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. Author manuscript; available in PMC: 2023 Sep 1.
Published in final edited form as: Prev Med. 2022 Jul 8;162:107157. doi: 10.1016/j.ypmed.2022.107157

Table 2.

A comparison of cervical intraepithelial neoplasia grade 2 or more severe diagnoses (CIN2+) or grade 3 or more severe diagnoses (CIN3+) risks with 95% confidence intervals (95%CI) in women living with HIV (WLWH) and without HIV (HIV[−]), stratified on human papillomavirus (HPV) and cytology co-testing results. The first two row are the total population of WLWH and HIV[−] women. Risk estimates for paired WLWH and HIV[−] groups in which there were fewer than 30 WLWH and no cases of CIN2+ for those WLWH are not included. “Any” is for any result e.g., positive (Pos), negative (Neg), or not available (n/a).

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 0.010.24
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 0.530.38
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 0.76n/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 0.770.11
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 0.500.43
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 0.770.21
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 0.020.97
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 0.59n/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 0.44n/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.