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Table 6 Risk factors for low adherence using the composite adherence score (CAS) at 12 months following Option B+ initiation with adjusted odd ratios (aOR) for 5 health facilities in Kumba health district

From: Using a composite adherence tool to assess ART response and risk factors of poor adherence in pregnant and breastfeeding HIV-positive Cameroonian women at 6 and 12 months after initiating option B+

Variables Low adherence
N = 85
Moderate or high adherence N = 162 Bivariate analysisa Multivariate analysisb
OR
(95% CI)
P-value aOR
(95% CI)
P-value
Age (years)
 15–24 29 (42.0) 40 (58.0) 2.4 (0.9,5.9) 0.07 3.8 (1.4, 10.6) 0.01
 25–34 48 (33.3) 96 (66.7) 1.6 (0.7,3.9) 0.27 1.9 (0.8,4.6) 0.18
 35 and above 8 (23.5) 26 (76.5) 1   1  
Educational Level
 None 1(20.0) 4 (80.0) 0.8 (0.1,7.8) 0.87 1.3 (0.1,15.2) 0.81
 Completed primary 59 (44.0) 75 (56.0) 2.6 (1.5,4.6) 0.001 2.7 (1.4,5.2) 0.001
 Completed secondary and above 25 (23.1) 83 (76.9) 1   1  
Occupation
 Unemployed 23 (24.2) 72 (58.8) 1   1  
 Employed formal sector 5 (38.5) 8 (61.5) 2.0 (0.6,6.6) 0.28 3.9 (1.0,14.8) 0.055
 Employed informal sector 57 (41.0) 82 (59.0) 2.2 (1.2,3.9) 0.01 1.9 (1.0,3.6) 0.05
Religious affiliation
 Catholic 20 (36.4) 35 (63.6) 1   1  
 Protestants (Presbyterians/Baptist) 26 (28.3) 66 (71.7) 0.7 (0.3,1.4) 0.31 0.6 (0.3,1.4) 0.24
 Pentecostals 39 (41.1) 56 (58.9) 1.2 (0.6,2.4) 0.57 1.1 (0.5,2.3) 0.88
 Muslim 0 (0.0) 5 (100.0)   
CD4 at initiation
  < 350 cells/μL 41 (38.7) 65 (61.3) 1.4 (0.8,2.4) 0.22 1.4 (0.8,2.3) 0.23
  > 350 cells/μL 44 (31.2) 97 (68.8) 1   1  
  1. Data are in numbers and percentages [n (%)],abinary logistic regression, OR (crude odd ratio), aOR (adjusted odd ratio)]. badjusted for age, level of education, occupation, religious afiliation, WHO staging and CD4 count at ART initiation