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Table 5 Factors Associated with Loss to Follow-up Among Children on ART at LCH (2003–2015)

From: Predictors of loss to follow-up among children on long-term antiretroviral therapy in Zambia (2003–2015)

Predictor

N

LTFU

Unadjusted HR (95% C1)

p-value

Adjusted HR (95% CI)

p-value

Gender (N%)

 Male

519

92

1.2 (0.9–1.7)

0.1929

  

 Female

520

75

Ref

   

Age Continuous

  

0.94 (0.91–0.98)

0.001

  

Categorical Age

  < 1 year

179

45

2.7 (1.8–3.9)

<.0001

  

 1–5 years

387

59

1. 3 (0.9–1.8)

0.1717

  

  > 5 years

473

59

Ref

   

Year of ART Initiation

 2003–2005

71

10

Ref

 

Ref

 

 2006–2009

512

81

2.2 (1.0–4.5)

0.0293

2.3 (1.1–4.9)

0.0316

 2010–2012

305

53

3.6 (1.7–7.7)

0.0009

3.5 (1.6–7.9)

0.002

 2013–2016

151

20

5. 1 (2.2–11.9)

0.0002

5.6 (2.2–14.1)

0.0002

Low-weight < −3SD

 Yes

182

34

1.6 (1.1–2.4)

0.0117

1.1 (0.7–1.6)

0.7145

 No

857

133

Ref

 

Ref

 

Baseline CD4%

  < 15%

307

58

1.9 (1.1–3.4)

0.03

  

 15–25%

261

36

1.3 (0.7–2.4)

0.3675

  

  > =25%

112

14

Ref

   

 missing

359

59

    

Baseline Hemoglobin (Continuous)

1039

 

0.87 (0.7–0.9)

0.0036

0.9 (0.8–1.0)

0.0694

Baseline Hemoglobin (Categorical)

  < =8

335

67

1.4 (1.03–1.9)

0.0477

1.2 (0.9–1.7)

0.1958

  > 8

704

100

Ref

   

WHO Stage at Baseline

 Stage 1 and 2

377

57

Ref

   

 Stage 3

471

70

0.9 (0.6–1.3)

0.5036

  

 Stage 4

177

36

1.6 (1.0–2.3)

0.0356

  

TB at Baseline

 Yes

318

46

Ref

   

 No

721

118

0.8 (0.5–1.0)

0.1279

  

Access to Phone

 Yes

705

85

Ref

 

Ref

 

 No

340

82

2.1 (1.6–2.9)

<.0001

1.8 (1.3–2.5)

0.0002

Regimen at Baseline

 1NNRTI + 2NRTi’s

907

124

Ref

 

Ref

 

 LPV/R Based Regimen

54

16

2.9 (1.7–4.9)

<.0001

1.9 (1.0–3.3)

0.0374

 3NRTIs

78

25

3.4 (2.3–5.4)

<.0001

2.6 (1.6–4.2)

0.0001

Mother Took ART for PMTCT

Yes

162

31

Ref

   

No

877

136

0.6 (0.4–0.9)

0.03

1.0 (0.6–1.5)

 

HIV Status Disclosed at Baselinea

 Yes

191

24

Ref

 

Ref

 

 No

854

143

1.9 (1.2–2.9)

0.004

1.4 (0.9–2.4)

0.1704

  1. This Model was stratified by WHO stage and baseline age
  2. aOnly children aged above 7 years’ old