Table 3.
Rates of HIV-uninfected infant morbidity outcomes by possible risk factors.
Rate per 100 person-weeks (# of events) | Unadjusted
|
Adjusteda
|
|||
---|---|---|---|---|---|
Hazard ratio (95% CI) | P | Hazard ratio (95% CI) | P | ||
Pneumonia/SFI | |||||
Treatment arm | |||||
Mother ARV | 0.44 (139) | 1.10 (0.84–1.45) | 0.78 | 1.12 (0.86–1.47) | 0.69 |
Infant ARV | 0.42 (136) | 1.06 (0.80–1.40) | 1.06 (0.81–1.38) | ||
No ARV | 0.42 (96) | 1.0 | 1.0 | ||
Rainy seasonb | |||||
Yes | 0.53 (192) | 1.56 (1.26–1.94) | <0.001 | 1.53 (1.20–1.95) | < 0.001 |
No | 0.35 (179) | 1.0 | 1.0 | ||
Infant cotrimoxazoleb | |||||
Yes | 0.39 (270) | 0.80 (0.63–1.02) | 0.07 | 0.78 (0.62–0.99) | 0.04 |
No | 0.58 (101) | 1.0 | 1.0 | ||
Birth weight | |||||
2000–2499 g | 0.58 (40) | 1.36 (0.96–1.91) | 0.08 | – | |
≥2500 g | 0.41 (328) | 1.0 | |||
Maternal CD4+ T-cell count during pregnancy | |||||
200–350/μl | 0.45 (116) | 1.08 (0.87–1.34) | 0.51 | – | |
>350/μl | 0.42 (255) | 1.0 | |||
Maternal hemoglobin during pregnancy | |||||
<10 g/dl | 0.40 (77) | 0.89 (0.68–1.16) | 0.39 | – | |
≥10 g/dl | 0.44 (293) | 1.0 | |||
Infant WBC at delivery | |||||
<9000 cells/μl | 0.53 (32) | 1.25 (0.88–1.77) | 0.22 | – | |
≥9000 cells/μl | 0.42 (328) | 1.0 | |||
Infant neutrophil count at delivery | |||||
≤1500 cells/μl | 1.00 (6) | 2.35 (1.17–4.68) | 0.02 | 2.32 (1.15–4.67) | 0.02 |
>1500 cells/μl | 0.42 (355) | 1.0 | 1.0 | ||
Infant platelet count at delivery | |||||
<85 000/μl | 0.75 (4) | 0.72 (0.28–1.88) | 0.50 | – | |
≥ 85 000/μl | 0.42 (356) | 1.0 | |||
Diarrhea or growth faltering | |||||
Treatment arm | |||||
Mother ARV | 0.17 (53) | 0.92 (0.59–1.43) | 0.81 | 0.95 (0.64–1.42) | 0.92 |
Infant ARV | 0.16 (52) | 0.86 (0.54–1.36) | 0.92 (0.61–1.39) | ||
No ARV | 0.18 (42) | 1.0 | 1.0 | ||
Rainy seasonb | |||||
Yes | 0.22 (79) | 1.51 (1.09–2.09) | 0.01 | 1.49 (1.07–2.08) | 0.02 |
No | 0.13 (68) | 1.0 | 1.0 | ||
Infant cotrimoxazoleb | |||||
Yes | 0.16 (113) | 0.64 (0.44–0.95) | 0.03 | 0.66 (0.45–0.98) | 0.04 |
No | 0.19 (34) | 1.0 | 1.0 | ||
Birth weight | |||||
2000–2499 g | 0.19 (13) | 1.05 (0.62–1.80) | 0.85 | – | |
≥2500 g | 0.17 (134) | 1.0 | |||
Maternal CD4+ T-cell count during pregnancy | |||||
200–350/μl | 0.16 (41) | 0.96 (0.67–1.37) | 0.81 | – | |
>350/μl | 0.17 (106) | 1.0 | |||
Maternal hemoglobin during pregnancy | |||||
<10 g/dl | 0.26 (50) | 1.77 (1.25–2.49) | 0.001 | 1.67 (1.18–2.35) | 0.004 |
≥10 g/dl | 0.14 (96) | 1.0 | 1.0 | ||
Infant WBC at delivery | |||||
<9000 cells/μl | 0.30 (18) | 1.81 (1.07–3.05) | 0.03 | 1.73 (1.04–2.88) | 0.04 |
≥9000 cells/μl | 0.16 (127) | 1.0 | 1.0 | ||
Infant neutrophil count at delivery | |||||
≤1500 cells/μl | 0.67 (4) | 3.26 (0.96–11.0) | 0.06 | – | |
>1500 cells/μl | 0.17 (141) | 1.0 | |||
Infant platelet count at delivery | |||||
<85 000/μl | 0.38 (2) | 0.96 (0.14–6.54) | 0.96 | – | |
≥85 000/μl | 0.17 (143) | 1.0 | |||
Malaria | |||||
Treatment arm | |||||
Mother ARV | 0.07 (21) | 0.69 (0.37–1.28) | 0.08 | 0.73 (0.40–1.34) | 0.09 |
Infant ARV | 0.12 (40) | 1.29 (0.75–2.21) | 1.35 (0.79–2.30) | ||
No ARV | 0.10 (22) | 1.0 | 1.0 | ||
Rainy seasonb | |||||
Yes | 0.10 (36) | 1.10 (0.70–1.74) | 0.68 | – | |
No | 0.09 (47) | 1.0 | |||
Infant cotrimoxazoleb | |||||
Yes | 0.08 (52) | 0.33 (0.21–0.52) | < 0.001 | 0.36 (0.23–0.58) | < 0.001 |
No | 0.18 (31) | 1.0 | 1.0 | ||
Birth weight | |||||
2000–2499 g | 0.15 (10) | 1.44 (0.69–3.00) | 0.33 | – | |
≥2500g | 0.09 (71) | 1.0 | |||
Maternal CD4+ T-cell count during pregnancy | |||||
200–350/μl | 0.07 (17) | 0.65 (0.38–1.09) | 0.10 | – | |
>350/μl | 0.11 (66) | 1.0 | |||
Maternal hemoglobin during pregnancy | |||||
<10 g/dl | 0.15 (29) | 1.84 (1.16–2.92) | 0.01 | 1.61 (1.01–2.55) | 0.04 |
≥10 g/dl | 0.08 (54) | 1.0 | 1.0 | ||
Infant WBC at delivery | |||||
<9000 cells/μl | 0.18 (11) | 2.18 (1.14–4.17) | 0.02 | 2.18 (1.14–4.17) | 0.02 |
≥9000 cells/μl | 0.09 (70) | 1.0 | 1.0 | ||
Infant neutrophil count at delivery | |||||
≤1500 cells/μl | 0.17 (1) | 2.07 (0.28–15.0) | 0.47 | – | |
>1500 cells/μl | 0.10 (80) | 1.0 | |||
Infant platelet count at delivery | |||||
<85 000/μl | 0.75 (4) | 3.27 (1.26–8.53) | 0.02 | 3.00 (1.07–8.40) | 0.04 |
≥85 000/μl | 0.09 (77) | 1.0 | 1.0 |
ARV, antiretroviral; CI, confidence interval; WBC, white blood cell.
Conditional gap time proportional hazards model adjusted for ARV treatment arm and all variables statistically significant at α = 0.05, stratified by maternal nutritional supplement.
Time-dependent variable.