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Table 4 Final multivariable model 2: adjusted associations with utilization of sexual health care services (USHCS)

From: The relationship between depression and sexual health service utilization among men who have sex with men (MSM) in Côte d'Ivoire, West Africa

Variable

Adjusted Odds Ratio [95% Conf. Interval]

P-value

RDS [95% CI

Depression

1.36 (1.03–1.80)

0.032

1.59 (1.062.39)

Health care stigma

 Perceived

0.92 (0.68–1.25)

0.602

1.12 (0.71–1.75)

 Enacted

1.55 (0.98–2.46)

0.064

1.13 (0.56–2.29)

Age

 20–24

1.44 (0.93–2.22)

0.102**

1.93 (1.04-3.60)

 25–29

1.88 (1.14–3.10)

0.014

2.35 (1.14–4.83)

  ≥ 30

1.46 (0.78–2.74)

0.238

1.82 (0.75–4.40)

Education

 Primary/less

0.60 (0.22–1.64)

0.318

0.85 (0.23–3.13

 Secondary

0.69 (0.28–1.68)

0.411

076 (0.25–2.35)

 Above secondary

1.29 (0.50–3.31)

0.593

1.36 (0.41–4.56)

Employment

 No

0.63 (0.41–0.97)

0.037*

0.59 (0.29-1.18)

 Student

0.67 (0.48–0.96)

0.027*

0.72 (0.43–1.20)

Residence

 Family/spouse

1.36 (0.87–2.11)

0.179

1.31 (0.74–2.33)

 Friend/msm/other

1.77 (0.96–3.28)

0.069

1.35 (0.59–3.10)

Gender

 Male

0.44 (0.29–0.67)

< 0.001

0.48 (0.23–1.01)

 Sex orientation

 Homosexual

0.73 (0.55–0.98)

0.033

0.60 (0.39–0.93)

 Heterosexual

2.05 (0.56–7.44)

0.275

4.11 (0.87–19.53)

 Forced sex

0.94 (0.64–1.37)

0.753

0.65 (0.34–1.21)

 Condom use (30 days)

1.32 (0.94–1.85)

0.110**

1.99 (1.21–3.30)

  1. Ref: Depression: no depression, age: < 20, education: never, employment: yes, residence: alone, gender: transgender, sexual orientation: bisexual, forced sexual intercourse: no, condom use: no
  2. **= significant after RDS adjustment
  3. *= not significant after RDS adjustment
  4. The bolded p values implies significance