Table 3

Bivariate and multivariate analyses of factors associated with sexual health clinic attendance in the past 12 months among trans people

Factor						Univariate	Multivariate
	Did not attend a sexual health clinic (n=356)		Attended a sexual health clinic (n=132)			OR (95% CI)	aOR (95% CI)
	n or mean	% or SD	n or mean	% or SD	Row %
Gender
Trans man	102	29%	42	32%	29%	Ref.
Trans woman	68	19%	17	13%	20%	0.61 (0.32 to 1.15)
Non-binary	171	48%	68	52%	28%	0.97 (0.61 to 1.52)
In another way	15	4%	5	4%	25%	0.81 (0.28 to 2.37)
Age group (years)
18–24	183	51%	67	51%	27%	Ref.
25–34	101	28%	42	32%	29%	1.14 (0.72 to 1.79)
35–49	59	17%	15	11%	20%	0.69 (0.37 to 1.31)
50+	11	3%	7	5%	39%	1.74 (0.65 to 4.67)
Ethnicity
White	339	95%	125	95%	27%	Ref.
Person of colour	15	4%	7	5%	32%	1.27 (0.50 to 3.18)
Country of birth
UK	319	90%	113	86%	26%	Ref.
Not UK	29	8%	14	11%	33%	1.36 (0.70 to 2.67)
Education
University or higher	144	40%	64	48%	31%	Ref.
Qualifications at 18 years	165	46%	53	40%	24%	0.72 (0.47 to 1.11)
Qualifications at 16 years or lower	35	10%	15	11%	30%	0.96 (0.49 to 1.90)
Work status
Full-time	116	33%	45	34%	28%	Ref.	Ref.
Part-time	37	10%	17	13%	31%	1.18 (0.61 to 2.31)	1.46 (0.65 to 3.26)
Student	101	28%	35	27%	26%	0.89 (0.53 to 1.50)	0.99 (0.52 to 1.89)
Unemployed	36	10%	3	2%	8%	0.22 (0.06 to 0.73)^*	0.13 (0.03 to 0.69)^*
Other (sick leave, retired, carer)	63	18%	23	17%	27%	1.06 (0.60 to 1.89)	1.37 (0.66 to 2.83)
Relationship status
Living with partner	102	29%	32	24%	24%	Ref.	Ref.
Relationship not living with partner	96	27%	37	28%	28%	1.23 (0.71 to 2.13)	1.16 (0.60 to 2.27)
Relationship with multiple partners	13	4%	19	14%	59%	4.66 (2.07 to 10.47)***	6.75 (2.42 to 18.78)***
Single	145	41%	44	33%	23%	0.97 (0.57 to 1.63)	1.26 (0.65 to 2.46)
Location
Outside London	333	94%	115	87%	26%	Ref.	Ref.
London	16	4%	17	13%	52%	3.08 (1.51 to 6.29)**	3.63 (1.44 to 9.13)**
Discrimination medical setting past 12 months
No	255	72%	84	64%	25%	Ref.
Yes	72	20%	39	30%	35%	1.65 (1.04 to 2.61)*
Discrimination other setting past 12 months
No	98	28%	32	24%	25%	Ref.
Yes	229	64%	91	69%	28%	1.22 (0.76 to 1.94)
Perceived health
Fair/good/very good	254	71%	97	73%	28%	Ref.
Very poor/poor	102	29%	35	27%	26%	0.90 (0.57 to 1.41)
Psychological distress
Normal	19	5%	9	7%	32%	Ref.
Moderate	42	12%	20	15%	32%	1.01 (0.39 to 2.61)
High	86	24%	37	28%	30%	0.91 (0.38 to 2.19)
Very high	203	57%	65	49%	24%	0.68 (0.29 to 1.57)
Anal intercourse with man past 12 months
No	286	80%	86	65%	23%	Ref.
Yes	70	20%	46	35%	40%	2.19 (1.40 to 3.40)^**
Condomless anal intercourse sex with man past 12 months
No	312	88%	99	75%	24%	Ref.	Ref.
Yes	44	12%	33	25%	43%	2.36 (1.43 to 3.92)**	2.87 (1.49 to 5.53)**
Sexual contact without consent past 12 months
No	307	86%	100	76%	25%	Ref.
Yes	28	8%	21	16%	43%	2.30 (1.25 to 4.23)**
Unsure	9	3%	5	4%	36%	1.71 (0.56 to 5.21)
Alcohol before sex past 12 months
No	212	60%	49	37%	19%	Ref.	Ref.
Yes	141	40%	83	63%	37%	2.55 (1.69 to 3.85)***	2.07 (1.19 to 3.60)*
Drugs before sex past 12 months
No	301	85%	83	63%	22%	Ref.	Ref.
Yes	52	15%	49	37%	49%	3.42 (2.16 to 5.41)***	2.67 (1.45 to 4.93)**
Self-stigma	51.9	7.4	49.6	8.2		0.96 (0.93 to 0.99)**
Body dissatisfaction	43.8	12.1	41.6	12.2		0.99 (0.97 to 1.00)
Loneliness	6.4	1.7	5.9	1.6		0.85 (0.75 to 0.96)**
Satisfaction with life	16.7	7.0	18.7	7.0		1.04 (1.01 to 1.07)**	1.07 (1.03 to 1.12)**

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