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. 2023 Nov 17;9:e50894. doi: 10.2196/50894

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).