Table 5

 Risk factors for incident anal chlamydia in the Health In Men Study (for those who reported casual partners)

Incidence (/100 person-years)UnivariateMultivariate
HR (95% CI)p ValueHR (95% CI)p Value
NA, not applicable; UAI, unprotected anal intercourse.
Only age and those risk variables that were significant multivariate predictors and those sexual behaviours, that could have led to exposure of the anorectum to infection (UAI, receptive fingering, fisting, rimming and use of dildos) are reported in this table.
*Attained age at each interview.
†p for trend.
‡p for homogeneity.
§Could not be included in the model because of the collinearity with UAI according to position.
Age* (years) 0.437†0.925†
    <256.9711
    25–346.891.02 (0.50 to 2.09)1.10 (0.52 to 2.34)
    35–445.000.75 (0.37 to 1.55)0.84 (0.39 to 1.82)
    45–545.150.79 (0.36 to 1.75)0.99 (0.43 to 2.30)
    >546.821.02 (0.41 to 2.59)1.47 (0.56 to 3.86)
Chlamydia contact 0.001‡0.001‡
    No5.4911
    Yes17.113.03 (1.67 to 5.51)2.70 (1.48 to 4.94)
Number of casual partners in the past 6 months 0.001†0.019†
    12.1911
    2–53.401.56 (0.54 to 4.51)1
    6–106.002.80 (0.98 to 8.00)1.48 (0.86 to 2.56)
    11–507.473.48 (1.26 to 9.59)1.55 (0.96 to 2.51)
    >5011.805.69 (1.95 to 16.59)2.12 (1.16 to 3.90)
Unprotected anal intercourse
According to position0.001‡0.001‡
    No UAI4.0111
    Insertive only5.261.39 (0.80 to 2.41)1.13 (0.65 to 1.99)
    Receptive withdrawal12.823.24 (2.13 to 4.92)2.62 (1.69 to 4.06)
    Receptive to ejaculation14.643.66 (2.21 to 6.06)2.98 (1.76 to 5.02)
According to partner’s HIV status0.001†NA§
    No UAI4.011
    Negative only7.471.97 (1.04 to 3.75)
    Some HIV unknown9.972.52 (1.74 to 3.66)
    Some HIV positive15.664.35 (2.16 to 8.77)
Receptive fingering0.001†0.562†
    Never3.6111
    Occasionally6.761.82 (1.18 to 2.81)1.12 (0.71 to 1.79)
    Often8.942.42 (1.41 to 4.15)1.19 (0.65 to 2.18)
Receptive fisting0.006†0.280†
    Never5.6011
    Occasionally13.472.40 (1.29 to 4.47)1.47 (0.78 to 2.77)
    Often12.892.21 (0.31 to 15.97)1.22 (0.17 to 8.96)
Receptive rimming0.001†0.004†
    Never2.3211
    Occasionally7.143.00 (1.76 to 5.12)2.07 (1.19 to 3.61)
    Often9.223.86 (2.10 to 7.11)2.53 (1.35 to 4.76)
Receptive of dildos0.064†0.763†
    Never5.5511
    Occasionally7.571.37 (0.85 to 2.21)0.82 (0.50 to 1.35)
    Often14.112.42 (0.77 to 7.65)1.53 (0.47 to 5.03)