Table 3.
Risk Factors for In Utero/Peripartum Human Immunodeficiency Virus (HIV) Transmission, a Multivariate Analysis
In Utero/Peripartum Mothers | Unadjusted Conditional Logistic Regression | Adjusted Conditional Logistic Regression | |||||
---|---|---|---|---|---|---|---|
Risk Factor | Total N = 191 | Case N = 48 | Control N = 143 | Odds Ratio (95% CI) | P Value | Odds Ratio (95% CI) | P Value |
Antepartum treatment regimen | |||||||
Triple ART (PI-based) | 83 | 11 | 72 | Reference | Reference | ||
Zidovudine + sdNVP +TDF/FTC tail | 87 | 28 | 59 | 3.04 (1.41–6.55) | .005a | 4.54 (1.70–12.1) | .003a |
None (late presenter) | 22 | 9 | 13 | 6.19 (1.82–21.1) | .004a | 9.82 (2.07–46.7) | .004a |
Genotype | |||||||
Wild-type | 162 | 44 | 118 | Reference | Reference | ||
Drug-Resistant | 7 | 1 | 6 | 0.44 (.05–3.67) | .448 | 0.34 (.03–3.38) | .354 |
Missing genotype data | 23 | 3 | 20 | - | … | ||
HIV RNA load at infant dagnosis | |||||||
<4 log10 c/mL | 98 | 24 | 74 | Reference | Reference | ||
≥4 log10 c/mL | 74 | 23 | 51 | 1.36 (.70–2.65) | .367 | 1.00 (.38–2.63) | .988 |
Missing VL data | 19 | 1 | 18 | … | … | ||
HIV RNA load at enrollment | |||||||
<4 log10 c/mL | 96 | 16 | 80 | Reference | Reference | ||
≥4 log10 c/mL | 95 | 32 | 63 | 2.65 (1.31–5.35) | .007a | 3.45 (1.24–9.57) | .018a |
Enrollment CD4 count | |||||||
≥500 cells/uL | 105 | 24 | 81 | Reference | Reference | ||
<500 cells/uL | 86 | 24 | 62 | 1.33 (.69–2.57) | .399 | 1.16 (.50–2.71) | .723 |
Abbreviations: ART, antiretroviral therapy; CI, confidence interval; NVP, nevirapine; PI, protease inhibitor; TDF/FTC, tenofovir and emtricitabine.
a P value < .05.