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Table 1 Characteristics of children younger than 5 years of age living with HIV in rural Zambia

From: Treatment outcomes among children younger than five years living with HIV in rural Zambia, 2008–2018: a cohort study

 

All ages

Age at ART initiation

 
 

< 1 year

1 to < 2 years

2 to < 5 years

 

N

Median (IQR)b

N

Median (IQR)b

N

Median (IQR)b

N

Median (IQR)b

p-valuea

AT STUDY ENROLMENT

 Age in years

381

1.6 (1.0, 2.5)

86

0.6 (0.5, 0.8)

144

1.4 (1.2, 1.6)

151

2.8 (2.1, 3.7)

< 0.001

 Male sex, n (%)

381

194 (50.9)

86

53 (61.6)

144

75 (52.1)

151

66 (43.7)

0.03

 CD4+ T-cell %

314

19.6 (14.6, 26.2)

75

23.9 (14.6, 31.0)

116

19.1 (15.1, 24.6)

123

19.5 (13.2, 24.6)

0.23

 Hemoglobin

329

9.3 (8.4, 10.1)

74

9.1 (8.2, 10.0)

118

9.3 (8.4, 10.0)

137

9.5 (8.8, 10.4)

0.33

 Receiving ARTc n (%)

381

48 (12.6)

86

18 (20.9)

144

14 (9.7)

151

16 (10.6)

0.03

 Mother received ART for PMTCT, n (%)

380

69 (18.2)

85

26 (30.6)

144

27 (18.8)

151

16 (10.6)

< 0.001

 Parent’s vital, n (%) status

380

 

85

 

144

 

151

 

0.31

  Both alive

 

348 (91.6)

 

82 (96.5)

 

131 (91.0)

 

135 (89.4)

 

  One died

 

31 (8.2)

 

3 (3.5)

 

13 (9.0)

 

15 (9.9)

 

  Both died

 

1 (0.3)

 

0 (0.0)

 

0 (0.0)

 

1 (0.7)

 

 Primary caregiver, n (%)

380

 

85

 

144

 

151

 

0.006

  Parent

 

345 (90.8)

 

85 (100.0)

 

133 (92.4)

 

127 (84.1)

 

  Grandparent

 

22 (5.8)

 

0 (0.0)

 

7 (4.9)

 

15 (9.9)

 

  Aunt/Uncle

 

11 (2.9)

 

0 (0.0)

 

4 (2.8)

 

7 (4.6)

 

  Other

 

2 (0.5)

 

0 (0.0)

 

0 (0.0)

 

2 (1.3)

 

 Primary caregiver education, n (%)

372

 

85

 

141

 

146

 

0.43

  None

 

19 (5.1)

 

3 (3.5)

 

10 (7.1)

 

6 (4.1)

 

  Primary

 

234 (62.9)

 

52 (61.2)

 

93 (66.0)

 

89 (61.0)

 

  Secondary

 

118 (31.7)

 

30 (35.3)

 

37 (26.2)

 

51 (34.9)

 

  Higher

 

1 (0.3)

 

0 (0.0)

 

1 (0.7)

 

0 (0.0)

 

AT ART INITIATION

 Age in years

381

1.7 (1.0, 2.8)

86

0.7 (0.5, 0.8)

144

1.5 (1.3, 1.7)

151

3.0 (2.5, 4.1)

< 0.001

 Year of ART initiation

381

 

86

 

144

 

151

 

0.55

  2008–2010

 

189 (49.6)

 

40 (46.5)

 

69 (47.9)

 

80 (53.0)

 

  2011–2015

 

192 (50.4)

 

46 (53.5)

 

75 (52.1)

 

71 (47.0)

 

 WAZd

362

−2.0 (−3.0, −0.9)

80

− 1.5 (− 2.6, − 0.1)

140

−2.2 (− 3.4, − 1.1)

142

−2.1 (− 2.8, − 1.1)

0.03

  Underweighte, n (%)

 

178 (49.2)

 

30 (37.5)

 

76 (54.3)

 

72 (50.7)

0.05

 HAZd

334

−3.1 (−4.2, − 2.0)

76

− 2.5 (− 4.4, − 1.6)

129

−3.3 (− 4.4, − 2.3)

129

−3.1 (− 4.0, − 2.2)

0.38

  Stunted f, n (%)

 

252 (75.4)

 

49 (64.5)

 

101 (78.3)

 

102 (79.1)

0.04

 CD4%d

329

18.3 (13.0, 24.2)

67

19.1 (14.8, 28.1)

128

18.6 (13.4, 24.2)

134

17.2 (12.1, 22.2)

0.29

  Severe immune deficiencyg, n (%)

 

175 (53.2)

 

36 (53.7)

 

73 (57.0)

 

66 (49.3)

0.45

 Hemoglobind

337

9.4 (8.4, 10.4)

70

9.1 (8.2, 9.9)

129

9.5 (8.5, 10.3)

138

9.7 (8.8, 10.5)

0.03

 Viral loadd,h

168

5.8 (5.2, 5.9)

53

5.9 (5.2, 6.1)

54

5.9 (5.4, 5.9)

61

5.5 (5.1, 5.9)

0.01

 ART regimen, n (%)

372

 

84

 

142

 

146

 

< 0.001

  AZT/3TC/EFV

 

56 (15.1)

 

5 (6.0)

 

18 (12.7)

 

33 (22.6)

 

  AZT/3TC/NVP

 

82 (22.0)

 

24 (28.6)

 

31 (21.8)

 

27 (18.5)

 

  D4T/3TC/EFV

 

50 (13.4)

 

6 (7.1)

 

27 (19.0)

 

17 (11.6)

 

  D4T/3TC/NVP

 

104 (28.0)

 

29 (34.5)

 

30 (21.1)

 

45 (30.8)

 

  Other

 

80 (21.5)

 

20 (23.8)

 

36 (25.4)

 

24 (16.4)

 
  1. 3TC Lamivudine, ART antiretroviral therapy, AZT Zidovudine, D4T Stavudine, EFV Efavirenz, HAZ height-for-age z-score, IQR interquartile range, NVP Nevirapine, PMTCT prevention of mother to child transmission, WAZ weight-for-age z-score
  2. a p-value comparing across age groups using a Pearson’s chi-squared test for categorical variables and a Kruskal Wallis test for continuous variables
  3. b Unless otherwise specified
  4. c Some children entered the study already receiving ART
  5. d Most recent value available within the 3 months prior to ART initiation
  6. e Underweight: Weight-for-age Z-score less than −2
  7. f Stunted: height-for-age Z-score less than − 2
  8. g Severe Immunodeficiency: Defined according to CD4+ T-cell percentage/count threshold by age (< 12 months: 25% or < 1500 cells/mm3; 12–35 months: < 20% or < 750 cells/mm3; 36–59 months: < 15% or < 350 cells/mm3) based on the 2006 WHO Guidelines [16]
  9. h Viral load in log10