Table 3.
Unadjusted and Multivariate Risks of Hepatitis B Virus (HBV) Infection According to Timing of HBV Vaccination and Time of Human Immunodeficiency Virus (HIV) Diagnosis, US Military HIV Natural History Study, 1989–2008
| Characteristic | Unadjusted Model |
Multivariate Model 1a |
Multivariate Model 2a |
||||||
| HR | 95% CI | P Value | HR | 95% CI | P Value | HR | 95% CI | P Value | |
| Age at HIV diagnosis, per 10-year increase | 0.75 | 0.61, 0.93 | 0.01 | 0.82 | 0.66, 1.02 | 0.08 | 0.83 | 0.67, 1.03 | 0.10 |
| Gender | |||||||||
| Female | 1 | Referent | 1 | Referent | 1 | Referent | |||
| Male | 7.12 | 2.64, 19.16 | <0.001 | 7.97 | 2.95, 21.52 | <0.001 | 8.04 | 2.98, 21.72 | <0.001 |
| Race/ethnicity | |||||||||
| Caucasian | 1 | Referent | 1 | Referent | 1 | Referent | |||
| African-American | 1.37 | 1.01, 1.85 | 0.04 | 1.38 | 1.01, 1.89 | 0.04 | 1.39 | 1.02, 1.90 | 0.04 |
| Other | 0.73 | 0.41, 1.29 | 0.28 | 0.74 | 0.42, 1.33 | 0.31 | 0.76 | 0.43, 1.35 | 0.35 |
| Branch of service | |||||||||
| Army | 1 | Referent | |||||||
| Navy | 1.21 | 0.84, 1.74 | 0.30 | ||||||
| Air Force | 1.07 | 0.72, 1.60 | 0.74 | ||||||
| Other/civilian | 0.89 | 0.51, 1.57 | 0.69 | ||||||
| Body mass indexb, per 1-unit increase | 0.95 | 0.89, 1.01 | 0.10 | ||||||
| CD4 cell countc, per 100-cells/μL increase | 0.95 | 0.90, 1.01 | 0.09 | 0.98 | 0.92, 1.04 | 0.45 | 0.98 | 0.92, 1.04 | 0.48 |
| HIV RNA loadc, per 0.5-log10 copies/mL increase | 1.73 | 1.28, 2.35 | <0.001 | ||||||
| AIDS-defining illnessc | |||||||||
| No | 1 | Referent | |||||||
| Yes | 0.64 | 0.30, 1.36 | 0.35 | ||||||
| Prior sexually transmitted infectionc | |||||||||
| None | 1 | Referent | |||||||
| Any | 1.34 | 1.00, 1.80 | 0.05 | ||||||
| Gonorrhea | 1.20 | 0.84, 1.73 | 0.32 | ||||||
| Chlamydia | 1.39 | 0.93, 2.08 | 0.11 | ||||||
| Herpes | 0.82 | 0.45, 1.47 | 0.50 | ||||||
| Syphilis | 1.73 | 1.14, 2.60 | 0.01 | 1.47d | 0.96, 2.24 | 0.07 | 1.45d | 0.95, 2.21 | 0.09 |
| Positive for antibodies to hepatitis C virusc | |||||||||
| No | 1 | Referent | |||||||
| Yes | 0.74 | 0.24, 2.33 | 0.61 | ||||||
| HAART usec | |||||||||
| None | 1 | Referent | 1 | Referent | 1 | Referent | |||
| HAART | 0.27 | 0.18, 0.41 | <0.001 | 0.38 | 0.24, 0.60 | <0.001 | 0.38 | 0.24, 0.61 | <0.001 |
| HBV vaccination before HIV diagnosis | |||||||||
| Yes (VB + VBA) | 0.65 | 0.43, 0.97 | 0.03 | 0.68 | 0.45, 1.04 | 0.08 | |||
| No (VA + NV) | 1 | Referent | 1 | Referent | |||||
| HBV vaccination groupc,e | |||||||||
| VB | 0.50 | 0.27, 0.93 | 0.03 | 0.38 | 0.20, 0.75 | 0.005 | |||
| VBA | 1.28 | 0.73, 2.27 | 0.39 | 1.08 | 0.61, 1.92 | 0.80 | |||
| VA | 0.91 | 0.65, 1.28 | 0.59 | 0.87 | 0.62, 1.23 | 0.44 | |||
| NV | 1 | Referent | 1 | Referent | |||||
Abbreviations: AIDS, acquired immunodeficiency syndrome; CI, confidence interval; HAART, highly active antiretroviral therapy; HBV, hepatitis B virus; HIV, human immunodeficiency virus; HR, hazard ratio; NV, not vaccinated; VA, vaccinated after; VB, vaccinated before; VBA, vaccinated before and after.
In the final multivariate models, results were stratified by era of HIV diagnosis and further adjusted for year of HIV diagnosis.
Weight (kg)/height (m)2.
Time-updated covariate.
Compared with not having syphilis.
Relative to HIV diagnosis.