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Table 2 Determinants of mortality among HIV patients on ART using Cox proportional hazard model for Andhra Pradesh and Telangana (2007-12) and Rajasthan (2008-13). CI denotes confidence interval

From: Survival outcomes for first-line antiretroviral therapy in India’s ART program

 

Andhra Pradesh and Telanganaa

Rajasthanb

Variables

Hazard ratio (95 % CI)

Hazard ratio (95 % CI)

Patient level variables

Sex of patient

  Male

1.36 (1.06–1.73)

1.83 (1.41–2.38)

  Female

1.00

1.00

Age of patients (years)

  16–29

1.00

1.00

  30–49

1.00 (0.77–1.29)

1.00 (0.75–1.34)

  = >50

1.24 (0.85–1.79)

1.25 (0.84–1.88)

CD4 count at ART initiation (cells/mm3)

  < =100

3.36 (2.29–4.95)

3.71 (2.47–5.58)

  101–250

1.94 (1.33–2.82)

1.73 (1.15–2.62)

  >250

1.00

1.00

Co-existing tuberculosis

  No

1.00

1.00

  Yes

1.42 (1.11–1.81)

1.31 (1.04–1.67)

Ever use of alcohol

  No

1.00

1.00

  Yes

1.57 (1.22–2.02)

1.42 (1.09–1.86)

Baseline ART regimenc

  STV based regimen with/without EFV

1.00

1.00

  ZDV based regimen with/without EFV

0.67 (0.55–0.83)

0.62 (0.50–0.78)

Facility level variables

Cumulative ART patient loadd

  Below or equal to state average

1.00

1.00

  Above state average

0.74 (0.57–0.95)

1.37 (1.01–1.87)

Ratio of cumulative ART patients to pre-ART patientse

  Below or equal to state average

1.00

1.00

  Above state average

0.90 (0.71–1.15)

1.62 (1.14–2.29)

Percent of cumulative loss to follow-up patientsf

  Category 1

1.00

1.00

  Category 2

1.16 (0.87–1.54)

1.22 (0.94–1.58)

  Category 3

1.47 (1.06–2.05)

1.40 (1.00–1.95)

  1. aData missing for Andhra Pradesh and Telangana: year of ART initiation for 2; sex of patients for 55; age of patients for 2; CD4 count at ART initiation for 29; co-existing tuberculosis for 2; ever use of alcohol for 2; baseline ART regimen for 421
  2. bData missing for Rajasthan: sex of patients for 21; CD4 count at ART initiation for 29; co-existing tuberculosis for 32; ever use of alcohol for 13; baseline ART regimen for 278
  3. cSTV is Stavudine, ZDV is Zidovudine, and EFV is Efavirenz
  4. dAverage for Andhra Pradesh and Telangana is 4844 and 4307 for Rajasthan
  5. eFor Andhra Pradesh and Telangana is 0.59 and 0.70 for Rajasthan
  6. fThe categories for Andhra Pradesh and Telangana are <5.6 %, >5.6–8.4 % and >8.4 %; and <3.1 %, 3.1–6.5 % and >6.5 % for Rajasthan