Table 4.
Factors associated with pretreatment HIV drug resistance (PDR) among HIV-positive individuals in 2022 in China.
| Variable | Number (n=2568) | PDR (n=190), n (%) | Odds ratio (95% CI) | P value | Adjusted odds ratio (95% CI) | P value | ||||||||
| Age (years) |
|
|||||||||||||
|
|
18-29 | 606 | 49 (8.1) | 1.00 | N/Aa | —b | — | |||||||
|
|
30-49 | 893 | 68 (7.6) | 0.74 (0.64-1.37) | .74 | — | — | |||||||
|
|
50-69 | 894 | 60 (6.7) | 0.82 (0.55-1.21) | .32 | — | — | |||||||
|
|
≥70 | 175 | 13 (7.4) | 0.91 (0.48-1.72) | .78 | — | — | |||||||
| Sex | ||||||||||||||
|
|
Male | 2091 | 149 (7.1) | 1.00 | N/A | — | — | |||||||
|
|
Female | 477 | 41 (8.6) | 1.23 (0.85-1.76) | .27 | — | — | |||||||
| Ethnicity | ||||||||||||||
|
|
Han | 2229 | 158 (7.1) | 1.00 | N/A | — | — | |||||||
|
|
Other | 339 | 32 (9.4) | 1.37 (0.92-2.04) | .12 | — | — | |||||||
| Education | ||||||||||||||
|
|
Primary and below | 797 | 63 (7.9) | 1.00 | N/A | — | — | |||||||
|
|
Junior high school | 783 | 57 (7.3) | 0.92 (0.631.33) | .64 | — | — | |||||||
|
|
Senior high school | 360 | 21 (5.8) | 0.72 (0.43-1.20) | .21 | — | — | |||||||
|
|
College | 607 | 49 (8.1) | 1.02 (0.69-1.51) | .91 | — | — | |||||||
|
|
Missing | 21 | 0 (0) | — | — | — | — | |||||||
| Marital statusc | ||||||||||||||
|
|
Single | 950 | 84 (8.8) | 1.00 | N/A | — | — | |||||||
|
|
Married or cohabiting | 1144 | 72 (6.3) | 0.69 (0.50-0.96) | .03 | — | — | |||||||
|
|
Divorced or widowed | 457 | 34 (7.4) | 0.83 (0.55-1.26) | .38 | — | — | |||||||
|
|
Missing | 17 | 0 (0) | — | .98 | — | — | |||||||
| Occupation | ||||||||||||||
|
|
Farmer | 924 | 58 (6.3) | 1.00 | N/A | — | — | |||||||
|
|
Other | 1644 | 132 (8) | 0.27 (0.16-2.64) | .10 | — | — | |||||||
| Route of infectionc | ||||||||||||||
|
|
Heterosexual intercourse | 1480 | 102 (6.9) | 1.00 | N/A | — | — | |||||||
|
|
Homosexual intercourse | 951 | 72 (7.6) | 1.11 (0.81-1.51) | .53 | — | — | |||||||
|
|
Intravenous drug use | 21 | 6 (28.6) | 5.41 (2.05-14.23) | <.001 | — | — | |||||||
|
|
Other | 116 | 10 (8.6) | 1.28 (0.65-2.51) | .48 | — | — | |||||||
| Prior ARVd exposurec,e | ||||||||||||||
|
|
No | 2487 | 163 (6.6) | 1.00 | N/A | 1.00 | N/A | |||||||
|
|
Yes | 81 | 27 (33.3) | 7.13 (4.37-11.62) | <.001 | 7.45 (4.50-12.34) | .001 | |||||||
| CD4 cell count before ART (cell/mm3) | ||||||||||||||
|
|
0-199 | 962 | 65 (6.8) | 1.00 | N/A | — | — | |||||||
|
|
≥200 | 1554 | 122 (7.9) | 1.18 (0.86-1.61) | .31 | — | — | |||||||
|
|
Missing | 52 | 3 (5.8) | 0.85 (0.26-2.79) | .78 | — | — | |||||||
| HIV subtypec,e | ||||||||||||||
|
|
CRF07_BC | 1137 | 69 (6.1) | 1.00 | N/A | — | N/A | |||||||
|
|
CRF08_BC | 376 | 31 (8.2) | 1.39 (0.89-2.16) | .14 | 1.09 (0.68-1.73) | .73 | |||||||
|
|
CRF01_AE | 786 | 60 (7.6) | 1.28 (0.89-1.83) | .18 | 1.27 (0.89-1.83) | .19 | |||||||
|
|
CRF55_01B | 105 | 14 (13.3) | 2.38 (1.29-4.39) | .006 | 2.61 (1.41-4.83) | .002 | |||||||
|
|
B | 77 | 8 (10.4) | 1.79 (0.83-3.88) | .14 | 1.61 (0.73-3.57) | .24 | |||||||
|
|
Other | 87 | 8 (9.2) | 1.57 (0.73-3.38) | .25 | 1.43 (0.65-3.14) | .37 | |||||||
| Provincial-level administrative divisionsc | ||||||||||||||
|
|
Sichuan | 350 | 17 (4.9) | 1.00 | N/A | — | — | |||||||
|
|
Hebei | 175 | 13 (7.4) | 1.57 (0.75-3.32) | .24 | — | — | |||||||
|
|
Jilin | 206 | 19 (9.2) | 1.99 (1.01-3.92) | .047 | — | — | |||||||
|
|
Jiangsu | 335 | 24 (7.2) | 1.51 (0.80-2.87) | .21 | — | — | |||||||
|
|
Zhejiang | 385 | 34 (8.8) | 1.90 (1.04-3.46) | .04 | — | — | |||||||
|
|
Hubei | 362 | 20 (5.5) | 1.15 (0.59-2.23) | .69 | — | — | |||||||
|
|
Chongqing | 378 | 20 (5.3) | 1.09 (0.56-2.13) | .79 | — | — | |||||||
|
|
Yunnan | 377 | 43 (11.4) | 2.52 (1.41-4.51) | .002 | — | — | |||||||
aN/A: not applicable.
bNot available.
cVariables screened by stepwise regression.
dARV: antiretroviral drugs.
eVariables selected into multivariable logistic regression models (without prior ARV exposure serving as the reference group and with HIV subtype represented as 5 dummy variables with CRF07_BC serving as the reference group).