Table 3.
Sex-specific adjusted rate ratios of incident heart failure in people with HIV, by HIV severity, compared with people without HIV
| HIV severitya | Men N=373,244 |
Women N=52,193 |
|||||
|---|---|---|---|---|---|---|---|
| Cases of HF | Adjustedb RR (95% CI) | p | Cases of HF | Adjustedb RR (95% CI) | p | P for interaction | |
| Recent CD4 (cells/μl) | |||||||
| PWoH | 3,002 | Reference | 296 | Reference | |||
| PWH, ≥500 | 60 | 1.09 (0.84–1.40) | 0.54 | 12 | 1.50 (0.84–2.68) | 0.18 | |
| PWH, 200–499 | 90 | 1.71 (1.39–2.12) | <0.001 | 16 | 2.80 (1.68–4.66) | <0.001 | 0.05 |
| PWH, <200 | 42 | 2.97 (2.19–4.04) | <0.001 | 10 | 5.30 (2.80–10.05) | <0.001 | |
| Nadir CD4 (cells/μl) | |||||||
| PWoH | 3,002 | Reference | 296 | Reference | |||
| PWH, ≥500 | 21 | 0.94 (0.61–1.44) | 0.77 | 4 | 1.38 (0.51–3.70) | 0.52 | |
| PWH, 200–499 | 100 | 0.93 (0.76–1.14) | 0.50 | 16 | 1.39 (0.84–2.32) | 0.20 | 0.08 |
| PWH, <200 | 207 | 1.50 (1.30–1.73) | <0.001 | 31 | 2.17 (1.48–3.17) | <0.001 | |
| Recent HIV RNA (copies/ml) | |||||||
| PWoH | 3,002 | Reference | 296 | Reference | |||
| PWH, ≤200 | 115 | 1.41 (1.17–1.70) | <0.001 | 13 | 1.33 (0.76–2.34) | 0.31 | |
| PWH, 201–9,999 | 40 | 1.70 (1.25–2.33) | <0.001 | 12 | 3.47 (1.93–6.25) | <0.001 | 0.01 |
| PWH, ≥10,000 | 37 | 2.70 (1.59–3.05) | <0.001 | 13 | 5.54 (3.15–9.76) | <0.001 | |
Abbreviations: HF=heart failure, RR=rate ratios, CI=confidence interval, PWH=people with HIV, PWoH=people without HIV
Reference: People without HIV (3,002 cases of HF among men without HIV; 296 cases of HF among women without HIV); Recent CD4 and recent HIV RNA measures were time-updated.
Poisson models were adjusted for sex, age, race/ethnicity, neighborhood-level income, obesity, cardiovascular disease, hypertension, diabetes mellitus, hyperlipidemia, ever smoking, ever alcohol use disorder, and ever drug use disorder.