Table 2. Factors associated with viral load suppression at one year from ART initiation, adult analysis using modified intention-to-treat method, N=26153.
Total patients | VL <1000 copies/mL | Univariate | Multivariate | |||||
---|---|---|---|---|---|---|---|---|
OR | 95%CI | p | OR | 95%CI | p | |||
| ||||||||
Age at ART initiation (years) | <0.001 | <0.001 | ||||||
18-24 | 2065 | 1773 | Ref | Ref | ||||
25-49 | 19275 | 16974 | 1.21 | (1.07, 1.39) | 0.004 | 1.42 | (1.24, 1.63) | <0.001 |
≥50 | 4813 | 4393 | 1.72 | (1.47, 2.02) | <0.001 | 2.20 | (1.86, 2.60) | <0.001 |
| ||||||||
Sex | ||||||||
Male | 16323 | 14565 | Ref | Ref | ||||
Female | 9828 | 8573 | 0.82 | (0.76, 0.89) | <0.001 | 1.04 | (0.95, 1.14) | 0.358 |
Unknown | 2 | 2 | ||||||
| ||||||||
Prior AIDS-defining illness | 0.027 | 0.008 | ||||||
No | 11027 | 9705 | Ref | Ref | ||||
Yes | 2000 | 1725 | 0.85 | (0.74, 0.98) | 0.027 | 0.82 | (0.71, 0.95) | 0.008 |
Unknown | 13126 | 11710 | 1.13 | (1.04, 1.22) | 0.003 | 0.83 | (0.69, 0.99) | 0.036 |
| ||||||||
Pre-ART CD4 count (cells/μL) | <0.001 | <0.001 | ||||||
<200 | 10000 | 8590 | Ref | Ref | ||||
200-349 | 6241 | 5661 | 1.60 | (1.45, 1.77) | <0.001 | 1.60 | (1.44, 1.78) | <0.001 |
350-499 | 2631 | 2393 | 1.65 | (1.43, 1.91) | <0.001 | 1.73 | (1.48, 2.02) | <0.001 |
≥500 | 2363 | 2160 | 1.75 | (1.50, 2.04) | <0.001 | 1.91 | (1.62, 2.26) | <0.001 |
Missing | 4918 | 4336 | 1.22 | (1.10, 1.36) | <0.001 | 1.29 | (1.16, 1.44) | <0.001 |
| ||||||||
HIV mode of exposure | <0.001 | <0.001 | ||||||
Homosexual/bisexual | 6676 | 6139 | 1.73 | (1.56, 1.92) | <0.001 | 1.66 | (1.46, 1.89) | <0.001 |
Heterosexual | 10403 | 9036 | Ref | Ref | ||||
IDU | 1229 | 1017 | 0.73 | (0.62, 0.85) | <0.001 | 0.69 | (0.58, 0.83) | <0.001 |
Other | 504 | 449 | 1.24 | (0.93, 1.64) | 0.148 | 1.10 | (0.82, 1.48) | 0.534 |
Unknown | 7341 | 6499 | 1.17 | (1.07, 1.28) | 0.001 | 1.23 | (1.12, 1.36) | <0.001 |
| ||||||||
Region | <0.001 | <0.001 | ||||||
Asia-Pacific | 1806 | 1719 | 0.38 | (0.31, 0.48) | <0.001 | 2.78 | (2.20, 3.52) | <0.001 |
Caribbean, Central and South America | 2777 | 2546 | 0.68 | (0.59, 0.79) | <0.001 | 1.70 | (1.45, 2.00) | <0.001 |
North America | 10970 | 9685 | Ref | Ref | ||||
South Africa | 10600 | 9190 | 1.16 | (1.07, 1.25) | <0.001 | 1.03 | (0.85, 1.25) | 0.767 |
Note: Values in bold represent significant covariates in the adjusted model.
Abbreviations: OR – odds ratio, 95%CI – 95% confidence interval, IDU – injecting drug use, ART –antiretroviral therapy.