Odds ratios of hormonal contraception and condom use among HIV serodiscordant couples
| Parameter | Hormonal contraceptives | Condoms | ||||||
|---|---|---|---|---|---|---|---|---|
| HC-user/total | HC-user/total (%) | UnadjOR (95% CI) | AdjOR* (95% CI) | Condom/total | Condom/total (%) | UnadjOR (95% CI) | AdjOR* (95% CI) | |
| Education | ||||||||
| None | 14/74 | 18.9 | 1.0 | 1.0 | 47/107 | 43.9 | 1.0 | 1.0 |
| Primary | 242/581 | 41.7 | 3.06 (1.60–5.84) | 2.90 (1.45–5.79) | 295/634 | 46.5 | 1.11 (0.66–1.87) | 1.44 (0.79–2.64) |
| Post-primary | 32/67 | 47.8 | 3.92 (1.69–9.11) | 3.50 (1.42–8.60) | 46/81 | 56.8 | 1.68 (0.80–3.50) | 2.61 (1.14–6.00) |
| Non-marital relations | ||||||||
| None | 213/609 | 35.0 | 1.0 | 1.0 | 266/662 | 40.2 | 1.0 | 1.0 |
| Female only | 13/19 | 68.4 | 4.03 (1.46–11.08) | 4.62 (1.51–14.11) | 10/16 | 62.5 | 2.48 (0.95–6.47) | 2.38 (0.79–7.15) |
| Male or both | 62/94 | 66.0 | 3.60 (2.22–5.85) | 3.59 (2.18–5.91) | 112/144 | 77.8 | 5.21 (3.36–8.09) | 7.10 (4.38–11.49) |
| Co-resident biological children | ||||||||
| 0 | 16/110 | 14.6 | 1.0 | 1.0 | 50/144 | 34.7 | 1.0 | 1.0 |
| 1–2 | 107/280 | 38.2 | 3.63 (1.86–7.11) | 3.03 (1.53–6.00) | 135/308 | 43.8 | 1.47 (0.90–2.40) | 1.44 (0.82–2.54) |
| 3–5 | 141/275 | 51.3 | 6.18 (3.16–12.10) | 4.76 (2.38–9.52) | 163/297 | 54.9 | 2.29 (1.41–3.70) | 1.85 (1.05–3.07) |
| 6+ | 24/57 | 42.1 | 4.27 (1.84–9.93) | 4.06 (1.56–10.57) | 40/73 | 54.8 | 2.28 (1.19–4.35) | 2.51 (1.10–5.70) |
| Couple HIV status | ||||||||
| M–F+ | 118/322 | 36.7 | 1.0 | 1.0 | 158/362 | 43.7 | 1.0 | 1.0 |
| M+F– | 170/400 | 42.5 | 1.28 (0.89–1.84) | 1.34 (0.90–1.99) | 230/460 | 50.0 | 1.29 (0.94–1.78) | 1.38 (0.94–2.04) |
| Couple enrolment into HIVC | ||||||||
| HIV+ not in care/within 30 days | 221/605 | 36.5 | 1.0 | 1.0 | 222/606 | 36.6 | 1.0 | 1.0 |
| HIV+ spouse in care | 67/117 | 57.3 | 2.33 (1.45–3.74) | 2.21 (1.25–3.92) | 166/216 | 76.9 | 5.74 (3.82–8.62) | 4.75 (2.89–7.82) |
| Stage of HIVC programme roll-out in community | ||||||||
| Pre-HIVC | 83/295 | 28.1 | 1.0 | 1.0 | 94/306 | 30.7 | 1.0 | 1.0 |
| HIVC roll-out | 80/170 | 47.1 | 2.27 (1.49–3.46) | 1.86 (1.20–2.90) | 50/140 | 35.7 | 1.25 (0.82–1.91) | 0.97 (0.61–1.54) |
| HIVC scale-up | 125/257 | 48.6 | 2.42 (1.62–3.62) | 1.79 (1.12–2.88) | 244/376 | 64.9 | 4.17 (2.92–5.95) | 2.39 (1.52–3.74) |
*Adjusted for socioeconomic status, religion, couple's difference in age (0–4, 5–9 or 10+ years), type of marriage (monogamous or polygamous).
adjOR, adjusted odds ratio; CI, confidence interval; HC, hormonal contraception; HIVC, HIV care; OR, odds ratio; unadjOR, unadjusted odds ratio.