Table 1.
Total (N = 1678) | No dysplasia (N = 785) | LSIL (N = 396) | HSIL (N = 497) | ||||||
No. | % | No | % | No. | % | No. | % | P value | |
Demographic variables | |||||||||
Age in years (mean/SD)a | 49 | (9.6) | 50 | (9.4) | 48 | (10.0) | 48 | (9.3) | <0.001 |
Continent of birthb | 0.710 | ||||||||
Europe | 1279 | 82% | 566 | 82% | 305 | 81% | 408 | 84% | |
Americas | 188 | 12% | 83 | 12% | 50 | 13% | 55 | 11% | |
Oceania | 11 | 1% | 5 | 1% | 1 | 0% | 5 | 1% | |
Asia | 46 | 3% | 22 | 3% | 14 | 4% | 10 | 2% | |
Africa | 28 | 2% | 13 | 2% | 8 | 2% | 7 | 1% | |
Smoking statusc | 0.481 | ||||||||
Never smoked | 598 | 38% | 275 | 38% | 145 | 39% | 178 | 39% | |
Previously smoking | 379 | 24% | 191 | 26% | 83 | 22% | 105 | 23% | |
Currently smoking | 577 | 37% | 256 | 35% | 145 | 39% | 176 | 38% | |
Number of sex partners in the preceding 6 months (median/IQR)d | 2 | (1–6) | 1 | (1–5) | 2 | (1–6) | 2 | (1–7) | 0.016 |
Number of sex partners in the preceding 6 monthsd | 0.166 | ||||||||
0–1 | 598 | 49% | 295 | 52% | 141 | 48% | 162 | 44% | |
2–5 | 304 | 25% | 131 | 23% | 77 | 26% | 96 | 26% | |
≥6 | 316 | 26% | 136 | 24% | 73 | 25% | 107 | 29% | |
Had an STD in the preceding 6 months | 0.066 | ||||||||
No | 1586 | 95% | 750 | 96% | 376 | 95% | 460 | 93% | |
Yes | 92 | 5% | 35 | 4% | 20 | 5% | 37 | 7% | |
HIV-related variables | |||||||||
Currently using cARTe | 0.124 | ||||||||
No | 73 | 4% | 26 | 3% | 23 | 6% | 24 | 5% | |
Yes | 1580 | 96% | 743 | 97% | 368 | 94% | 469 | 95% | |
Duration of cART use in years (median/IQR)f | 7.8 | (4.0–12.4) | 8.9 | (4.8–12.8) | 6.6 | (3.6–11.8) | 7.5 | (3.1–12.3) | <0.001 |
CD4+ T-cell count cells/μl (median/IQR)g | 620 | (480–790) | 620 | (480–800) | 605 | (450–780) | 630 | (490–800) | 0.236 |
CD4+ T-cell count cells/μl g | 0.423 | ||||||||
<350 | 168 | 10% | 75 | 10% | 48 | 12% | 45 | 9% | |
350–500 | 323 | 20% | 153 | 20% | 81 | 21% | 89 | 18% | |
>500 | 1163 | 70% | 541 | 70% | 265 | 67% | 357 | 73% | |
Nadir CD4+ T-cell count cells/μl (median/IQR)h | 220 | (130–320) | 220 | (130–310) | 220 | (120–320) | 222 | (130–351) | 0.357 |
Nadir CD4+ T-cell count cells/μlh | 0.005 | ||||||||
<100 | 315 | 19% | 146 | 19% | 79 | 20% | 90 | 18% | |
100–199 | 368 | 22% | 168 | 22% | 86 | 22% | 114 | 23% | |
200–349 | 624 | 38% | 315 | 41% | 153 | 39% | 156 | 32% | |
>350 | 344 | 21% | 138 | 18% | 76 | 19% | 130 | 26% | |
HIV plasma viral load copies/ml (median/IQR)i | 20 | (1–40) | 20 | (1–40) | 20 | (1–40) | 20 | (1–40) | 0.211 |
HIV viral load copies/mli | 0.001 | ||||||||
<50 | 1347 | 89% | 620 | 92% | 315 | 85% | 412 | 88% | |
≥50 | 161 | 11% | 51 | 8% | 56 | 15% | 54 | 12% | |
Years living with viral suppression (median/IQR)j,k | 6.3 | (2.6–11.1) | 7.2 | (3.7–11.8) | 5.1 | (2.0–10.1) | 5.9 | (1.9–11.0) | <0.001 |
Years living with viral suppressionj,k | <0.001 | ||||||||
<1 yearl | 203 | 14% | 61 | 9% | 57 | 16% | 85 | 18% | |
1–5 years | 411 | 28% | 172 | 26% | 117 | 33% | 122 | 26% | |
5.01–10 years | 393 | 27% | 187 | 28% | 94 | 26% | 112 | 24% | |
>10 years | 476 | 32% | 238 | 36% | 92 | 26% | 146 | 31% | |
Having had an AIDS defining illnessm,n | 0.803 | ||||||||
