Table 4.
STRATA. Association of Factors with HIV-1 RNA Level (log10 copies/mL) in CVLat individual patient visits, stratified by Plasma HIV-RNA(PVL), Univariate and Multivariate analyses
| Plasma HIV-1 RNA < 80 copies/mL | Plasma HIV-1 RNA ≥ 80 copies/mL | PVL<80 (N=132) | PVL ≥80 (N=665) | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Univariateb | Univariateb | Multivariatec | Multivariatec | ||||||||||
| Factora | No. | No. (%) | β (SE) | P | No. | No. (%) | β (SE) | P | β (SE) | P | β (SE) | P | |
| Antiretroviral therapy | 177 | 747 | |||||||||||
| No therapy | 25 (14.1) | Ref | 276 (14.1) | Ref | Ref | - | - | ||||||
| Monotherapy | 8 (4.5) | −0.36 (0.16) | 0.02 | 123 (16.5) | 0.19 (0.12) | 0.12 | −0.52(0.20) | 0.009 | - | - | |||
| Combination therapy | 10 (5.7) | −0.05 (0.26) | 0.85 | 142 (19.0) | 0.20 (0.11) | 0.07 | −0.004 (0.37) | 0.99 | - | - | |||
| HAART | 134 (75.7) | −0.32 (0.16) | 0.04 | 206 (27.6) | −0.25 (0.09) | 0.004 | −0.39 (0.19) | 0.04 | - | - | |||
| Plasma HIV-1 RNA level | 748 | ||||||||||||
| 80–4000 copies/mL | - | - | 239 (32.0) | Ref | - | - | Ref | ||||||
| 4,001–9,999 | - | - | 122 (16.3) | 0.17 (0.09) | 0.08 | - | - | 0.22 (0.10) | 0.03 | ||||
| 10,000–39,999 | - | - | 161 (21.5) | 0.45 (0.09) | <0.001 | - | - | 0.40 (0.10) | <0.001 | ||||
| 40,000–99,999 | - | - | 118 (15.8) | 0.67 (0.11) | <0.001 | - | - | 0.71 (0.11) | <0.001 | ||||
| ≥100,000 | - | - | 108 (14.4) | 1.08 (0.13) | <0.001d | - | - | 1.02 (0.14) | <0.001d | ||||
| Per log10 increase | - | - | 0.50 (0.05) | <0.001 | 0.48 (0.05) | <0.001 | |||||||
| CD4 cell count, cells/mm3 | 174 | 728 | |||||||||||
| <200 | 8 (4.6) | −0.11 (0.04) | 0.01 | 201 (27.6) | 0.40 (0.12) | 0.001 | |||||||
| 201–350 | 29 (16.7) | −0.04 (0.07) | 0.54 | 205 (28.2) | 0.32 (0.11) | 0.004 | |||||||
| 351–500 | 39 (22.4) | −0.002 (0.07) | 0.98 | 154 (21.2) | 0.11 (0.09) | 0.25 | |||||||
| >500 | 98 (56.3) | Ref | 168 (23.1) | Ref | |||||||||
| Vaginal pH | 176 | 736 | |||||||||||
| <4.5 | 65 (36.9) | Ref | 192 (26.1) | Ref | |||||||||
| 4.5–5.4 | 71 (40.3) | −0.004 (0.06) | 0.95 | 279 (37.9) | 0.05 (0.09) | 0.6 | |||||||
| 5.5+ | 40 (22.7) | 0.08 (0.08) | 0.32 | 265 (36.0) | 0.18 (0.10) | 0.09 | |||||||
| Squamous metaplasia | 176 | 98 (55.7) | 0.0008 (0.06) | 0.99 | 734 | 484 (65.9) | 0.10 (0.08) | 0.2 | |||||
| Inflammation | 176 | 10 (5.7) | 0.34 (0.21) | 0.12 | 734 | 55 (7.5) | 0.17 (0.16) | 0.29 | |||||
| Inflammation changes | 176 | 8 (4.6) | 0.01 (0.11) | 0.91 | 734 | 32 (4.4) | 0.61 (0.21) | 0.004 | - | - | 0.61 (0.22) | 0.007 | |
| Cervical friability | 161 | 21 (13.0) | −0.009 (0.09) | 0.91 | 676 | 103 (15.2) | 0.40 (0.12) | 0.001 | - | - | 0.23 (0.12) | 0.05 | |
| Cervical ectopy | 161 | 1 (0.6) | - | - | 675 | 36 (5.3) | 0.60 (0.22) | 0.005 | - | - | 0.46 (0.20) | 0.02 | |
| Cervical exudate | 161 | 53 (32.9) | 0.002 (0.06) | 0.98 | 678 | 222 (32.7) | 0.27 (0.09) | 0.002 | - | - | 0.25 (0.08) | 0.001 | |
| Cervical lesions | 158 | 6 (3.8) | −0.12 (0.03) | 0.001 | 656 | 59 (9.0) | 0.39 (0.17) | 0.02 | −0.16 (0.06) | 0.01 | - | - | |
| Herpes simples virus, type 1 | 166 | 115 (69.3) | −0.03 (0.07) | 0.71 | 733 | 608 (83.0) | 0.17 (0.11) | 0.13 | - | - | |||
| Herpes simplex virus, type 2 | 165 | 110 (66.7) | 0.13 (0.05) | 0.01 | 729 | 563 (77.2) | 0.07 (0.11) | 0.52 | 0.11 (0.06) | 0.09 | |||
| BV Gram stain score | 159 | 707 | |||||||||||
| Normal (0–3) | 88 (55.4) | Ref | 270 (38.2) | Ref | Ref | - | - | ||||||
| Intermediate (4–6) | 38 (23.9) | −0.11 (0.07) | 0.11 | 139 (19.7) | 0.26 (0.10) | 0.01 | −0.11 (0.08) | 0.13 | - | - | |||
| Consistent (7–10) | 33 (20.8) | −0.14 (0.06) | 0.02 | 298 (42.2) | 0.18 (0.09) | 0.05 | −0.19 (0.08) | 0.02 | - | - | |||
| Trichomonas vaginalis | 176 | 6 (3.4) | 0.16 (0.24) | 0.49 | 734 | 66 (9.0) | 0.30 (0.16) | 0.06 | - | - | 0.33 (0.16) | 0.04 | |
| Summary inflammation | 177 | 122 (68.9) | −0.09 (0.08) | 0.23 | 747 | 587 (78.6) | 0.37 (0.07) | <0.001 | |||||
NOTE. Boldface type indicates statistical significance. ART, antiretroviral therapy; BV, bacterial vaginosis; HAART, highly active antiretroviral therapy; Ref, reference; SE, standard error.
All factors evaluated but only those with associations where P<0.10 are included in multivariate analysis.
Linear regression with generalized estimating equations assuming an exchangeable correlation matrix and identity link is used to estimate β-coefficients, standard errors and P values.
The multivariate models include all evaluated factors where P<0.10 in the univariate model that remained P<0.10 in the multivariate model. Estimates are displayed for all variables that were included in the model.
P-trend < 0.001