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Table 1 Baseline and clinical characteristics of adults living with HIV in Asmara’s Follow-up hospitals, Asmara, Eritrea (2001–2020)

From: Determinants of therapy failure among adults on first-line antiretroviral therapy in Asmara, Eritrea: a multicenter retrospective matched case–control study

Characteristics

Total N (%)

Cases N (%)

Controls N (%)

Chi-square (χ2)

P value

Gender

 Male

483 (45.2)

161 (44.1)

322 (45.2)

0.0

1

 Female

585 (54.7)

195 (55.9)

390 (54.8)

Cohort age

 < 25 years

167 (15.6)

59 (16.6)

108 (15.2)

1.8

0.40

 26–45 years

780 (73.0)

251 (70.5)

529 (74.2)

 > 45 years

122 (11.4)

46 (12.9)

76 (10.7)

Address

 Maekel

931 (87.1)

308 (86.5)

623 (87.4)

0.2

0.7

 Outside Maekel

138 (12.9)

48 (13.5)

90 (12.6)

Educational level

 No formal education

59 (5.5)

21 (5.9)

38 (5.4)

0.1

0.93

 Primary & junior

455 (42.6)

152 (42.7)

303 (42.7)

 Secondary & above

551 (51.5)

183 (51.4)

368 (51.9)

Marital status

 Married

505 (47.2)

156 (43.9)

349 (57.1)

5.2

0.16

 Single

302 (28.4)

107 (30.1)

195 (31.9)

 Divorced

98 (9.2)

41 (11.5)

57 (9.3)

 Widowed

107 (14.9)

51 (14.4)

107 (17.5)

Employment

 Employed

611 (57.2)

201 (56.5)

410 (57.5)

0.10

0.79

 Unemployed

458 (42.8)

155 (43.5)

303 (42.5)

Care entry point

 VCT

620 (58.0)

182 (51.1)

438 (61.5)

14.5

0.006

 In-Patient Wards

64 (6.0)

22 (6.2)

42 (5.9)

 Medical OPD

255 (23.9)

94 (26.4)

161 (22.6)

 Transfer In

66 (6.2)

32 (10)

34 (4.8)

 Others

63 (5.9)

26 (7.3)

37 (5.2)

Prior exposure to ART

 Yes

135 (12.6)

295 (82.9)

629 (89.5)

9.3

0.003

 No

934 (87.4)

61 (17.1)

74 (10.5)

Baseline CD4+ cell count

 ≤ 200 cells/μl

621 (58.1)

230 (65.2)

391 (55.2)

9.6

0.002

 > 200cells/μl

440 (41.2)

123 (34.8)

317 (44.8)

Initial WHO clinical stage

 Stage I

923 (87.1)

250 (70.6)

673 (95.3)

137.8

< 0.001

 Stage II

59 (5.6)

44 (12.4)

15 (2.1)

 Stage III

41 (3.9)

25 (7.1)

16 (2.3)

 Stage IV

37 (3.5)

35 (9.9)

2 (0.3)

Initial regimen backbone

 D4T + 3TC

425 (39.8)

174 (49)

251 (35.2)

40.10

< 0.001

 AZT + 3TC

374 (35.0)

112 (31.6)

262 (36.7)

 TDF + FTC

239 (22.4)

51 (14.4)

188 (26.4)

 TDF + 3TC

17 (1.6)

12 (3.4)

5 (0.7)

 ABC + 3TC

13 (1.2)

6 (1.7)

7 (1)

NNRTI

 EFV

465 (43.5)

120 (34.1)

345 (48.5)

19.9

< 0.001

 NVP

598 (55.9)

232 (65.9)

366 (51.5)

cART changes

 Yes

802 (75.0)

40 (11.3)

226 (31.7)

52.9

< 0.001

 No

266 (25.0)

315 (88.7)

487 (68.3)

Current WHO clinical stage

 Stage 1

982 (87.1)

250 (70.6)

673 (95.3)

137.8

< 0.001

 Stage II

59 (5.6)

44 (12.4)

15 (2.1)

 Stage III

41 (3.9)

25 (7.1)

16 (2.3)

 Stage IV

37 (3.5)

35 (9.9)

2 (0.3)

TB Status

 No symptom

187 (17.5)

52 (14.6)

135 (18.9)

8.9

0.030

 Took IPT

783 (73.2)

261 (73.3)

522 (73.2)

 Took AntiTB

28 (2.6)

15 (4.2)

13 (1.8)

 Took IPT & ANTI-TB

71 (6.6)

28 (7.9)

43 (6)

Cotrimoxazole prophylaxis

 Yes

522 (49.4)

217 (61.3)

305 (43.4)

30.0

< 0.001

 No

534 (50.6)

137 (38.7)

397 (56.6)

Missed hospital appointments

 Yes

603 (56.4)

247 (70.8)

356 (50.2)

40.3

< 0.001

 No

455 (42.6)

102(29.2)

353 (49.8)

Record of Suboptimal Drug adherence

 Yes

609 (57.2)

248 (71.3)

361 (51)

51.6

< 0.001

 No

447 (42.3)

100 (28.7)

347 (49)

Drug Intolerance

 cART

289 (90.6)

104 (89.7)

185 (91.1)

6.2

0.1

 Cotrimoxazole

23 (7.2)

7 (6)

16 (7.9)

 Anti-TB

7 (2.2)

5 (4.3)

2 (1)

Baseline functional status

 Working

808 (75.6)

236(66.5)

572(81)

27.7

< 0.001

 Ambulatory

212 (19.8)

97(27.3)

115(16.3)

 Bed-ridden

42 (3.9)

22(6.2)

20(2.7)

Comorbid conditions

 Yes

85 (8)

44(12.4)

41(5.8)

14.1

< 0.001

 No

982 (91.9)

312(87.6)

670(94.2)

cART changes to a similar Analogue

 Yes

283 (26.5)

100 (28)

183 (25.6)

0.72

0.4

 No

786 (73.5)

256 (72)

530 (74.4)

Weight shift

 Positive

829 (79.1)

276 (78.6)

553 (79.3)

0.07

0.8

 Negative

219 (20.9)

75 (21.4)

144 (20.7)

Previous Hospitalizations

 Yes

196 (18.6)

259 (50)

108 (15.2)

30.22

< 0.001

 No

860 (81.4)

259 (50)

601 (84.8)

  1. Bold values are designed to attract attention of the reader i.e. easy identification of significant differences
  2. TDF Tenofovir disoproxil fumarate, FTC Emtricitabine, AZT Zidovudine (AZT), 3TC Lamivudine, ABC Abacavir, D4T Stavudine, NVP Nevirapine, EFV Efavirenz, IPT Isoniazid Prophylaxis therapy, OPD Outpatient department, VCT Voluntary Counseling and Testing center, SMT TMP Sulfamethoxazole Trimethoprim
  3. ART, antiretroviral therapy; Cases, plasma HIV RNA > 1000 copies/mL; Control: HIV RNA ˂ 1000 copies/mL)
  4. NNRTI, non-nucleoside reverse transcriptase inhibitor; NRTI, nucleoside reverse transcriptase inhibitor