Table 2.
HIV Status | HPV Result | Cytology Result | NTotal | Ninformative** | End point | NCases | Immediate (Prevalent) | 1-Year Cumulative Risk | 3-Year Cumulative Risk | 5-Year Cumulative Risk | pCIN2+†╱pCIN3+‡ | ||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Risk (%) | 95%CI (%) | Risk (%) | 95%CI (%) | Risk (%) | 95%CI (%) | Risk (%) | 95%CI (%) | ╱ | |||||||
WLWH | Any | Any | 608 | 474 | CIN2+ | 22 | 2.4 | 1.2–3.5 | 2.6 | 1.4–3.9 | 3.1 | 1.8–4.4 | 3.5 | 2.0–5.0 | 0.01╱0.24 |
CIN3+§ | 7 | 0.8 | 0.0–1.6 | 0.9 | 0.0–1.7 | 1.0 | 0.2–1.8 | 1.3 | 0.3–2.3 | ||||||
HIV [−] | 67,488 | 39,398 | CIN2+ | 907 | 0.8 | 0.7–0.9 | 1.2 | 1.1–1.3 | 1.4 | 1.3–1.5 | 1.6 | 1.5–1.8 | |||
CIN3+ | 377 | 0.4 | 0.4–0.5 | 0.5 | 0.5–0.6 | 0.7 | 0.6–0.7 | 0.7 | 0.6–0.8 | ||||||
WLWH | Pos | Any | 123 | 111 | CIN2+ | 20 | 10.5 | 5.1–16 | 11.9 | 6.2–17.6 | 13.4 | 7.4–19.5 | 15.6 | 8.7–22.5 | 0.53╱0.38 |
CIN3+ | 7 | 3.6 | 0.2–7 | 3.6 | 0.2–7 | 4.3 | 0.6–7.9 | 5.8 | 1.0–10.6 | ||||||
HIV [−] | 4355 | 3712 | CIN2+ | 665 | 11.2 | 10–12.4 | 13.8 | 12.7–14.8 | 16.2 | 15–17.3 | 17.9 | 16.6–19.1 | |||
CIN3+ | 298 | 5.4 | 4.5–6.2 | 6.6 | 5.8–7.3 | 7.4 | 6.6–8.2 | 8.0 | 7.1–8.9 | ||||||
WLWH | Neg | 475 | 355 | CIN2+ | 2 | 0.2 | 0–0.7 | 0.2 | 0–0.7 | 0.4 | 0–0.8 | 0.4 | 0–0.9 | 0.76╱n/a | |
CIN3+§ | 0 | 0.0 | 0.0–0.8‡ | 0.0 | n/a | 0.0 | n/a | 0.0 | n/a | ||||||
HIV [−] | 61,966 | 35,640 | CIN2+ | 236 | 0.1 | 0–0.2 | 0.3 | 0.2–0.4 | 0.4 | 0.3–0.5 | 0.5 | 0.4–0.6 | |||
CIN3+ | 77 | 0.1 | 0.1–0.1 | 0.1 | 0.1–0.1 | 0.2 | 0.2–0.2 | 0.2 | 0.2–0.2 | ||||||
WLWH | n/a | 10 | 8 | CIN2+ | 0 | ╱ | |||||||||
CIN3+ | 0 | ╱ | |||||||||||||
HIV [−] | 1152 | 44 | CIN2+ | 6 | ╱ | ||||||||||
CIN3+ | 2 | ╱ | |||||||||||||
WLWH | Any | Pos | 84 | 79 | CIN2+ | 19 | 14.4 | 6.7–22.1 | 16.5 | 8.4–24.6 | 18.7 | 10.1–27.4 | 22.0 | 12.0–32.0 | 0.77╱0.11 |
CIN3+§ | 5 | 3.8 | 0.0–8.0 | 3.8 | 0.0–8.1 | 4.6 | 0.3–8.9 | 6.4 | 1.0–11.8 | ||||||
HIV [−] | 2615 | 2357 | CIN2+ | 522 | 17.2 | 15.7–18.7 | 19.6 | 18.0–21.2 | 21.9 | 20.2–23.6 | 23.5 | 21.7–25.3 | |||
CIN3+ | 234 | 8.5 | 7.4–9.7 | 9.6 | 8.4–10.8 | 10.4 | 9.1–11.7 | 11.0 | 9.6–12.3 | ||||||
WLWH | Neg* | 522 | 394 | CIN2+ | 3 | 0.4 | 0–1.0 | 0.4 | 0–1.0 | 0.6 | 0–1.1 | 0.6 | 0–1.1 | 0.50╱0.43 | |
CIN3+§ | 2 | 0.3 | 0.0–0.8 | 0.3 | 0.0–0.8 | 0.3 | 0.0–0.8 | 0.4 | 0.0–1.0 | ||||||
HIV [−] | 64,713 | 36,981 | CIN2+ | 383 | 0.2 | 0.1–0.2 | 0.4 | 0.4–0.5 | 0.6 | 0.5–0.7 | 0.8 | 0.7–0.8 | |||
CIN3+ | 133 | 0.1 | 0.1–0.2 | 0.2 | 0.1–0.2 | 0.3 | 0.2–0.3 | 0.3 | 0.3–0.3 | ||||||
WLWH | n/a | 2 | 1 | CIN2+ | 0 | ╱ | |||||||||
CIN3+ | 0 | ╱ | |||||||||||||
HIV[−] | 145 | 58 | CIN2+ | 2 | ╱ | ||||||||||
CIN3+ | 1 | ╱ | |||||||||||||
WLWH | Pos | Pos | 71 | 66 | CIN2+ | 18 | 16.4 | 7.5–25.3 | 18.7 | 9.4–28.1 | 21.2 | 11.3–31.2 | 24.9 | 13.4–36.4 | 0.77╱0.21 |
