Research Article

The Effects of Viral Load Burden on Pregnancy Loss among HIV-Infected Women in the United States

Table 3

Sensitivity analyses; adjusted risk ratios for a one-unit increase in exposure.

Sensitivity analysis descriptionaRR (95% CI)
Most recent VLViremia since ARTViremia in two years

Original1.17 (1.01, 1.35)0.80 (0.69, 0.92)1.00 (0.90, 1.11)
Restricted to exposure after 1998 and adjusted for HAART1.27 (1.07, 1.50)0.99 (0.82, 1.17)0.97 (0.83, 1.13)
Dropped VL at ART initiationN/A0.83 (0.68, 1.03)N/A
Adjusted for time on ARTN/A0.80 (0.68, 0.95)N/A
Only included VL during pregnancy1.10 (0.87, 1.39)N/AN/A
Time frame changed to one year N/AN/A0.87 (0.75, 1.00)
Time frame changed to three yearsN/AN/A0.97 (0.87, 1.09)
Excluded stillbirths1.18 (1.01, 1.38)0.80 (0.69, 0.93)0.99 (0.88, 1.12)
Modification by CD4
 CD4 ≤ 5001.15 (0.99, 1.33)0.81 (0.68, 0.97)0.94 (0.82, 1.07)
 CD4 > 5001.17 (0.95, 1.43)0.81 (0.67, 0.98)1.16 (0.98, 1.36)
Adjusted for CD4 nadir1.18 (1.03, 1.35)0.79 (0.69, 0.91)1.02 (0.91, 1.14)

aRR = adjusted risk ratio, ART = antiretroviral therapy, HAART = highly active antiretroviral therapy, and VL = viral load.
Adjusted for maternal age (with a linear spline at age 35), race, income, prior pregnancy loss, smoking, noninjection drug use, CD4 count at baseline, and ART use at baseline (separately controlling for mono-/dual and HAART versus none).