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Table 3 Factors associated with being a MSM-competent physician in China, 2017 (N = 267)

From: Identifying MSM-competent physicians in China: a national online cross-sectional survey among physicians who see male HIV/STI patients

  Overalla (n = 267) MSM-competent physicians (n = 161) Non MSM-competent physicians (n = 106) OR (95%CI) aORb (95%CI)
n (%) n (%) n (%)
Age (years)
 ≤30 55(20.6%) 27(16.8%) 28(26.4%) Ref  
 30–44 127(47.6%) 79(49.1%) 48(45.3%) 1.71(0.90–3.23)  
 > 44 85(31.8%) 55(34.2%) 30(28.3%) 1.90(0.95–3.79)  
Sex
 Male 195(73.0%) 121(75.2%) 74(69.8%) 1.31(0.76–2.26)  
 Female 72(27.0%) 40(24.8%) 32(30.2%) Ref  
Education
 Associate’s degreec 15(5.6%) 10(6.2%) 5(4.7%) 2.00(0.56–7.10)  
 Bachelor’s degree 98(36.7%) 62(38.5%) 36(34.0%) 1.72(0.78–3.79)  
Master’s degree 120(44.9%) 72(44.7%) 48(45.3%) 1.50(0.70–3.22)  
 PhD degree 34(12.7%) 17(10.6%) 17(16.0%) Ref  
Specialty
 Dermatovenerology 109(40.8%) 65(40.4%) 44(42.3%) 1.85(0.47–7.26)  
 Urology 63(23.6%) 41(25.5%) 22(20.8%) 2.33(0.57–9.57)  
 Proctology 27(10.1%) 19(11.8%) 8(7.5%) 2.97(0.63–14.03)  
 General medicined 38(14.2%) 16(9.9%) 22(20.8%) 0.91(0.21–3.93)  
 Infectious Disease 21(7.9%) 16(9.9%) 5(4.7%) 4.00(0.77–20.92)  
 Otherse 9(3.4%) 4(2.5%) 5(4.7%) Ref  
Level of care
 Primary 13(4.9%) 8(5.0%) 5(4.7%) Ref  
 Secondary 65(24.3%) 33(20.5%) 32(30.2%) 0.65(0.19–2.18)  
 Tertiary 189(70.8%) 120(74.5%) 69(65.1%) 1.09(0.34–3.45)  
Type of Medical institute
 Public 238(89.1%) 145(90.1%) 93(87.7%) 1.27(0.58–2.76)  
 Private 29(10.9%) 16(9.9%) 13(12.3%) Ref  
Proctoscope or anoscope available
 Yes 219(82.0%) 138(85.7%) 81(76.4%) 1.85(0.99–3.47)  
 No 48(18.0%) 23(14.3%) 25(23.6%) Ref  
Free condom and lubricants available
 Yes 150(56.2%) 101(62.7%) 49(46.2%) 1.96(1.19–3.22)** 2.01(1.21–3.34)**
 No 117(43.8%) 60(37.3%) 57(53.8%) Ref Ref
STI prevention pamphlets or educational materials available
 Yes 208(77.9%) 138(85.7%) 70(66.0%) 3.09(1.70–5.61)*** 3.10(1.68–5.73)***
 No 59(22.1%) 23(14.3%) 36(34.0%) Ref Ref
Interested in having medical institution name on the public clinic list capable of serving MSM
 Yes 174(65.2%) 113(70.2%) 61(57.5%) 1.74(1.04–2.90)* 1.70(1.01–2.86)*
 No 93(34.8%) 48(29.8%) 45(42.5%) Ref Ref
Interested in being on a public physician list capable of serving MSM
 Yes 182(68.2%) 118(73.3%) 64(60.4%) 1.80(1.07–3.04)* 1.77(1.03–3.03)*
 No 85(31.8%) 43(26.7%) 42(39.6%) Ref Ref
Interested in further training focused on clinical services for MSM
Yes 194(72.7%) 123(76.4%) 71(67.0%) 1.60(0.93–2.75)  
 No 73(27.3%) 38(23.6%) 35(33.0%) Ref  
Physicians’ attitudes towards male homosexual
 Positive attitude 157(58.8%) 90(63.2%) 67(55.9%) Ref  
 Neutral attitude 77(28.8%) 50(25.5%) 27(31.3%) 1.38(0.78–2.43)  
 Negative attitude 33(12.4%) 21(11.3%) 12(28.8%) 1.30(0.60–2.83)  
  1. aPhysicians who have not seen MSM patients in the past 12 months were excluded;
  2. baOR controlled for age, sex, and education;
  3. cAssociate’s degree is usually earned in two years or more and can be attained at community colleges, technical colleges, vocational schools, and some colleges;
  4. dGeneral medicine includes internal medicine, pediatrics and general practice;
  5. eOthers include Reproductive Medicine, Andrology, Emergence clinic, Hematology, Professional Health, AIDS Prevention Office;
  6. * p < 0.05; ** p ≤ 0.01; *** p ≤ 0.001