Table 3.
Factors Associated with Serious Adverse Events in the Cohort
| Covariates | Univariate, IRR (95% CI) | p | Multivariate, aIRR (95% CI) | p |
|---|---|---|---|---|
| PHIV | 5.91 (2.97–11.77) | <.001 | 5.65 (2.89–11.05) | <.001 |
| Sex, female | 1.71 (0.93–3.15) | .08 | 1.79 (0.99–3.23) | .053 |
| Age, <20 years | 1.60 (1.01–2.52) | .05 | 1.67 (1.05–2.63) | .029 |
| BMI, <18.5 kg/m2 | 1.76 (1.09–2.83) | .02 | ||
| Highest education level | .001 | |||
| Grades 1–12 | Ref | |||
| Preuniversity/university | 0.14 (0.04–0.47) | |||
| Nonformal education | 0.32 (0.14–0.74) | |||
| Alcohol use, ever | 0.44 (0.23–0.84) | .01 | ||
| Cigarette smoking, ever | 1.15 (0.7–1.89) | .58 | ||
| Recreational drug use, ever | 1.11 (0.64–1.94) | .71 | ||
| Laboratory-diagnosed STIs and HR-HPV | 1.56 (0.98–2.47) | .06 | ||
| Laboratory-diagnosed STIs | 1.91 (1.16–3.14) | .01 | ||
| Any HR-HPVa | 1.72 (1.09–2.73) | .02 | ||
| HPV 16 and/or 18 onlyb | 2.03 (1.26–3.26) | .004 | 1.91 (1.19–1.06) | .007 |
| PHIV cohort | ||||
| Sex, female | 2.06 (1.05–4.03) | .03 | ||
| Age, <20 years | 1.39 (0.85–2.28) | .19 | ||
| BMI, <18.5 kg/m2 | 1.31 (0.78–2.18) | .30 | ||
| CD4, cells/mm3 | <.001 | .001 | ||
| <200 | 8.38 (4.98–14.13) | 3.35 (1.62–6.95) | ||
| 200–350 | 0.84 (0.26–2.70) | 0.54 (0.16–1.85) | ||
| ≥350 | Ref | ref | ||
| HIV-RNA, ≥1,000 copies/mL | 5.80 (3.41–9.87) | <.001 | 3.25 (1.60–6.61) | .001 |
| Adherence to ART, <95% | 5.28 (3.04–9.17) | <.001 | ||
| WHO stages 3 or 4 vs. 1 or 2 | 3.90 (2.13–7.16) | <.001 | 2.38 (1.24–4.59) | .01 |
| Alcohol use, ever | 0.54 (0.28–1.04) | .06 | 0.37 (0.19–0.71) | .003 |
| Laboratory-diagnosed STIs and HR-HPV | 1.60 (0.96–2.67) | .07 | ||
| Laboratory-diagnosed STIs | 1.66 (0.99–2.79) | .06 | ||
| Any HR-HPVa | 1.81 (1.09–3.02) | .02 | ||
| HPV 16 and/or 18 only | 2.20 (1.34–3.63) | .002 | 1.97 (1.16–3.33) | .012 |
HR-HPV includes genotypes 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, and 68.
Among the 2 HPV-related variables, only HPV 16 and/or 18 was included in the adjusted models.
aIRR, adjusted incident rate ratio; CI, confidence interval.