Research Article

Gaps in the Continuum of HIV Care: Long Pretreatment Waiting Time between HIV Diagnosis and Antiretroviral Therapy Initiation Leads to Poor Treatment Adherence and Outcomes

Table 2

Predictors of loss to follow-up and HIV-related mortality over the whole study period among eligible participants in the ART observational database of the Yuxi District.

⁢Loss to follow-up⁢Mortality
Cases/participant, person-yearsARR, valueCases/participant, person-yearsARR, value

Delayed status
 Nondelayed testers56/1212, 3869Ref.103/1315, 3995Ref.
 Delayed testers12/282, 11291.49 (1.30–1.72), <0.0166/348, 12431.43 (0.68–2.26), 0.48
Gender
 Female18/623, 1831Ref.38/661, 2038Ref.
 Male50/871, 31671.06 (0.95–1.19), 0.29131/1002, 32001.44 (0.68–3.06), 0.34
Age68/1494, 49981.01 (1.00–1.01), <0.01169/1663, 52381.07 (1.04–1.09), <0.01
Transmission route
 Heterosexuals37/1073, 3226Ref.85/1158, 3341Ref.
 IDU27/282, 12941.53 (1.11–2.11), <0.0170/352, 13682.88 (1.34–6.17), <0.01
 FPD0/9, 240/9, 240
 MSM0/44, 992/46, 1000.54 (0.07–4.40), 0.57
 Unknown4/86, 3551.23 (0.83–1.47), 0.1912/98, 4052.11 (0.87–2.81), 0.33
Pretreatment waiting time (every 100 days) in nondelayed56/1212, 38691.20 (1.07–1.29), <0.01103/1315, 39951.11 (1.06–1.21), <0.01
Pretreatment CD4 decline (every 100 cells/mm3) in nondelayed56/1212, 38691.15 (1.08–1.25), <0.01103/1315, 39951.10 (0.96–1.16), 0.78
ART initiation year
 2013–201532/754, 1590Ref.42/796, 1636Ref.
 2010–201222/521, 19360.80 (0.67–1.65), 0.5369/590, 19811.32 (0.61–2.90), 0.48
 2007–200914/169, 10890.69 (0.38–1.68), 0.5449/218, 12052.05 (1.26–4.35), 0.01
 2004–20060/15, 1664/19, 1900.92 (0.76–8.13), 0.35
 Unknown0/23, 2175/28, 2260.98 (0.78–6.25), 0.31

is significant at the 0.05 level of value.