Multivariate logistic regression analysis to determine association between sexual orientation, HIV status, mental health status of adolescents 13–19 years old in Nigeria (N=1247)
| Variables | Total n (%) | Depressive symptoms | AOR (95% CI) P value | High general anxiety | AOR (95% CI) P value | Suicidal ideation | AOR (95% CI) P value | |||
| Yes n (%) | No n (%) | Yes n (%) | No n (%) | Yes n (%) | No n (%) | |||||
| Sexual orientation | ||||||||||
| Heterosexual | 750 (60.1) | 292 (38.9) | 458 (61.1) | 1.00 | 115 (15.3) | 635 (84.7) | 1.00 | 111 (14.8) | 639 (85.2) | 1.00 |
| Sexual minority* | 497 (39.9) | 399 (80.3) | 98 (19.7) | 5.54 (4.10 to 7.47) <0.001 | 223 (44.9) | 274 (55.1) | 3.56 (2.64 to 4.79) <0.001 | 198 (39.8) | 299 (60.2) | 2.95 (2.20 to 3.94) <0.001 |
| HIV status | ||||||||||
| Negative | 795 (63.8) | 332 (80.8) | 79 (19.2) | 1.00 | 195 (47.4) | 216 (52.6) | 1.00 | 149 (18.7) | 646 (81.3) | 1.00 |
| Positive | 41 (3.3) | 29 (70.7) | 12 (29.3) | 1.81 (0.85 to 3.88) 0.125 | 17 (41.5) | 24 (58.5) | 2.42 (1.21 to 4.84) 0.013 | 12 (29.3) | 29 (70.7) | 1.15 (0.56 to 2.36) 0.712 |
| Unknown | 411 (33.0) | 330 (41.5) | 465 (58.5) | 3.82 (2.78 to 5.27) <0.001 | 126 (15.8) | 669 (84.2) | 3.09 (2.29 to 4.17) <0.001 | 148 (36.0) | 263 (64.0) | 1.65 (1.22 to 2.24) 0.001 |
| Age in years (mean (SD) | 17.10 (1.61) | 16.95 (1.79) | 17.30 (1.32) | 1.01 (0.92 to 1.11) 0.846 | 16.87 (1.83) | 17.19 (1.51) | 0.95 (0.87 to 1.04) 0.246 | 17.14 (1.58) | 17.09 (1.62) | 1.05 (0.96 to 1.15) 0.322 |
| Educational status | ||||||||||
| No formal education | 76 (6.1) | 61 (80.3) | 15 (19.7) | 1.00 | 42 (55.3) | 34 (44.7) | 1.00 | 48 (63.2) | 28 (36.8) | 1.00 |
| Primary education | 61 (4.9) | 41 (67.2) | 20 (32.8) | 1.43 (0.58 to 3.53) 0.439 | 12 (19.7) | 49 (80.3) | 0.39 (0.17 to 0.91) 0.029 | 13 (21.3) | 48 (78.7) | 0.28 (1.13 to 0.64) 0.002 |
| Secondary education | 796 (63.8) | 513 (64.4) | 283 (35.6) | 1.09 (0.55 to 2.16) 0.814 | 259 (32.5) | 537 (67.5) | 0.82 (0.48 to 1.40) 0.462 | 198 (24.9) | 598 (75.1) | 0.30 (0.18 to 0.50) <0.001 |
| Tertiary education | 314 (25.2) | 76 (24.2) | 238 (75.8) | 0.25 (0.12 to 0.52) <0.001 | 25 (8.0) | 289 (92.0) | 0.23 (0.12 to 0.45) <0.001 | 50 (15.9) | 264 (84.1) | 0.22 (0.12 to 0.40) <0.001 |
| Cox & Snell R2 | 0.292 | – | 0.195 | – | 0.110 | – | ||||
| Nagelkerke R2 | 0.391 | – | 0.282 | – | 0.164 | – | ||||
| Omnibus test of model coefficients | 430.50 | <0.001 | 269.87 | <0.001 | 145.71 | <0.001 | ||||
| Hosmer-Lemeshow test | 22.28 | 0.004 | 11.00 | 0.138 | 3.57 | 0.827 | ||||
*Out of 497 participants identifying as sexual minority individuals, 116 (23.3%) were lesbian, 293 (59.0%) were gay and 88 (17.7%) were bisexual.
AOR, adjusted OR.