TABLE 2.
Risk of osteoporosis when exposure to ART drugs.
| OR | 95% CI | p-value | |||
|---|---|---|---|---|---|
| Osteoporosis N = 104 | Non-osteoporosis N = 416 | ||||
| N (%) | N (%) | ||||
| ART drugs | — | — | — | — | — |
| Non-exposure | 48 (46.15%) | 242 (58.17%) | Ref | Ref | Ref |
| Exposure | 56 (53.85%) | 174 (41.83%) | 2.11 | (1.22–3.66) | 0.0077 |
| Timing of exposure | — | — | — | — | — |
| Non-exposure | 49 (47.12%) | 249 (59.86%) | Ref | Ref | Ref |
| Current exposure (0 < YEAR ≤1) | 46 (44.23%) | 132 (31.73%) | 2.51 | (1.38–4.56) | 0.0026 |
| Recent exposure (1 < YEAR ≤2) | 8 (7.69%) | 24 (5.77%) | 2.42 | (0.94–6.26) | 0.0674 |
| Past exposure (2 < YEAR) | 1 (0.96%) | 11 (2.64%) | 0.65 | (0.08–5.33) | 0.6855 |
| Cumulative defined daily dose (DDD) | — | — | — | — | — |
| Non-exposure | 49 (47.12%) | 249 (59.86%) | Ref | Ref | Ref |
| Low (cumulative DDDs < 2500) | 24 (23.08%) | 72 (17.31%) | 2.26 | (1.14–4.50) | 0.0194 |
| High (cumulative DDDs ≥ 2500) | 31 (29.81%) | 95 (22.84%) | 2.48 | (1.22–5.04) | 0.0117 |
| Adherence | — | — | — | — | — |
| Non-exposure | 49 (47.12%) | 249 (59.86%) | Ref | Ref | Ref |
| Low (0 < ADH ≤ 0.8) | 32 (30.77%) | 100 (24.04%) | 2.32 | (1.22–4.42) | 0.0107 |
| High (0.8 < ADH) | 23 (22.12%) | 67 (16.11%) | 2.43 | (1.21–4.89) | 0.0125 |
N, number; ART, antiretroviral therapy; OR, odds ratio; CI, confidence interval; Ref, reference; DDD, defined daily dose; ADH, adherence.
Conditional logistic regression model was performed with adjustments for age and comorbidities.
Significant p-values (p<0.05) are indicated in bold and italic font.
Cumulative defined daily dose (DDD) and adherence were calculated during the period between the date of HIV infection diagnosis and the date of osteoporosis diagnosis.
The definition of cumulative DDD: The total dose of drug given to a patient from the start of drug usage to the study end.
The definition of adherence: (Total number of prescribed days of a patient from the start of drug usage to the study end)/(total number of days of observation of a patient from the start of drug to the study end).