No | 1280 | 78% | 575 | 78% | 313 | 79% | 392 | 79% | |
Yes | 354 | 22% | 166 | 22% | 83 | 21% | 105 | 21% | |
Clinic | |||||||||
Clinic where HRA was done | 0.008 | ||||||||
Clinic A | 710 | 42% | 334 | 43% | 163 | 41% | 213 | 43% | |
Clinic B | 674 | 40% | 288 | 37% | 176 | 44% | 210 | 42% | |
Clinic C | 294 | 17% | 163 | 21% | 57 | 14% | 74 | 15% | |
AIN diagnosis | |||||||||
No dysplasia | 785 | 47% | |||||||
AIN1 | 396 | 24% | |||||||
AIN2 | 289 | 17% | |||||||
AIN3 | 208 | 12% | |||||||
Location HSIL | |||||||||
Intra-anal HSIL | 474 | 28% | |||||||
Perianal HSIL | 46 | 3% |
AIN, anal intraepithelial neoplasia; cART, combination antiretroviral therapy; HSIL, high-grade squamous intraepithelial lesion; IQR, interquartile range; LSIL, low-grade squamous intraepithelial lesion; STD, sexually transmitted disease.
aTotal – 1 missing; no dysplasia – 1 missing; LSIL – 0 missings; HSIL – 0 missings.
bTotal – 126 missings; no dysplasia – 96 missings; LSIL – 18 missings; HSIL – 12 missings.
cTotal – 124 missings; no dysplasia – 63 missings; LSIL – 23 missings; HSIL – 38 missings.
dTotal – 460 missings; no dysplasia – 223 missings; LSIL – 105 missings; HSIL – 132 missings.
eTotal – 25 missings; no dysplasia – 16 missings; LSIL – 5 missings; HSIL – 4 missings.
fTotal – 93 missings; no dysplasia – 39 missings; LSIL – 27 missings; HSIL – 27 missings.
gTotal – 24 missings; no dysplasia – 16 missings; LSIL – 2 missings; HSIL – 6 missings.
hTotal – 27 misisngs; no dysplasia – 18 missings; LSIL – 2 missings; HSIL – 7 missings.
iTotal – 170 missings; no dysplasia – 113 missings; LSIL – 26 missings; HSIL – 31 missings.
jTotal – 196 missings; no dysplasia – 127 missings; LSIL – 36 missings; HSIL – 33 missings.
kViral suppression was defined as having a viral load of less than 200 in tests from 1 August 1999 onwards allowing for a onetime blip in viral load between 200 and 400 copies/ml. For samples tested prior to 1 August 1999 the cut-off of detectability of the laboratory assay that was used for that sample is the cut-off for viral suppression.
lParticipants who never had an undetectable viral load are included in the category less than 1-year undetectable viral load.
mTotal – 45 missings; no dysplasia – 44 missings; LSIL – 0 missing; HSIL – 1 missing.
nIncluded AIDS defining illnesses: candidiasis esophageal, Kaposi's sarcoma, recurrent pneumonia, chronic intestinal microsporidiosis, pneumocystis carinii pneumonia, Mycobacterium kansasii, pulmonary tuberculosis, chronic intestinal cryptosporidiosis, AIDS dementia complex/HIV encephalopathy, toxoplasmosis of the brain, other species/unidentified extrapulmonary mycobacterium, cytomegalovirus (CMV) retinitis, non-Hodgkin's lymphoma, CMV disease (other than lymph node, liver, spleen), herpes simplex virus, progressive multifocal leucoencephalopathy, extrapulmonary cryptococcosis, primary lymphoma of central nervous system, extrapulmonary tuberculosis, wasting syndrome because of HIV, disseminated or extrapulmonary histoplasmosis, visceral leishmaniasis, candidiasis of trachea/bronchi/lungs, disseminated or extrapulmonary coccidioidomycosis, extrapulmonary pneumocystis, other CDC C event.