.05) | 0.079 | 0.57(0.36–0.92) | 0.020 |
Heterosexual or unclear | 1.52 (0.82–3.02) | 0.200 | 1.30(0.64–2.85) | 0.484 |
Sex orientation disclosure | ||||
No | Ref. | Ref. | ||
Yes | 0.60 (0.40–0.88) | 0.010 | 0.60(0.39–0.92) | 0.021 |
HIV status disclosure | ||||
No | Ref. | |||
yes | 0.82 (0.55–1.21) | 0.319 | ||
Alcohol use in the past 12 months | ||||
No | Ref. | Ref. | ||
Yes | 0.49 (0.33–0.74) | < 0.001 | 0.44(0.28–0.67) | < 0.001 |
Ever drug use | ||||
No | Ref. | |||
Yes | 0.60 (0.30–1.24) | 0.151 | ||
Having condomless anal sex in the past 3 months | ||||
No | Ref. | Ref. | ||
Yes | 0.58 (0.33–1.07) | 0.073 | 0.58(0.31–1.11) | 0.094 |
Intervals between HIV diagnosis and ART initiation | ||||
In the same year | Ref. | |||
More than 1 year | 0.58 (0.36–0.94) | 0.023 | ||
Frequency of taking medications | ||||
Once a day | Ref. | Ref. | ||
Twice a day | 0.66 (0.45–0.97) | 0.032 | 0.71(0.47–1.08) | 0.112 |
Types of ART medication | ||||
Two or one | Ref. | |||
Three | 0.81 (0.42–1.63) | 0.531 | ||
Distance of medical visit | ||||
≤ 20 km | Ref. | |||
> 20 km | 0.84 (0.57–1.22) | 0.356 | ||
Adherence education before ART initiation | ||||
Yes | Ref. | |||
No | 0.66 (0.31–1.50) | 0.301 | ||
Having medication reminders | ||||
Yes | Ref. | Ref. | ||
No | 0.33 (0.18–0.60) | < 0.001 | 0.27(0.14–0.52) | < 0.001 |
Having side effects while taking medications | ||||
No | Ref. | |||
Yes | 1.11 (0.76–1.65) | 0.586 | ||
HIV treatment self-efficacy score | 1.01 (0.99–1.02) | 0.166 | ||