Consequences of low-level viremia among women with HIV in the United States Article Swipe
Amalia Aldredge
,
C Christina Mehta
,
Cecile D. Lahiri
,
Michael F. Schneider
,
María L. Alcaide
,
Kathryn Anastos
,
Michael Plankey
,
Audrey L. French
,
Michelle Floris-Moore
,
Phyllis C. Tien
,
Jodie A. Dionne
,
Jack DeHovitz
,
Lauren F. Collins
,
Anandi N. Sheth
·
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1097/qad.0000000000003990
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1097/qad.0000000000003990
Objective: Investigate the outcomes of women with HIV (WWH) with low-level viremia (LLV). Design: The prevalence of LLV and potential clinical sequelae, such as virologic failure and non-AIDS comorbidity (NACM) development, are poorly characterized among WWH. Methods: We analyzed data from the Women's Interagency HIV Study among WWH enrolled from 2003 to 2020 who reported antiretroviral therapy use at least 1 year followed by an HIV-1 viral load less than 200 copies/ml. Consecutive viral load measurements from four semi-annual visits were used to categorize women at baseline as having: virologic suppression (all viral load undetectable), intermittent LLV (iLLV; nonconsecutive detectable viral load up to 199 copies/ml), persistent LLV (pLLV; at least two consecutive detectable viral load up to 199 copies/ml), or virologic failure (any viral load ≥200 copies/ml). Adjusted hazard ratios quantified the association of virologic category with time to incident virologic failure and multimorbidity (≥2 of 5 NACM) over 5-year follow-up. Results: Of 1598 WWH, baseline median age was 47 years, 64% were Black, 21% Hispanic, and median CD4 + cell count was 621 cells/μl. After excluding 275 women (17%) who had virologic failure at baseline, 58, 19, and 6% were categorized as having virologic suppression, iLLV, and pLLV, respectively. Compared with WWH with virologic suppression, the adjusted hazard ratio [aHR; 95% confidence interval (CI)] for incident virologic failure was 1.88 (1.44–2.46) and 2.51 (1.66–3.79) for iLLV and pLLV, respectively; and the aHR for incident multimorbidity was 0.81 (0.54–1.21) and 1.54 (0.88–2.71) for iLLV and pLLV, respectively. Conclusion: Women with iLLV and pLLV had an increased risk of virologic failure. Women with pLLV had a trend towards increased multimorbidity risk.
Related Topics
Concepts
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1097/qad.0000000000003990
- OA Status
- green
- Cited By
- 2
- References
- 40
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4401388638
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4401388638Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1097/qad.0000000000003990Digital Object Identifier
- Title
-
Consequences of low-level viremia among women with HIV in the United StatesWork title
- Type
-
articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2024Year of publication
- Publication date
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2024-08-07Full publication date if available
- Authors
-
Amalia Aldredge, C Christina Mehta, Cecile D. Lahiri, Michael F. Schneider, María L. Alcaide, Kathryn Anastos, Michael Plankey, Audrey L. French, Michelle Floris-Moore, Phyllis C. Tien, Jodie A. Dionne, Jack DeHovitz, Lauren F. Collins, Anandi N. ShethList of authors in order
- Landing page
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https://doi.org/10.1097/qad.0000000000003990Publisher landing page
- Open access
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YesWhether a free full text is available
- OA status
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greenOpen access status per OpenAlex
- OA URL
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https://www.ncbi.nlm.nih.gov/pmc/articles/11424065Direct OA link when available
- Concepts
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Viral load, Viremia, Hazard ratio, Medicine, Confidence interval, Internal medicine, Immunology, Comorbidity, Human immunodeficiency virus (HIV)Top concepts (fields/topics) attached by OpenAlex
- Cited by
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2Total citation count in OpenAlex
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2025: 2Per-year citation counts (last 5 years)
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40Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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| referenced_works | https://openalex.org/W4200560443, https://openalex.org/W2915360530, https://openalex.org/W1821837416, https://openalex.org/W2416548917, https://openalex.org/W2961470236, https://openalex.org/W2791035016, https://openalex.org/W2769267084, https://openalex.org/W4295755587, https://openalex.org/W4309107154, https://openalex.org/W2102846799, https://openalex.org/W1967245808, https://openalex.org/W2000114733, https://openalex.org/W2418641901, https://openalex.org/W2789889936, https://openalex.org/W2947607657, https://openalex.org/W1891424445, https://openalex.org/W1976497395, https://openalex.org/W3119478845, https://openalex.org/W3009478581, https://openalex.org/W4312214393, https://openalex.org/W2096451979, https://openalex.org/W3200772710, https://openalex.org/W1995866248, https://openalex.org/W2044479557, https://openalex.org/W2789975992, https://openalex.org/W2792170752, https://openalex.org/W4385617349, https://openalex.org/W3209106155, https://openalex.org/W1892429132, https://openalex.org/W4283794999, https://openalex.org/W4389037782, https://openalex.org/W4393345655, https://openalex.org/W4315927771, https://openalex.org/W3015356306, https://openalex.org/W154148415, https://openalex.org/W1993191929, https://openalex.org/W2243881516, https://openalex.org/W3132528521, https://openalex.org/W4387613277, https://openalex.org/W4210311257 |
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