Table 3

Univariable and multivariable analyses of determinants for using rectal douches among 994 men who have sex with men attending the STI outpatient clinic of Amsterdam, February to April 2011

Total (N=994)Univariablep ValueMultivariable*p Value
n (% within group)OR (95% CI)aOR (95% CI)
Age (years)<0.0010.005
 <35143/392 (36.5)11
 35–44156/291 (53.6)2.0 (1.5 to 2.7)1.8 (1.2 to 2.7)
 ≥45161/311 (51.8)1.9 (1.4 to 2.5)1.6 (1.1 to 2.4)
Ethnicity0.058
 Dutch338/701 (48.2)1
 Non-Dutch122/293 (41.6)0.8 (0.6 to 1.0)
Number of sex partners†<0.0010.007
 Log number of sex partners1.4 (1.2 to 1.6)1.2 (1.1 to 1.4)
HIV status‡<0.001<0.001
 HIV negative240/702 (34.2)11
 HIV positive218/289 (75.4)2.2 (1.4 to 3.4)3.6 (2.5 to 5.3)
Most high-risk type of partner§0.441
 Steady partner48/110 (43.6)1
 Known casual/ex-steady partner125/285 (43.9)1.0 (0.6 to 1.6)
 Casual partner200/404 (49.5)1.3 (0.8 to 1.9)
 Anonymous partner/sex worker/client87/191 (45.5)1.1 (0.7 to 1.7)
CAS<0.0010.002
 No CAS (always condom or no anal sex)170/493 (34.5)11
 CAS (no or inconsistent condom use or condom failure)290/501 (57.9)2.6 (2.0 to 3.4)1.7 (1.2 to 2.3)
Sexual position¶<0.001<0.001
 No anal sex9/112 (8.0)11
 Insertive anal sex only12/199 (6.0)0.7 (0.3 to 1.8)0.4 (0.2 to 1.1)
 Receptive anal sex only70/121 (57.9)15.7 (7.3–34.0)10.8 (4.7 to 24.4)
 Insertive and receptive anal sex369/558 (66.1)22.2 (11.1–45.2)11.6 (5.5 to 24.5)
  • *In multivariable model, 987 MSM were included of whom 458 used rectal douches.

  • †Per 1 log increase.

  • ‡Missing number of HIV status is n=3.

  • §Missing number of most high-risk type of partner is n=4.

  • ¶Missing number of sexual position is n=4.

  • CAS, condomless anal sex.