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Table 3 Regression models evaluating factors associated with service utilization among GBMSM who engaged in chemsex (N = 152)

From: Utilization of mental health services in relation to the intention to reduce chemsex behavior among clients from an integrated sexual health services center in Taiwan

 

Logistic regression

Poisson regression

Chemsex recovery groups

Mental health clinic

Types of services participants used

Univariable

Multivariablea

Univariable

Multivariablea

Univariable

Multivariablea

OR (95% CI)

aOR (95% CI)

OR (95% CI)

aOR (95% CI)

RR (95% CI)

aRR (95% CI)

Intention to reduce chemsex

2.61 (1.06–7.41)*

2.96 (1.02–9.92)†

4.11 (1.34–18.02)*

4.68 (1.34–22.81)*

2.59 (1.34–5.62)*

2.31 (1.16–5.13)*

Age < 35

0.65 (0.29–1.55)

0.74 (0.26–2.13)

0.56 (0.23–1.45)

0.57 (0.20–1.66)

0.68 (0.41–1.19)

0.78 (0.44–1.42)

Monthly income ≤ NTD$30,000

1.05 (0.49–2.27)

0.65 (0.24–1.70)

1.03 (0.44–2.43)

0.58 (0.20–1.61)

1.03 (0.62–1.72)

0.69 (0.40–1.21)

Education ≤ bachelor’s degree

1.55 (0.58–4.91)

 

0.74 (0.28–2.22)

 

1.07 (0.58–2.17)

 

Unemployed

1.02 (0.43–2.30)

 

0.92 (0.34–2.30)

 

0.98 (0.54–1.68)

 

Relationship status (ref: single)

 Regular partners

0.43 (0.16–1.06)†

 

1.09 (0.40–2.86)

 

0.71 (0.38–1.28)

 

 Casual partners

0.86 (0.28–2.37)

 

1.86 (0.58–5.53)

 

1.16 (0.58–2.18)

 

Poly-drug use

2.67 (1.24–5.85)*

3.34 (1.22–9.61)

2.00 (0.85–4.74)

 

1.95 (1.18–3.23)*

1.82 (0.98–3.43)†

High frequency of substance use

5.17 (2.09–13.04)*

6.83 (2.17–22.91)*

2.85 (1.04–7.47)*

1.83 (0.56–5.68)

2.67 (1.54–4.47)*

2.08 (1.12–3.79)*

Living with HIV

4.08 (1.82–9.25)*

2.88 (1.04–8.03)*

7.17 (2.93–18.36)*

6.46 (2.35–18.98)*

3.41 (2.07–5.69)*

2.40 (1.33–4.33)*

GAD-7 and PHQ-9

 At least one > 10

1.14 (0.47–2.67)

0.44 (0.13–1.28)

1.98 (0.77–5.01)

 

1.36 (0.76–2.37)

0.85 (0.46–1.53)

 Missing

4.00 (1.14–14.19)*

10.18 (2.29–47.62)*

3.46 (0.82–12.91)†

 

2.55 (1.19–5.03)*

3.27 (1.42–7.10)*

  1. OR = Odds ratio; aOR = adjusted odds ratio; RR = relative risk; aRR = adjusted relative risk; NTD = New Taiwan Dollar; HIV = human immunodeficiency virus; GAD-7 = Generalized Anxiety Disorder-7; PHQ-9 = Patient Health Questionnaire-9; ref = reference group
  2. aThose variables with p-value < 0.05 in univariable models were then entered into the multivariable regression models, along with age and monthly income
  3. †p-value < 0.1; *p-value < 0.05