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Table 3 Factors associated with ART uptake and VL suppression among HIV-infected patients in care in the ARCs (2011), Belgium

From: Good continuum of HIV care in Belgium despite weaknesses in retention and linkage to care among migrants

 

ART uptake

VL suppression

Characteristic

On ART

OR for no ART uptake (95 % CI)

AORa for no ART uptake (95 % CI)

AORb for no ART uptake (95 % CI)

Undetectable VL

OR for detectable VL (95 % CI)

AORa for detectable VL (95 % CI)

Sex

       

 Male

84.5 %

1

1

1

83.7 %

1

1

 Female

84.9 %

0.97 (0.87–1.09)

1.38 (1.14–1.67)

1.16 (0.85–1.58)

82.9 %

1.06 (0.93–1.19)

0.84 (0.70–1.01)

Age at diagnosis

       

  <40 years

84.0 %

1

1

1

82.3 %

1

1

  ≥40 years

85.5 %

0.89 (0.78–1.01)

0.88 (0.76–1.02)

0.74 (0.60–0.91)

85.2 %

0.81 (0.70–0.93)

0.83 (0.71–0.97)

Way of transmission

       

 Heterosexual

85.9 %

1

1

1

82.6 %

1

1

 MSM

81.8 %

1.36 (1.19–1.55)

1.54 (1.27–1.88)

0.98 (0.73–1.32)

84.8 %

0.85 (0.74–0.98)

0.88 (0.72–1.07)

 IDU

85.6 %

1.02 (0.66–1.59)

1.01 (0.64–1.60)

0.75 (0.27–2.11)

82.5 %

1.01 (0.65–1.56)

1.04 (0.66–1.65)

Nationality

       

 Belgian

83.8 %

1

1

1

85.1 %

1

1

 SSA

86.4 %

0.81 (0.71–0.93)

0.87 (0.73–1.05)

0.89 (0.65–1.21)

81.3 %

1.31 (1.14–1.52)

1.25 (1.04–1.51)

 European

82.5 %

1.10 (0.88–1.37)

1.14 (0.91–1.44)

0.84 (0.61–1.15)

84.2 %

1.07 (0.83–1.38)

1.01 (0.77–1.32)

 Other

81.9 %

1.14 (0.90–1.45)

1.13 (0.89–1.45)

1.17 (0.81–1.67)

81.1 %

1.33 (1.03–1.73)

1.21 (0.92–1.59)

Reason for testing

       

 Patient’s request

76.7 %

1

1

1

82.6 %

1

1

 Clinical arguments

86.2 %

0.53 (0.45–0.62)

0.57 (0.48–0.67)

0.77 (0.61–0.97)

82.9 %

0.98 (0.82–1.18)

0.96 (0.79–1.16)

 Preoperative

78.8 %

0.89 (0.62–1.27)

0.95 (0.64–1.40)

1.82 (0.95–3.52)

88.2 %

0.64 (0.38–1.07)

0.65 (0.38–1.11)

 Other

83.5 %

0.65 (0.54–0.78)

0.73 (0.60–0.89)

0.92 (0.68–1.25)

83.7 %

0.93 (0.75–1.15)

0.87 (0.69–1.10)

CD4 at first visit

       

 CD4≥350

58.5 %

1

1

/

76.5 %

1

1

 CD4≥200 & <350

88.0 %

0.19 (0.15–0.25)

0.19 (0.14–0.26)

/

78.2 %

0.91 (0.70–1.17)

0.83 (0.62–1.10)

 CD4<200

94.0 %

0.09 (0.06–0.13)

0.09 (0.06–0.14)

/

74.6 %

1.10 (0.87–1.41)

1.03 (0.78–1.37)

Time since HIV diagnosis

      

  <1 year

54.2 %

1

1

1

49.2 %

1

1

 1 – <5 years

78.3 %

0.33 (0.28–0.39)

0.32 (0.27–0.39)

0.26 (0.21–0.33)

81.5 %

0.22 (0.18–0.27)

0.22 (0.17–0.27)

 5 – <10 years

89.3 %

0.14 (0.12–0.17)

0.13 (0.11–0.16)

0.12 (0.07–0.19)

88.4 %

0.13 (0.10–0.16)

0.12 (0.09–0.15)

  ≥10 years

94.5 %

0.07 (0.06–0.08)

0.06 (0.05–0.07)

/

85.9 %

0.16 (0.13–0.20)

0.14 (0.11–0.18)

  1. p < 0.05, statistically significant variables presented in boldface
  2. aAdjusted for sex, age at diagnosis, nationality, way of transmission
  3. bAdditional adjustment for CD4 value at first visit (only includes patients diagnosed between 2006 and 2011, n = 2437)