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Table 4 Adjusted odds ratios (AOR) and 95% confidence intervals (95%CI) estimated using multivariable logistic regression models to quantify associations between equity variables (age, sex, ethnicity, immigration status, geography, HIV exposure categories) and reaching each step of the HIV care cascade among LHIV-Manitoba clinical cohort participants as of 31 December 2017

From: Leaving no one behind? An equity analysis of the HIV care cascade among a cohort of people living with HIV in Manitoba, Canada

HIV CARE CASCADE STEP

IN CARE

RETAINED IN CARE

ON TREATMENT

VIROLOGICALLY SUPPRESSED

Total participants in cascade step, N

638

606

573

523

AOR

95%CI

AOR

95%CI

AOR

95%CI

AOR

95%CI

Age range, in years (Model 1) a

18–29

Ref.

Ref.

Ref.

Ref.

30–39

1.62

0.65–4.02

2.39

1.07–5.34

2.01

0.96–4.24

1.57

0.77–3.24

40–49

2.51

1.03–6.11

3.28

1.51–7.13

3.27

1.58–6.77

2.77

1.37–5.59

50–59

4.53

1.73–11.89

3.69

1.67–8.14

4.39

2.08–9.30

3.75

1.83–7.68

60+

5.04

1.52–16.69

6.37

2.27–17.85

4.99

2.05–12.15

4.53

1.96–10.44

Sex (Model 2) b

Male

Ref.

Ref.

Ref.

Ref.

Female

1.29

0.70–2.38

1.43

0.84–2.42

1.51

0.94–2.42

1.45

0.95–2.22

Geography, by region (Model 3) c

Winnipeg

Ref.

Ref.

Ref.

Ref.

Northern Manitoba

0.64

0.17–2.35

1.23

0.35–4.41

1.37

0.44–4.26

1.06

0.42–2.70

Western Manitoba

0.33

0.12–0.90

0.44

0.17–1.11

0.65

0.26–1.66

1.03

0.41–2.61

Eastern Manitoba

3.04

0.40–23.04

1.91

0.56–6.48

2.27

0.77–6.64

3.82

1.31–11.17

Southern Manitoba

0.64

0.18–2.35

0.95

0.31–2.95

0.92

0.35–2.45

0.55

0.24–1.27

Self-identified ethnicity (Model 4) d

White

Ref.

Ref.

Ref.

Ref.

Indigenous

0.72

0.37–1.40

0.57

0.33–0.97

0.57

0.36–0.91

0.45

0.30–0.69

Sub-Saharan African/Caribbean/Black

0.34

0.15–0.73

0.43

0.22–0.86

0.57

0.30–1.08

0.73

0.40–1.33

Other e

0.40

0.14–1.13

0.42

0.17–1.05

0.68

0.28–1.66

0.70

0.31–1.57

Immigration status f (Model 5) g

Non-immigrant

Ref.

Ref.

Ref.

Ref.

Immigrant

0.73

0.23–2.33

0.66

0.23–1.86

0.65

0.24–1.77

0.84

0.34–21.0

Self-identified HIV exposure category (Model 6)

Condomless anal sex between males (MSM) only

Ref.

Ref.

Ref.

Ref.

MSM + injection drug use (IDU)

0.87

0.18–4.19

0.91

0.24–3.43

1.16

0.35–3.79

1.47

0.45–4.78

IDU only

0.79

0.32–1.98

0.66

0.32–1.38

0.87

0.45–1.66

0.48

0.27–0.85

Condomless vaginal (heterosexual) sex

1.11

0.50–2.44

0.96

0.50–1.83

1.29

0.73–2.28

0.84

0.51–1.39

No identified risk/Other risk h

0.41

0.11–1.59

0.63

0.18–2.28

1.05

0.30–3.67

1.08

0.32–3.64

  1. a Multivariable model 1: n = 703; adjusted for sex and ethnicity
  2. b Multivariable model 2: n = 703; adjusted for age group and ethnicity
  3. c Multivariable model 3: n = 693; adjusted for age group, sex, and ethnicity
  4. d Multivariable model 4: n = 703; adjusted for age group and sex
  5. e Includes Latin American, East/Southeast Asian, South Asian, West Asian/North African/Middle Eastern
  6. f “Immigrants” are foreign-born participants who immigrated to Canada in 2001 or later [26]. “Non-immigrants” are either Canadian-born participants or foreign-born participants who immigrated to Canada before 2001
  7. g Multivariable models 5 and 6: n = 703; adjusted for age group, sex, and ethnicity
  8. h “Other risk” includes recipients of blood/blood products, perinatal acquisition, occupational exposure