Table 4

Bivariate and multivariate analyses of factors associated with ever having an HIV test among trans people

Factor						Univariate	Multivariate
	Never had an HIV test (n=254)		Ever had an HIV test (n=244)			OR (95% CI)	aOR (95% CI)
	n or mean	% or SD	n or mean	% or SD	Row %	OR (95% CI)	aOR (95% CI)
Gender
Trans man	81	32%	65	27%	45%	Ref.
Trans woman	44	17%	44	18%	50%	1.25 (0.73 to 2.12)
Non-binary	119	47%	124	51%	51%	1.30 (0.86 to 1.96)
In another way	10	4%	11	5%	52%	1.37 (0.55 to 3.43)
Age group (years)
18–24	170	67%	90	37%	35%	Ref.	Ref.
25–34	47	19%	96	39%	67%	3.86 (2.50 to 5.95)***	2.50 (1.43 to 4.39)**
35–49	27	11%	47	19%	64%	3.29 (1.92 to 5.63)***	3.24 (1.54 to 6.78)**
50+	8	3%	10	4%	56%	2.36 (0.90 to 6.19)	1.32 (0.40 to 4.39)
Ethnicity
White	248	98%	224	92%	47%	Ref.	Ref.
Person of colour	6	2%	18	7%	75%	3.32 (1.30 to 8.52)*	3.23 (1.06 to 9.86)*
Country of birth
UK	231	91%	209	86%	48%	Ref.
Not UK	18	7%	27	11%	60%	1.66 (0.89 to 3.10)
Education
University or higher	79	31%	131	54%	62%	Ref.	Ref.
Qualifications at 18 years	141	56%	84	34%	37%	0.36 (0.24 to 0.53)***	0.57 (0.34 to 0.94)*
Qualifications at 16 years or lower	25	10%	25	10%	50%	0.60 (0.32 to 1.12)	1.22 (0.56 to 2.65)
Work status
Full-time	66	26%	98	40%	60%	Ref.
Part-time	28	11%	26	11%	48%	0.63 (0.34 to 1.16)
Student	92	36%	46	19%	33%	0.34 (0.21 to 0.54)***
Unemployed	28	11%	13	5%	32%	0.31 (0.15 to 0.65)**
Other (sick leave, retired, carer)	35	14%	56	23%	62%	1.08 (0.64 to 1.82)
Relationship status
Living with partner	62	24%	73	30%	54%	Ref.	Ref.
Relationship not living with partner	76	30%	58	24%	43%	0.65 (0.40 to 1.05)	0.92 (0.49 to 1.70)
Relationship with multiple partners	6	2%	28	11%	82%	3.96 (1.54 to 10.19)**	6.09 (1.82 to 20.38)**
Single	110	43%	85	35%	44%	0.66 (0.42 to 1.02)	1.13 (0.65 to 1.97)
Location
Outside London	234	92%	221	91%	49%	Ref.
London	14	6%	22	9%	61%	1.66 (0.83 to 3.33)
Discrimination medical setting past 12 months
No	192	76%	155	64%	45%	Ref.
Yes	45	18%	68	28%	60%	1.87 (1.22 to 2.88)**
Discrimination other setting past 12 months
No	68	27%	66	27%	49%	Ref.
Yes	169	67%	157	64%	48%	0.96 (0.64 to 1.43)
Perceived health
Fair/good/very good	181	71%	175	72%	49%	Ref.
Very poor/poor	73	29%	69	28%	49%	0.98 (0.66 to 1.44)
Psychological distress
Normal	6	2%	22	9%	79%	Ref.
Moderate	29	11%	34	14%	54%	0.32 (0.11 to 0.90)*
High	68	27%	54	22%	44%	0.22 (0.08 to 0.57)**
Very high	150	59%	128	52%	46%	0.23 (0.09 to 0.59)**
Anal sex with man past 12 months
No	219	86%	161	66%	42%	Ref.
Yes	35	14%	83	34%	70%	3.23 (2.07 to 5.03)***
Condomless anal sex with man past 12 months
No	229	90%	190	78%	45%	Ref.	Ref.
Yes	25	10%	54	22%	68%	2.60 (1.56 to 4.34)***	2.96 (1.57 to 5.58)**
Sexual contact without consent past 12 months
No	209	82%	204	84%	49%	Ref.
Yes	24	9%	27	11%	53%	1.15 (0.64 to 2.06)
Unsure	10	4%	5	2%	33%	0.51 (0.17 to 1.53)
Alcohol before sex past 12 months
No	149	59%	115	47%	44%	Ref.
Yes	103	41%	127	52%	55%	1.60 (1.12 to 2.28)*
Drugs before sex past 12 months
No	216	85%	173	71%	44%	Ref.	Ref.
Yes	36	14%	69	28%	66%	2.39 (1.53 to 3.75)***	2.46 (1.42 to 4.27)**
Self-stigma	52.6	7.4	50.1	7.8		0.96 (0.93 to 0.98)**
Body dissatisfaction	45.9	11	40.6	12.6		0.96 (0.95 to 0.98)***	0.97 (0.95 to 0.99)**
Loneliness	6.5	1.6	6.0	1.7		0.85 (0.76 to 0.95)***
Satisfaction with life	16.4	6.9	18.0	7.3		1.03 (1.00 to 1.06)*

*p<0.05, **p<0.01, ***p<0.001.
aOR, adjusted odds ratio; Ref., reference.