CIN3+⁑ | 5 | 4.6 | 0.0–9.6 | 4.6 | 0.0–9.6 | 5.5 | 0.1–10.9 | 7.6 | 0.3–14.9 | ||||||
HIV [−] | 2,249 | 2,081 | CIN2+ | 494 | 19.5 | 17.8–21.2 | 22.2 | 20.4–24.0 | 24.8 | 22.9–26.7 | 26.6 | 24.6–28.7 | |||
CIN3+ | 230 | 9.6 | 8.4–10.9 | 10.9 | 9.5–12.2 | 11.8 | 10.4–13.2 | 12.4 | 10.9–13.9 | ||||||
WLWH | Neg* | 52 | 45 | CIN2+ | 2 | 2.5 | 0.0–6.9 | 2.6 | 0.0–6.5 | 2.8 | 0.0–7.2 | 3.0 | 0.0–7.4 | 0.02╱0.97 | |
CIN3+⁑ | 2 | 2.2 | 0.0–6.5 | 2.2 | 0.0–6.5 | 2.6 | 0.0–7.0 | 3.4 | 0.0–8.7 | ||||||
HIV [−] | 2,097 | 1,625 | CIN2+ | 169 | 2.3 | 0.6–3.9 | 4.7 | 3.6–5.7 | 6.9 | 5.8–8.1 | 8.5 | 7.2–9.9 | |||
CIN3+ | 67 | 0.8 | 0.0–1.9 | 1.9 | 1.2–2.6 | 2.7 | 2.0–3.5 | 3.3 | 2.4–4.2 | ||||||
WLWH | n/a | 0 | 0 | CIN2+ | 0 | ╱ | |||||||||
CIN3+ | 0 | ╱ | |||||||||||||
HIV [−] | 9 | 6 | CIN2+ | 2 | ╱ | ||||||||||
CIN3 + | 1 | ╱ | |||||||||||||
WLWH | Neg | Pos | 11 | 11 | CIN2+ | 1 | 1.6 | 0.0–5.7 | 2.1 | 0.0–6.4 | 2.7 | 0.0–7.5 | 3.6 | 0.0–9.8 | 0.59╱n/a |
CIN3+ | 0 | 0.0 | 0.0–33.5‡ | 0.0 | n/a | 0.0 | n/a | 0.0 | n/a | ||||||
HIV [−] | 321 | 258 | CIN2+ | 23 | 1.4 | 0.4–2.4 | 1.6 | 0.6–2.6 | 1.8 | 0.8–2.7 | 1.9 | 1.0–2.8 | |||
CIN3+ | 11 | 1.0 | 0.0–2.2 | 1.0 | 0.0–2.2 | 1.1 | 0.0–2.3 | 1.1 | 0.0–2.3 | ||||||
WLWH | Neg* | 462 | 343 | CIN2+ | 1 | 0.2 | 0.0–0.7 | 0.2 | 0.0–0.7 | 0.3 | 0.0–0.7 | 0.3 | 0.0–0.8 | 0.44╱n/a | |
CIN3+ | 0 | 0.0 | 0.0–0.8‡ | 0.0 | n/a | 0.0 | n/a | 0.0 | n/a | ||||||
HIV [−] | 61,509 | 35,330 | CIN2+ | 213 | 0.1 | 0.1–0.2 | 0.3 | 0.2–0.3 | 0.4 | 0.4–0.5 | 0.5 | 0.4–0.6 | |||
CIN3+ | 66 | 0.1 | 0.0–0.1 | 0.1 | 0.1–0.2 | 0.2 | 0.1–0.2 | 0.2 | 0.1–0.2 | ||||||
WLWH | n/a | 2 | 1 | CIN2+ | 0 | ╱ | |||||||||
CIN3+ | 0 | ╱ | |||||||||||||
HIV [−] | 136 | 52 | CIN2+ | 0 | ╱ | ||||||||||
CIN3+ | 0 | ╱ | |||||||||||||
WLWH | n/a | Pos | 2 | 2 | CIN2+ | 0 | ╱ | ||||||||
CIN3+ | 0 | ╱ | |||||||||||||
HIV [−] | 45 | 2 | CIN2+ | 0 | ╱ | ||||||||||
CIN3+ | 0 | ╱ | |||||||||||||
WLWH | Neg | 8 | 6 | CIN2+ | 0 | ╱ | |||||||||
CIN3+ | 0 | ╱ | |||||||||||||
HIV [−] | 1107 | 26 | CIN2+ | 1 | ╱ | ||||||||||
CIN3+ | 0 | ╱ | |||||||||||||
WLWH | n/a | 0 | 0 | CIN2+ | 0 | ╱ | |||||||||
CIN3+ | 0 | ╱ | |||||||||||||
HIV [−] | 15 | 2 | CIN2+ | 0 | ╱ | ||||||||||
CIN3+ | 0 | ╱ |
Included atypical squamous cells of undetermined significance if the concurrent HPV test was negative.
Differences in 5-year risk between WLWH and HIV[−] for CIN2+
Differences in 5-year risk between WLWH and HIV[−] for CIN3+
Poisson exact confidence interval
Modeled in HPV+ subset
Marginal analysis instead of weighted average
Ninformative refers to women who contributed to the risk estimations because they were diagnosed with CIN2+ or had a negative assessment in follow-up.