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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