Table 3 Crude HR and 95% CI for HIV seroconversion in pooled data, by age and sex, adjusted for study
Risk Factor | Young Men | Older Men | Young Women | Older Women |
|---|---|---|---|---|
Incidence rate/1000 person years | 6.7 (6.2-7.3) | 10.7 (10.0-11.4) | 23.3 (22.3-24.3) | 11.9 (11.3-12.4) |
Education | ||||
No formal education | 1.66 (0.45-6.09) | 1.39 (0.76-2.56) | 1.32 (0.53-3.29) | 1.09 (0.75-1.60) |
Primary | 1 | 1 | 1 | 1 |
Secondary | 0.71 (0.48-1.03) | 1.20 (0.96-1.51) | 0.74 (0.59-0.92) | 1.29 (1.05-1.59) |
Tertiary | 1.21 (0.40-3.61) | 0.96 (0.61-1.48) | 0.36 (0.10-1.34) | 0.62 (0.37-1.02) |
Unknown | 0.75 (0.58-0.96) | 1.45 (1.20-1.74) | 0.98 (0.83-1.15) | 0.91 (0.73-1.12) |
Urban or rural Resident | ||||
Rural | 1 | 1 | 1 | 1 |
Urban | 1.79 (1.13-2.83) | 1.29 (0.82-2.01) | 1.18 (0.88-1.57) | 1.35 (0.99-1.85) |
Peri-urban | 1.69 (1.36-2.10) | 2.80 (2.24-3.51) | 1.25 (1.11-1.40) | 1.29 (1.10-1.51) |
<1 km from road | 1.03 (0.29-3.58) | 0.58 (0.33-1.01) | 1.28 (0.73-2.27) | 1.29 (0.83-2.02) |
>1 km from road | 1.02 (0.32-3.21) | 0.35 (0.19-0.65) | 0.39 (0.16-0.94) | 0.39 (0.21-0.75) |
agricultural estate | 1.52 (0.22-10.52) | 1.90 (1.29-2.80) | 2.53 (1.17-5.49) | 1.91 (1.19-3.04) |
commercial center | 3.08 (0.81-11.71) | 1.95 (1.31-2.92) | 3.47 (1.85-6.52) | 3.16 (2.11-4.71) |
roadside trading | 2.79 (1.01-7.73) | 1.04 (0.60-1.79) | 2.61 (1.46-4.67) | 1.76 (1.18-2.62) |
subsistence farming | 1.94 (0.49-7.72) | 0.98 (0.56-1.73) | 1.55 (0.73-3.29) | 1.23 (0.77-1.96) |
Moved house in the last year | ||||
No | 1 | 1 | 1 | 1 |
Yes | 1.68 (1.11-2.55) | 1.30 (0.94-1.81) | 1.29 (1.04-1.60) | 1.84 (1.47-2.31) |
Calendar year (grouped) | ||||
2005-08 | 1 | 1 | 1 | 1 |
2009-12 | 0.99 (0.77-1.26) | 0.81 (0.66-0.99) | 0.90 (0.78-1.03) | 0.86 (0.70-1.05) |
2013-16 | 0.67 (0.50-0.89) | 0.64 (0.51-0.80) | 0.70 (0.61-0.81) | 0.60 (0.46-0.79) |
2005-08 uMkhanyakude | Â | Â | Â | 0.80 (0.64-0.99) |
2009-12 uMkhanyakude | Â | Â | Â | 0.93 (0.75-1.16) |
Partner acquisition rate among peers1 | ||||
| Â | 1.01 (1.00-1.03) | 1.03 (1.01-1.04) | 0.97 (0.94-1.01) | 1.04 (1.00-1.09) |
Partner loss rate among peers1 | ||||
| Â | 1.01 (0.99-1.04) | 1.00 (0.99-1.00) | 1.04 (0.96-1.12) | 1.03 (0.96-1.10) |
Partner acquisition rate in potential opposite sex partners1 | ||||
| Â | 0.90 (0.74-1.09) | 1.08 (1.03-1.14) | 1.00 (0.98-1.02) | 1.03 (1.01-1.04) |
Partner loss rate in potential opposite sex partners1 | ||||
| Â | 0.82 (0.59-1.14) | 1.15 (1.01-1.30) | 1.01 (0.99-1.03) | 1.00 (0.99-1.01) |
Current marital status | ||||
Never married | 0.32 (0.20-0.51) | 2.67 (2.26-3.15) | 1.05 (0.81-1.36) | 2.51 (1.96-3.22) |
Currently married | 1 | 1 | 1 | 1 |
Formerly married | 1.60 (0.55-4.68) | 1.47 (1.12-1.94) | 4.15 (2.61-6.60) | 2.13 (1.79-2.53) |
Ever married no current info | ** | 1.45 (0.78-2.68) | 1.11 (0.56-2.18) | 0.86 (0.64-1.15) |
Not known | 0.45 (0.25-0.81) | 3.05 (1.87-4.97) | 0.96 (0.69-1.34) | 2.21 (1.51-3.22) |
Number of partners in the last year | ||||
No partners | 0.62 (0.43-0.91) | 0.75 (0.39-1.46) | 0.51 (0.43-0.60) | 0.85 (0.60-1.22) |
1 partner | 1 | 1 | 1 | 1 |
2 partners | 1.71 (0.94-3.10) | 1.15 (0.75-1.75) | 2.36 (1.40-3.97) | 3.15 (1.69-5.88) |
