Table 3.
Characteristics (n=402) |
Deaths, n | Person Years (PY) |
Crude mortality rate per 100 PY (95% CI) |
Univariate analysis | Multivariable analysis* | ||
---|---|---|---|---|---|---|---|
| |||||||
HR (95% CI) | p-value | aHR (95% CI) | p-value | ||||
| |||||||
Overall | 42 | 844 | 4.9 (3.7 – 6.7) | - | - | - | - |
| |||||||
Age at ART start | |||||||
10–14 years | 32 | 700 | 4.5 (3.2 – 6.5) | 1.05 (0.51 – 2.16) | 0.891 | 1.01 (0.48 – 2.15) | 0.974 |
15–19 years | 10 | 144 | 6.8 (3.7 – 12.9) | 1 | 1 | ||
| |||||||
Sex | |||||||
Male | 30 | 517 | 5.8 (4.0 – 8.3) | 1.54 (0.79 – 3.02) | 0.201 | 1.66 (0.83 – 3.53) | 0.155 |
Female | 12 | 327 | 3.7 (2.1 – 6.5) | 1 | 1 | ||
| |||||||
Mode of HIV acquisition | |||||||
Perinatal | 34 | 752 | 4.5 (3.2 – 6.3) | 1 | |||
Behavioral$ | 6 | 56 | 10. 6 (4.8 – 23.7) | 1.43 (0.6 – 3.4) | 0.422 | - | - |
Unknown | 2 | 33 | 5.9 (1.5 – 23.9) | 1.05 (0.25 – 4.38) | 0.945 | ||
| |||||||
Residence from ART centre | |||||||
<5 km | 11 | 196 | 5.6 (3.1 – 10.1) | 1. 24 (0.57 – 2.69) | 0.594 | ||
5 to <10 km | 11 | 227 | 4.8 (2.7 – 8.7) | 1.01 (0.46 – 2.19) | 0.990 | - | - |
≥10 to < 20 km | 5 | 130 | 3.8 (1.6 – 9.2) | 0.76 (0.28 – 2.11) | 0.605 | ||
≥20 km | 15 | 273 | 5.4 (3.3 – 9.1) | 1 | |||
| |||||||
WHO category at ART start | |||||||
I & II | 12 | 410 | 2.9 (1.7 – 5.2) | 1 | 1 | ||
III & IV | 27 | 412 | 6.5 (4.5 – 9.5) | 2.54 (1.28 – 5.02) | 0.007 | 2.26 (1.14 – 4.48) | 0.020 |
| |||||||
Year of ART start | |||||||
2005 –2009 | 32 | 677 | 4.7 (3.3 – 6.7) | 1.40 (0.68 – 2.89) | 0.361 | - | - |
2010 – 2014 | 10 | 167 | 5.9 (3.2 – 11.1) | 1 | |||
| |||||||
NNRTI regimen | |||||||
Nevirapine based | 26 | 644 | 4.0 (2.7 – 5.9) | 1 | 1 | ||
Efavirenz based | 16 | 155 | 10.3 (6.1 – 16.8) | 2.09 (1.12 – 3.93) | 0.021 | 1.89 (0.97 – 3.71) | 0.062 |
| |||||||
CD4 category at ART start | |||||||
<200 | 29 | 478 | 6.1 (4.2 – 8.7) | 4.40 (0.60 – 32.37) | 0.145 | ||
200–350 | 12 | 300 | 3.9 (2.3 – 7.0) | 3.21 (0.42 –24.78) | 0.263 | - | - |
>350 | 1 | 61 | 1.6 (0.2 – 11.6) | 1 | |||
CD4/100 cells# | - | - | - | 0.68 (0.50 – 0.92) | 0.012 | 0.59 (0.43 – 0.83) | 0.012 |
Behavioral modes of HIV acquisition include heterosexual, IV drug use and blood transfusion
Continuous CD4 counts per 100 cell increment. Using CD4 categorically does not seem to be associated with mortality, but using them as a continuous variable, appears to have an association with mortality.
Adjusted for age, sex, WHO categories, NNRTI regimen and CD4 increment by 100 cells.