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. 2017 Jan 17;64(4):422–427. doi: 10.1093/cid/ciw792

Table 2.

Results of Mixed-Effects Log-Linear Modeling of the Relative Incidence of Raised Viral Load (>1000 Copies/mL)

Variable A B
IRR (95% CI) P Value IRR (95% CI) P Value
Age, y
 18–22 3.23 (1.57–6.63) .001 3.67 (1.78–7.56) <.001
 23–25 2.48 (1.20–5.11) .014 2.66 (1.31–5.41) .007
 26–29 1.91 (.97–3.77) .061 2.18 (1.12–4.24) .021
 30–33 1.61 (.79–3.28) .192 1.58 (.78–3.20) .207
 ≥34 1.0 (reference) 1.0 (reference)
Gestation at ART initiation, wk
 ≤14 1.0 (reference) 1.0 (reference)
 >14–28 1.48 (.80–2.76) .212 1.35 (.72–2.52) .346
 >28 2.51 (1.29–4.91) .007 2.21 (1.13–4.34) .021
Previous ART
 None 1.0 (reference) 1.0 (reference)
 ZDV ± NVP (short course) 1.23 (.79–1.89) .359 1.50 (.96–2.34) .073
 Triple-drug therapy 2.97 (1.30–6.81) .010 2.94 (1.29–6.69) .010
Pre-ART CD4 count, cells/µL
 <200 1.0 (reference) 1.0 (reference)
 200–350 0.72 (.42–1.24) .239 0.90 (.51–1.59) .791
 350–500 0.80 (.45–1.42) .448 0.88 (.48–1.60) .673
 >500 0.50 (.27–0.91) .023 0.63 (.33–1.20) .156
Pre-ART VL, copies/mL
 <3.0 log10 1.0 (reference) 1.0 (reference)
 3.0–4.0 log10 2.01 (.97–4.14) .060 1.84 (.91–3.69) .085
 4.0–5.0 log10 2.00 (.96–1.15) .062 1.44 (.69–3.00) .333
 >5.0 log10 4.00 (1.64–9.79) .002 2.66 (1.09–6.45) .031
Time from VL suppression to VL measurement, mo 1.13 (1.09–1.17) <.001 1.11 (1.07–1.15) <.001
Follow-up
 Antenatal period 1.0 (reference) 1.0 (reference)
 Postpartum period 7.83 (1.89–32.51) .005 6.41 (1.54–26.69) .011

“A” shows crude associations involving single variables adjusted only for time after initial viral suppression; “B” shows a single model including all covariates shown.

Abbreviations: ART, antiretroviral therapy; CI, confidence interval; IRR, incidence rate ratio; NVP, nevirapine; VL, viral load; ZDV, zidovudine.