3+ partners | 1.82 (0.77-4.27) | 1.55 (0.94-2.56) | ** | ** |
No data | 0.96 (0.68-1.34) | 0.94 (0.74-1.21) | 0.72 (0.63-0.83) | 0.93 (0.80-1.08) |
Had more than one partner in the last year | ||||
No | 1 | 1 | 1 | 1 |
Yes | 2.32 (1.46-3.70) | 1.32 (0.94-1.86) | 3.03 (1.83-5.02) | 3.15 (1.77-5.60) |
No data | 1.27 (1.00-1.61) | 0.98 (0.78-1.23) | 0.97 (0.85-1.10) | 0.94 (0.81-1.09) |
Had a casual partner in the last year | ||||
No | 1 | 1 | 1 | 1 |
Yes | 1.42 (0.91-2.22) | 1.38 (0.91-2.11) | 1.57 (1.22-2.02) | 1.27 (0.86-1.88) |
No data | 1.25 (0.99-1.59) | 0.84 (0.66-1.07) | 0.99 (0.87-1.13) | 0.93 (0.79-1.09) |
Had a regular partner in the last year | ||||
No | 1 | 1 | 1 | 1 |
Yes | 1.55 (1.09-2.22) | 3.17 (2.18-4.59) | 1.75 (1.48-2.08) | 2.34 (1.82-3.01) |
No data | 1.35 (1.05-1.74) | 1.25 (0.93-1.69) | 1.20 (1.02-1.41) | 1.30 (1.06-1.59) |
Age difference(s) with partners in the last year | ||||
Partner within 5 years of age | 1 | 1 | 1 | 1 |
Partner 5+ years older/younger | 1.29 (0.44-3.79) | 0.85 (0.55-1.31) | 1.08 (0.84-1.40) | 0.81 (0.58-1.11) |
Partner 10+ years older/younger | ** | 0.65 (0.36-1.16) | 1.39 (0.90-2.14) | 0.65 (0.41-1.01) |
Age not known/not given | 1.01 (0.58-1.79) | 1.07 (0.54-2.11) | 1.11 (0.83-1.47) | 1.07 (0.75-1.52) |
No partner in ref period | 0.57 (0.39-0.83) | 0.63 (0.31-1.27) | 0.52 (0.43-0.63) | 0.69 (0.46-1.03) |
No data | 0.89 (0.64-1.24) | 0.73 (0.54-0.98) | 0.76 (0.64-0.89) | 0.78 (0.63-0.96) |
Prevalence of untreated infection in potential opposite sex partners | ||||
| Â | 1.07 (1.05-1.09) | 1.06 (1.05-1.07) | 1.02 (1.01-1.03) | 1.05 (1.03-1.06) |
Had a new partner in the last year | ||||
No | 1 | 1 | 1 | 1 |
Yes | 1.49 (1.03-2.15) | 1.48 (1.00-2.19) | 1.80 (1.44-2.24) | 2.52 (1.75-3.64) |
No data | 1.29 (1.00-1.65) | 0.79 (0.63-1.00) | 1.06 (0.92-1.21) | 0.94 (0.80-1.10) |
Coital frequency with all partners in the last year | ||||
Zero | ** | ** | ** | 0.58 (0.13-2.64) |
<1/week | 1 | 1 | 1 | 1 |
1+ times/week | ** | 1.65 (0.28-9.63) | 1.10 (0.15-7.86) | 0.74 (0.29-1.92) |
No data | ** | 1.77 (0.34-9.29) | 1.27 (0.22-7.32) | 0.81 (0.35-1.85) |
Is circumcised | ||||
Not | 1 | 1 | Â | Â |
Circumcised | 0.36 (0.20-0.66) | 0.88 (0.61-1.27) | Â | Â |
no information | 1.36 (1.04-1.77) | 1.65 (1.23-2.22) | Â | Â |
Condoms used consistently with all partners in the last year | ||||
No partners | 0.57 (0.40-0.83) | 0.93 (0.59-1.47) | 0.56 (0.46-0.68) | 1.25 (0.93-1.69) |
No condom use | 1 | 1 | 1 | 1 |
Some condom use (sometimes or some partners | 0.86 (0.54-1.36) | 1.91 (1.35-2.69) | 1.11 (0.90-1.37) | 2.56 (1.99-3.28) |
Complete condom use (all partners=always) | 0.83 (0.23-2.92) | 1.05 (0.31-3.55) | 1.19 (0.49-2.92) | 0.98 (0.24-4.08) |
Not sure- 6+ptnrs or missing data | 1.95 (0.57-6.65) | 0.56 (0.22-1.43) | ** | 1.13 (0.54-2.38) |
No data | 0.82 (0.58-1.14) | 0.92 (0.71-1.18) | 0.74 (0.62-0.89) | 1.18 (0.99-1.41) |
Ended a partnership in the last year | ||||
No | 1 | 1 | 1 | 1 |
Yes | 1.30 (0.76-2.21) | 1.16 (0.75-1.78) | 1.64 (1.15-2.35) | 1.44 (0.91-2.26) |
No data | 1.20 (0.95-1.52) | 0.75 (0.61-0.92) | 0.97 (0.85-1.10) | 0.94 (0.81-1.10) |