Research Article

HIV Care Continuum among Postpartum Women Living with HIV in Atlanta

Table 2

Multivariable logistic regression for factors associated with postpartum HIV care retention and viral suppression among WLWH delivering in Atlanta, Georgia, 2011-2016 (n=207).

Predictor variableAdjusted Odds Ratio (95% Confidence Interval)
Retention at 12 monthsRetention at 24 monthsViral suppression at 12 monthsViral suppression at 24 months

Year of delivery1.13 (087-1.46)1.42 (0.96-2.10)0.92 (0.71-1.20)0.87 (0.58-1.28)

Age in years1.08 (1.01-1.16)1.06 (0.98-1.15)1.05 (0.98-1.13)1.09 (1.01-1.18)

Number of previous live births0.73 (0.56-0.94)0.71 (0.51-0.99)0.88 (0.68-1.15)0.82 (0.60-1.12)

Perinatal HIV infection0.31 (0.08-1.19)0.36 (0.06-2.05)0.32 (0.08-1.15)ND

Number of prenatal care visits1.06 (0.96-1.17)1.11 (0.98-1.25)1.05 (0.94-1.16)1.12 (0.99-1.26)

On ART at pregnancy diagnosis1.21 (0.58-2.52)1.12 (0.48-2.63)2.29 (1.11-4.74)1.58 (0.69-3.65)

Viral suppression at delivery0.81 (0.35-1.85)1.17 (0.42-3.25)3.44 (1.39-8.50)2.24 (0.71-7.11)

Attended postpartum obstetric visit1.82 (0.78-4.26)1.54 (0.51-4.62)1.54 (0.62-3.82)1.12 (0.38-3.35)

Attended HIV care visit within 90 days of delivery3.66 (1.72-7.77)4.71 (2.00-11.10)2.40 (1.12-5.16)2.26 (0.96-5.35)

Abbreviations. ND: not determined due to small number of observations.
Separate models performed for each outcome. Covariates reported in the existing postpartum HIV care literature were initially included in each model. Covariates which were not predictive of any of the key outcomes in bivariate or initial multivariable analyses (p>0.05) were sequentially removed and excluded from the final model if removal did not alter associations with other variables.