Characteristics of 147 MSM who reported receptive anal intercourse and factors associated with prevalent rectal N. gonorrhoeae (NG) or C. trachomatis (CT) infections, coastal Kenya, 2011–2012
| Socio-demographic & behaviour characteristics | Total N=147 | Rectal NG or CT infection | PR* (95% CI) | p Value |
|---|---|---|---|---|
| n (%) | N=27 | |||
| Age group (years) | 0.23 | |||
| 18-24 | 63 (42.9) | 16 (59.3) | Referent | |
| 25-34 | 70 (47.6) | 9 (33.3) | 0.51 (0.22–1.15) | |
| >34 | 14 (9.5) | 2 (7.4) | 0.56 (0.13–2.458) | |
| Education | 0.92 | |||
| None/Primary | 70 (47.6) | 13 (48.2) | Referent | |
| Secondary | 57 (38.8) | 11 (40.7) | 1.03 (0.47–2.32) | |
| Higher/Tertiary | 20 (13.6) | 3 (11.1) | 0.81 (0.23–2.83) | |
| Marital Status | 0.09 | |||
| Single | 131 (89.1) | 27 (100.0) | Referent | |
| Ever married | 16 (10.9) | 0 (0) | 4.7 (0.83–infinity) | |
| Received payment for sex | 0.22 | |||
| No | 36 (24.5) | 4 (14.8) | Referent | |
| Yes | 111 (75.5) | 23 (85.2) | 1.86 (0.64–5.4) | |
| Sexual orientation | 0.3 | |||
| Men only | 78 (53.1) | 17 (63.0) | Referent | |
| Men and women | 69 (46.9) | 10 (37.0) | 0.66 (0.30–1.45) | |
| HIV Status | ||||
| Negative | 88 (59.9) | 19 (70.4) | Referent | 0.26 |
| Positive | 59 (40.1) | 8 (29.6) | 0.63 (0.27–1.43) | |
| Duration of follow-up in cohort | 0.74 | |||
| 0–1 months | 22 (15.0) | 5 (18.5) | Referent | |
| 1–6 months | 17 (11.6) | 4 (14.8) | 1.04 (0.28–3.86) | |
| >6 | 108 (73.5) | 18 (66.7) | 0.73 (0.27–1.98) | |
| Risk factors for WHO screening for Presumptive Treatment | ||||
| Sexual partners last month | 0.17 | |||
| 0-1 | 24 (16.3) | 2 (7.4) | Referent | |
| >1 | 123 (83.7) | 25 (92.6) | 2.44 (0.58–10.30) | |
| Sex partner with an STI last month | 0.49 | |||
| No | 137 (93.2) | 26 (96.3) | Referent | |
| Yes | 10 (6.8) | 1 (3.7) | 0.53 (0.07–3.88) | |
| Unprotected RAI over the past 6 months | 0.06 | |||
| Yes | 96 (65.3) | 22 (81.5) | 2.34 (0.89–6.17) | |
| No | 51 (34.7) | 5 (18.5) | Referent | |
| Met WHO risk criteria for PT† | 0.08 | |||
| Yes | 85 (57.8) | 20 (74.1) | 2.08 (0.88–4.93) | |
| No | 62 (42.2) | 7 (25.9) | Referent | |
*Prevalence ratios.
†WHO risk criteria for presumptive treatment of rectal infections (i.e. unprotected receptive anal intercourse and either multiple partners or a partner with an STI in the past 6 months.
MSM, men who have sex with men; PT, presumptive treatment; RAI, receptive anal intercourse; STI, sexually transmitted infection.