Table 4.
Associations between healthcare visits with a patient transfer and a gap in clinical care of > 180 days among adults living with HIV who initiated ART, overall and by gender
| All visits |
Recorded HIV visits only |
|||||
|---|---|---|---|---|---|---|
| Characteristics | Overall adjusted IRR (95% CI)a | Women adjusted IRR (95% CI)a | Men adjusted IRR (95% CI)a | Overall adjusted IRR (95% CI)a | Women adjusted IRR (95% CI)a | Men adjusted IRR (95% CI)a |
| Healthcare visits | ||||||
| Among visits with no patient transfer | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 |
| Among visits with a patient transfer | 2.88 (2.63, 3.16) | 2.90 (2.61, 3.24) | 2.82 (2.36, 3.37) | 3.06 (2.83, 3.32) | 3.07 (2.80, 3.37) | 3.00 (2.55, 3.52) |
| Year of ART initiation | ||||||
| 2012 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 |
| 2013 | 0.83 (0.75, 0.93) | 0.85 (0.74, 0.97) | 0.78 (0.65, 0.95) | 0.85 (0.77, 0.94) | 0.88 (0.78 0.98) | 0.79 (0.66, 0.94) |
| 2014 | 0.61 (0.52, 0.73) | 0.65 (0.52, 0.79) | 0.56 (0.42, 0.74) | 0.82 (0.72, 0.94) | 0.82 (0.70, 0.98) | 0.82 (0.65, 1.04) |
| 2015 or 2016 | 0.40 (0.31, 0.51) | 0.40 (0.31, 0.53) | 0.40 (0.24, 0.66) | 0.45 (0.37, 0.55) | 0.44 (0.35, 0.54) | 0.51 (0.36, 0.73) |
| Age group, years | ||||||
| 20–29 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 |
| 16–19 | 0.52 (0.29, 0.95) | 0.51 (0.27, 0.95) | 0.67 (0.11, 4.20) | 0.31 (0.14, 0.68) | 0.24 (0.10, 0.62) | 1.69 (0.91, 3.12) |
| 30–39 | 0.91 (0.81, 1.03) | 0.90 (0.79, 1.03) | 1.06 (0.79, 1.41) | 1.29 (1.16, 1.44) | 1.31 (1.17, 1.46) | 1.27 (0.94, 1.72) |
| 40–49 | 0.87 (0.75, 1.01) | 0.81 (0.67, 0.98) | 1.07 (0.80, 1.45) | 1.53 (1.35, 1.74) | 1.51 (1.30, 1.76) | 1.56 (1.17, 2.15) |
| 50–59 | 0.71 (0.58, 0.87) | 0.65 (0.50, 0.85) | 0.89 (0.62, 1.28) | 1.30 (1.09, 1.55) | 1.23 (0.98, 1.55) | 1.41 (0.99, 2.00) |
| 60 + | 0.41 (0.24, 0.69) | 0.33 (0.16, 0.67) | 0.57 (0.27, 1.22) | 1.44 (1.06, 1.94) | 1.17 (0.76, 1.82) | 1.79 (1.13, 2.83) |
| Gender | ||||||
| Female | 1.00 | – | – | 1.00 | – | – |
| Male | 0.96 (0.86, 1.07) | – | – | 0.83 (0.76, 0.92) | – | – |
IRR incidence rate ratio
a
Adjusted for: age (modeled as a categorical variable), year of ART initiation, and gender (for overall estimate only)