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Table 4 Multivariable logistic regression – associations with recent suicidal thoughts/behaviours

From: Prevalence and correlates of common mental health problems and recent suicidal thoughts and behaviours among female sex workers in Nairobi, Kenya

 

Crude OR (95% CI)

Adjusted OR (95% CI)

P-value

Model 1

Experienced emotional abuse in childhood

3.12 (1.76–5.53)

2.55 (1.32–4.92)

0.005

Street homeless as a child

3.08 (1.90–4.99)

2.31 (1.41–3.81)

0.001

Number of ACEs

≤4

1.0

1.0

 
 

5–8

1.51 (0.83–2.76)

1.40 (0.75–2.63)

 
 

9–12

6.13 (3.30–11.37)

5.41 (2.82–10.35)

< 0.001

Literate

Yes

0.52 (0.33–0.84)

0.63 (0.38–1.04)

0.07

Socioeconomic status

Low/low middle

1.0

1.0

 
 

Middle

0.66 (0.39–1.13)

0.73 (0.42–1.28)

 
 

Upper middle/upper

0.37 (0.22–0.61)

0.43 (0.25–0.76)

0.01

Model 2

Additional income to sex work

1.45 (0.96–2.18)

1.77 (1.09–2.88)

0.02

Hunger (skipped a meal in the last 7 days)

2.86 (1.89–4.32)

1.72 (0.99–3.01)

0.06

Social support

0.59 (0.39–0.90)

0.62 (0.36–1.04)

0.07

Non-consensual first sex

2.24 (1.48–3.40)

1.77 (1.07–2.91)

0.03

Children

None

1.0

1.0

< 0.001

 

1–2

0.33 (0.14–0.77)

0.23 (0.09–0.61)

 
 

3+

0.66 (0.28–1.55)

0.30 (0.10–0.92)

0.01

Model 3a

Recent sexual and/or physical violence non IP

2.94 (1.83–4.73)

1.85 (1.01–3.41)

0.05

Model 3b

Alcohol use problem

2.85 (1.88–4.30)

1.72 (0.98–3.01)

0.06

Other substance use problem

2.54 (1.69–3.83)

1.75 (1.02–3.01)

0.04

  1. *Model 1 adjusted for level 1 variables (including age, literacy, religion, socio-economic status) and clinic
  2. Model 2 adjusted for level 1 (cumulative ACEs, literacy, religion, SES) and level 2 variables (including marital status, death of children, perceived sex work stigma, condom use at last sex with client, recent anal sex, place of selling sex, HIV status, STIs, previous abortion/stillbirth).
  3. Model 3a adjusted for level 1, 2 and 3a variables (including violence from IPs and arrest).
  4. Model 3b adjusted for level 1, 2 and 3b variables