Table 3.
Incidence of anal squamous cell carcinoma in people living with HIV in Australia, 1982–2012, by time period, attained age, HIV exposure route, and CD4+ cell count at HIV diagnosis, and history of an AIDS-defining diagnosis.
Person years | Cases | Incidence (per 100 000) | IRR | 95% CI | P value | Adjusted IRRa | 95% CI | P value | |
---|---|---|---|---|---|---|---|---|---|
Time period | <0.001 | <0.001 | |||||||
1982–1995 | 74 236.6 | 11 | 14.82 | 1 | – | 1 | – | ||
1996–1999 | 48 109.0 | 9 | 18.71 | 1.26 | 0.52–3.05 | 1.41 | 0.58–3.47 | ||
2000–2004 | 73 425.6 | 24 | 32.69 | 2.21 | 1.08–4.50 | 2.63 | 1.23–5.58 | ||
2005–2008 | 72 622.7 | 31 | 42.69 | 2.88 | 1.45–5.73 | 3.62 | 1.65–7.92 | ||
2009–2012 | 87 012.7 | 54 | 62.06 | 4.19 | 2.19–8.01 | 5.53 | 2.65–11.52 | ||
Attained age (years) | <0.001 | 0.229 | |||||||
16–44 | 19 6858.4 | 44 | 22.35 | 1 | – | 1 | – | ||
45–59 | 122556.6 | 62 | 50.59 | 2.26 | 1.54–3.33 | 1.37 | 0.88–2.12 | ||
≥60 | 35 970.8 | 23 | 63.94 | 2.86 | 1.73–4.74 | 1.37 | 0.75–2.52 | ||
HIV exposure route | 0.003 | 0.002 | |||||||
Other routes | 88 343.5 | 17 | 19.24 | 1 | – | 1 | – | ||
Male homosexual | 26 7063.2 | 112 | 41.94 | 2.18 | 1.31–3.63 | 2.25 | 1.35–3.76 | ||
CD4+ cell count at HIV diagnosis | 0.003b | 0.569b | |||||||
<50 | 14 121.5 | 7 | 49.57 | 1 | – | 1 | – | ||
50–199 | 20 644.2 | 13 | 62.97 | 1.27 | 0.51–3.18 | 1.49 | 0.59–3.75 | ||
200–499 | 46 933.3 | 14 | 29.83 | 0.60 | 0.24–1.49 | 0.92 | 0.36–2.40 | ||
≥500 | 49 200.5 | 9 | 18.29 | 0.37 | 0.14–0.99 | 0.58 | 0.20–1.68 | ||
Missing | 22 4507.1 | 86 | 38.31 | 0.77 | 0.36–1.67 | 1.16 | 0.53–2.51 | ||
History of AIDS | <0.001 | <0.001 | |||||||
No | 20 0604.3 | 49 | 24.43 | 1 | – | 1 | – | ||
Yes | 15 4802.3 | 80 | 51.68 | 2.12 | 1.48–3.02 | 2.25 | 1.45–3.48 |
CI, confidence interval; IRR, incidence rate ratio.
Adjusted for time period, attained age, HIV exposure route, CD4+ cell count at time of HIV diagnosis, a history of AIDS.
Excluding those who had missing CD4+ at time of HIV diagnosis.