TABLE 4.
Number of studies | I2 statistic (95% Confidence Interval) | Pooled HR (95% Confidence Interval) | Studies included | ||
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Primary analysis – COCs | 10 | 0% (0%, 48.6%) | 1.00 (0.86, 1.16) | 16, 18, 19, 24, 37, 38, 40, 44, 45, 47 | |
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MSM-IPTW analysis – COCs | 5 | 0% (0%, 55.2%) | 1.03 (0.81, 1.32) | 16, 17, 18, 19, 47 | |
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Subgroup analysis – COCs | |||||
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Higher risk women | 2 | 0% (0%, 0%) | 1.49 (1.04, 2.13) | 16, 37 | |
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Women in the general population | 8 | 0% (0%, 0%) | 0.92 (0.78, 1.18) | 18, 19, 24, 38, 40, 44, 45, 47 | |
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Prospective cohort | 2 | 52% (0%, 88.3%) | -- | 37, 40 | |
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Sample from RCT | 8 | 0% (0%, 0%) | 0.91 (0.75, 1.10) | 16, 18, 19, 24, 38, 44, 45, 47 | |
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Sensitivity analysis – COCs | |||||
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Reference group includes women using non-hormonal or no methods# | 8 | 0% (0%, 64.8%) | 1.00 (0.85, 1.17) | 16, 18, 19, 37, 38, 40, 45, 47 | |
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Inter-survey interval ≤ 3 months% | 8 | 0% (0%, 64.3%) | 1.00 (0.86, 1.16) | 16, 18, 19, 37, 40, 44, 45, 47 | |
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Primary analysis – NetEN | 5 | 0% (0%, 74.6%) | 1.10 (0.88, 1.37) | 18, 19, 38, 39, 47 | |
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IPTW-MSM analysis – NetEn | 2 | 36% (0%, 78.1%) | 1.08 (0.77, 1.52) | 18, 47 |
All pooled analyses were limited to published, prospective studies that assessed incident HIV infection where the exposure category was predominantly (or exclusively) COCs/NetEn, the comparison group was comprised of women using non-hormonal or no contraceptive method (including condom users, unless noted), the model was adjusted for potential confounders of the HC-HIV relationship, including condom use and age, and no more than 30% of the study population was lost to follow up.