Factors Associated with Nonsuppression of HIV Infection in the Spanish VACH Cohort

We aim to determine the prevalence of HIV nonsuppression and factors associated with it. This is a cross-sectional multicenter study carried out in January 2016 with data of the VACH Cohort, a registry participated by 23 hospitals from most regions of Spain. The prevalence of HIV nonsuppression, def...

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Veröffentlicht in:AIDS research and human retroviruses 2020-11, Vol.36 (11), p.927-932
Hauptverfasser: Roca, Bernardino, Teira, R, Domingo, P, Geijo, P, Galindo, MJ, Lozano, F, Terron, A, Garrido, M, Suarez-Lozano, I, Vidal, F, Muñoz-Sanchez, P, Viciana, P, Ribera, E, Castaño, M, Martinez, E, Puig, T, Estrada, V, Deig, E, de la Fuente, B, Montero, M, Muñoz-Sanz, A, Sanchez, T, Romero-Palacios, A, Lacalle, JR
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container_end_page 932
container_issue 11
container_start_page 927
container_title AIDS research and human retroviruses
container_volume 36
creator Roca, Bernardino
Teira, R
Domingo, P
Geijo, P
Galindo, MJ
Lozano, F
Terron, A
Garrido, M
Suarez-Lozano, I
Vidal, F
Muñoz-Sanchez, P
Viciana, P
Ribera, E
Castaño, M
Martinez, E
Puig, T
Estrada, V
Deig, E
de la Fuente, B
Montero, M
Muñoz-Sanz, A
Sanchez, T
Romero-Palacios, A
Lacalle, JR
description We aim to determine the prevalence of HIV nonsuppression and factors associated with it. This is a cross-sectional multicenter study carried out in January 2016 with data of the VACH Cohort, a registry participated by 23 hospitals from most regions of Spain. The prevalence of HIV nonsuppression, defined as HIV RNA ≥200 copies/mL, is documented. The possible association of HIV nonsuppression with sociodemographic and clinical variables is assessed with a logistic regression analysis. A total of 30,843 adult patients are included; 7,358 of them (23.86%) have nonsuppressed HIV. An association is found between nonsuppression of HIV and the following variables: lower body mass index, lower age of patients in their last registered visit, lower number of visits carried out during follow-up, lower last available CD4 cell count, higher age of patients at the time of their HIV infection diagnosis, higher lowest available CD4 cell count, higher highest available HIV RNA, enrolment in the Cohort in first years of the HIV epidemic, region of Spain where the patient is attended other than Andalusia, HIV risk factor other than sexual, occurrence of death during follow-up, hepatitis C coinfection, being a smoker, pertaining to groups A1 or A2 of the CDC groups classification, and not taking antiretroviral treatment, p 
doi_str_mv 10.1089/aid.2020.0016
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This is a cross-sectional multicenter study carried out in January 2016 with data of the VACH Cohort, a registry participated by 23 hospitals from most regions of Spain. The prevalence of HIV nonsuppression, defined as HIV RNA ≥200 copies/mL, is documented. The possible association of HIV nonsuppression with sociodemographic and clinical variables is assessed with a logistic regression analysis. A total of 30,843 adult patients are included; 7,358 of them (23.86%) have nonsuppressed HIV. An association is found between nonsuppression of HIV and the following variables: lower body mass index, lower age of patients in their last registered visit, lower number of visits carried out during follow-up, lower last available CD4 cell count, higher age of patients at the time of their HIV infection diagnosis, higher lowest available CD4 cell count, higher highest available HIV RNA, enrolment in the Cohort in first years of the HIV epidemic, region of Spain where the patient is attended other than Andalusia, HIV risk factor other than sexual, occurrence of death during follow-up, hepatitis C coinfection, being a smoker, pertaining to groups A1 or A2 of the CDC groups classification, and not taking antiretroviral treatment, p &lt; .001 in all cases. HIV nonsuppression is still common with the effective antiretroviral treatment nowadays available. 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This is a cross-sectional multicenter study carried out in January 2016 with data of the VACH Cohort, a registry participated by 23 hospitals from most regions of Spain. The prevalence of HIV nonsuppression, defined as HIV RNA ≥200 copies/mL, is documented. The possible association of HIV nonsuppression with sociodemographic and clinical variables is assessed with a logistic regression analysis. A total of 30,843 adult patients are included; 7,358 of them (23.86%) have nonsuppressed HIV. An association is found between nonsuppression of HIV and the following variables: lower body mass index, lower age of patients in their last registered visit, lower number of visits carried out during follow-up, lower last available CD4 cell count, higher age of patients at the time of their HIV infection diagnosis, higher lowest available CD4 cell count, higher highest available HIV RNA, enrolment in the Cohort in first years of the HIV epidemic, region of Spain where the patient is attended other than Andalusia, HIV risk factor other than sexual, occurrence of death during follow-up, hepatitis C coinfection, being a smoker, pertaining to groups A1 or A2 of the CDC groups classification, and not taking antiretroviral treatment, p &lt; .001 in all cases. HIV nonsuppression is still common with the effective antiretroviral treatment nowadays available. HIV nonsuppression is associated with HIV risk factor other than sexual, hepatitis C coinfection, and being a smoker, among other factors.</abstract><cop>New Rochelle</cop><pub>Mary Ann Liebert, Inc</pub><doi>10.1089/aid.2020.0016</doi><tpages>6</tpages></addata></record>
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subjects AIDS/HIV
Antiretroviral agents
Body mass
Body mass index
Body size
CD4 antigen
Epidemics
Health risks
Health services
Hepatitis
Hepatitis C
HIV
Human immunodeficiency virus
Infections
Patients
Public health
Regression analysis
Ribonucleic acid
Risk analysis
Risk factors
RNA
Sexually transmitted diseases
STD
title Factors Associated with Nonsuppression of HIV Infection in the Spanish VACH Cohort
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