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 |
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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 < .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.</description><identifier>ISSN: 0889-2229</identifier><identifier>EISSN: 1931-8405</identifier><identifier>DOI: 10.1089/aid.2020.0016</identifier><language>eng</language><publisher>New Rochelle: Mary Ann Liebert, Inc</publisher><subject>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</subject><ispartof>AIDS research and human retroviruses, 2020-11, Vol.36 (11), p.927-932</ispartof><rights>Copyright Mary Ann Liebert, Inc. 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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 < .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.</description><subject>AIDS/HIV</subject><subject>Antiretroviral agents</subject><subject>Body mass</subject><subject>Body mass index</subject><subject>Body size</subject><subject>CD4 antigen</subject><subject>Epidemics</subject><subject>Health risks</subject><subject>Health services</subject><subject>Hepatitis</subject><subject>Hepatitis C</subject><subject>HIV</subject><subject>Human immunodeficiency virus</subject><subject>Infections</subject><subject>Patients</subject><subject>Public health</subject><subject>Regression analysis</subject><subject>Ribonucleic acid</subject><subject>Risk analysis</subject><subject>Risk factors</subject><subject>RNA</subject><subject>Sexually transmitted diseases</subject><subject>STD</subject><issn>0889-2229</issn><issn>1931-8405</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><recordid>eNpdkEtLAzEYRYMoWKtL9wE3bqZ-eUyaLMtgbUEUfHQb0jRhUtrJmMwg_ntnqCtXFy6Hy-UgdEtgRkCqBxN2MwoUZgBEnKEJUYwUkkN5jiYgpSoopeoSXeW8BwBFaTlBb0tju5gyXuQcbTCd2-Hv0NX4JTa5b9vkcg6xwdHj1XqD1413thuL0OCudvi9NU3INd4sqhWuYh1Td40uvDlkd_OXU_S5fPyoVsXz69O6WjwXlpa8KwSRQjBHdhwM8V54Adxaz-RWMbUtvaCCcKlKCsoJPjwXVjEjvDPGOBCOTdH9abdN8at3udPHkK07HEzjYp815YxKUfJyPqB3_9B97FMzvBsoASDnnIqBKk6UTTHn5LxuUzia9KMJ6NGwHgzr0bAeDbNfUK1ssQ</recordid><startdate>20201101</startdate><enddate>20201101</enddate><creator>Roca, Bernardino</creator><creator>Teira, R</creator><creator>Domingo, P</creator><creator>Geijo, P</creator><creator>Galindo, MJ</creator><creator>Lozano, F</creator><creator>Terron, A</creator><creator>Garrido, M</creator><creator>Suarez-Lozano, I</creator><creator>Vidal, F</creator><creator>Muñoz-Sanchez, P</creator><creator>Viciana, P</creator><creator>Ribera, E</creator><creator>Castaño, M</creator><creator>Martinez, E</creator><creator>Puig, T</creator><creator>Estrada, V</creator><creator>Deig, E</creator><creator>de la Fuente, B</creator><creator>Montero, M</creator><creator>Muñoz-Sanz, A</creator><creator>Sanchez, T</creator><creator>Romero-Palacios, A</creator><creator>Lacalle, JR</creator><general>Mary Ann Liebert, Inc</general><scope>AAYXX</scope><scope>CITATION</scope><scope>7QL</scope><scope>7T2</scope><scope>7T5</scope><scope>7T7</scope><scope>7TK</scope><scope>7U7</scope><scope>7U9</scope><scope>8FD</scope><scope>C1K</scope><scope>FR3</scope><scope>H94</scope><scope>M7N</scope><scope>P64</scope><scope>7X8</scope></search><sort><creationdate>20201101</creationdate><title>Factors Associated with Nonsuppression of HIV Infection in the Spanish VACH Cohort</title><author>Roca, Bernardino ; 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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 < .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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