Table 3.
Correlates of early breast milk HIV transmission.a
OR for infant HIV infection (95% CI) | P | |
---|---|---|
Univariate model (n =148) | ||
Breast milk HIV RNA load, 1 month postpartum | 2.0 (1.2–3.1) | 0.004b |
Plasma HIV RNA load, 1 month postpartum | 2.7 (1.4–5.2) | 0.004b |
HIV-gag response detected in breast milk | 0.41 (0.16–1.1) | 0.08 |
HIV-gag response detected in blood | 1.1 (0.23–5.3) | 0.9 |
No. of HIV-gag pools recognized in breast milk | 0.69 (0.49–0.98) | 0.04 |
No. of HIV-gag pools recognized in blood | 0.74 (0.53–1.0) | 0.09 |
Sum HIVSFU in breast milkc | 1.0 (0.62–1.6) | 0.97 |
Sum HIVSFU in bloodc | 1.5 (0.68–3.4) | 0.3 |
MIP-1β detected in breast milk | 0.22 (0.047–0.99) | 0.05 |
Multivariate model 1 (n =148)d | ||
HIV-gag response detected in breast milk | 0.29 (0.092–0.91) | 0.03 |
MIP-1β detected in breast milk | 0.15 (0.024–0.95) | 0.04 |
Breast milk HIV RNA load, 1 month postpartum | 2.5 (1.5–4.2) | 0.001 |
Multivariate model 2 (n =148)d | ||
No. of HIV-gag pools recognized in breast milk | 0.65 (0.44–0.97) | 0.03 |
MIP-1β detected in breast milk | 0.13 (0.021–0.80) | 0.03 |
Breast milk HIV RNA load, 1 month postpartum | 2.3 (1.4–3.8) | 0.001 |
95% CI, 95% confidence interval; HIVSFU, spot-forming unit; MIP, macrophage inflammatory protein; OR, odds ratio.
Analysis restricted to 148 breastfeeding mother infant pairs with viral load, ELISpot, and chemokine data available.
Univariate P values remain significant after Holm–Bonferroni test for multiple comparisons.
Similar estimates were obtained when alternatively using maximum and mean to summarize the magnitude of peptide pool responses.
Covariates that retained significance after adjustment for HIV breast milk or plasma viral load were included in the final multivariate models.