Table 3.
Risk factors for attrition along the cascade of care.
| Prevalence of being unaware of HIV infection |
Prevalence of not being on ARVs |
Prevalence of not being virally suppressed |
||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| N = 811 (100%) | Newly diagnosed | UnadPR (95% CI) |
adjPR (95% CI) |
N = 585 (100%) | Not on ART | UnadPR (95% CI) |
adjPR (95% CI) |
N = 609 (100%) | Not virally suppressed | UnadPR (95% CI) |
adjPR (95% CI) |
|
| Age | ||||||||||||
| < 20 | 11(1.36) | 66% (7/11) | 1.00 | 1.00 | 9(1.54) | 78%(7/9) | 1.00 | 1.00 | 9(1.48) | 89%(8/9) | 1.00 | 1.00 |
| 20–25 | 111(14) | 41% (46/111) | 0.65(0.40,1.07) | 0.66(0.30,1.48) | 84(14) | 61%(51/84) | 0.78(0.53,1.15) | 0.79(0.36,1.76) | 85(14) | 56%(48/85) | 0.64(0.30,1.34) | 0.61(0.29,1.31) |
| 25–35 | 290(36) | 34%(98/290) | 0.53(0.33,0.85) | 0.48(0.22,1.05) | 205(35) | 55%(113/205) | 0.71(0.49,1.03) | 0.66(0.31,1.44) | 217(36) | 64%(139/217) | 0.72(0.35,1.47) | 0.67(0.33,1.37) |
| 35–45 | 224(28) | 22%(49/224) | 0.34(0.21,0.57) | 0.32(0.14,0.71) | 152(26) | 42%(64/152) | 0.54(0.36,0.80) | 0.49(0.22,1.08) | 156(26) | 49%(76/156) | 0.55(0.26,1.14) | 0.49(0.24,1.03) |
| 45–55 | 105(13) | 13%(14/105) | 0.21(0.11,0.41) | 0.18(0.07,0.45) | 85(15) | 20%(17/85) | 0.23(0.15,0.45) | 0.23(0.09,0.56) | 90(15) | 24%(22/90) | 0.28(0.12,0.62) | 0.24(0.11,0.54) |
| > 55 | 70(9) | 29%(20/70) | 0.45(0.25,0.80) | 0.39(0.17,0.94) | 50(9) | 34%(17/50) | 0.44(0.26,0.74) | 0.39(0.16,0.95) | 52(9) | 33%(17/52) | 0.37(0.16,0.85) | 0.32(0.14,0.76) |
| Sex | ||||||||||||
| Female | 509(63)302(37) | 22% (110/509) | 1.00 | 1.00 | 363(62) | 42% (151/363) | 1.00 | 1.00 | 373(61) | 47% (175/373) | 1.00 | 1.00 |
| Male | 302(37)509(63) | 41% (124/302) | 2.0(1.53,2.35) | 2.16(1.66,2.83) | 222(38) | 53% (118/222) | 1.28(1.07,1.52) | 1.41(1.10,1.81) | 236(39) | 57% (135/236) | 1.22(1.04,1.42) | 1.33(1.05,1.67) |
| Presenting complaint | ||||||||||||
| Medical | 586(72) | 27%(156/586) | 1.00 | 1.00 | 423(72) | 44%(187/423) | 1.00 | 1.00 | 439(72) | 50%(219/439) | 1.00 | 1.00 |
| Trauma | 225(28) | 35%(78/225) | 1.30(1.04,1.63) | 1.22(0.91,1.64) | 162(28) | 51%(82/162) | 1.14(0.95,1.38) | 1.04(0.79,1.36) | 170(28) | 54%(91/170) | 1.07(0.91,1.27) | 0.99(0.77,1.28) |
| Time of presentation | ||||||||||||
| 9-5/M-F | 345(43) | 27%(93/345) | 1.00 | 1.00 | 256(44) | 46%(119/256) | 1.00 | 1.00 | 268(44) | 51%(138/268) | 1.00 | 1.00 |
| Out of hours | 466(57) | 30%(141/466) | 1.12(0.90,1.40) | 1.07(0.82,1.39) | 329(56) | 46%(150/329) | 0.98(0.82,1.17) | 0.92(0.72,1.17) | 341(56) | 50%(172/341) | 0.98(0.84,1.15) | 0.93(0.74,1.17) |
| SATS* | ||||||||||||
| Sick | 619(76) | 29%(177/619) | 1.00 | 1.00 | 449(77) | 46%(206/446) | 1.00 | 1.00 | 472(78) | 50%(237/472) | 1.00 | 1.00 |
| Very sick | 192(24) | 30%(57/192) | 1.04(0.81,1.33) | 1.07(0.78,1.45) | 136(23) | 46%(63/136) | 1.01(0.82,1.24) | 1.06(0.79,1.41) | 137(23) | 53%(73/137) | 1.06(0.89,1.27) | 1.10(0.84,1.44) |
| Site | ||||||||||||
| Livingstone | 281(35) | 27%(75/281) | 1.00 | 1.00 | 220(38) | 50%(109/220) | 1.00 | 1.00 | 220(36) | 55%(120/220) | 1.00 | 1.00 |
| MRH | 388(48) | 32%(126/388) | 1.22(0.96,1.55) | 1.26(0.94,1.71) | 268(46) | 46%(122/268) | 0.92(0.76,1.11) | 0.86(0.65,1.13) | 289(47) | 53%(152/289) | 0.96(0.82,1.13) | 0.90(0.70,1.16) |
| NMAH | 142(18) | 23%(33/142) | 0.87(0.61,1.24) | 0.84(0.56,1.27) | 97(17) | 39%(38/97) | 0.79(0.60,1.05) | 0.73(0.50,2.43) | 100(16) | 38%(38/100) | 0.70(0.53,0.92) | 0.63(0.44,0.91) |