TY - JOUR
T1 - Factors and temporal trends associated with highly active antiretroviral therapy discontinuation in the Women's Interagency HIV Study
AU - Ahdieh-Grant, Linda
AU - Tarwater, Patrick M.
AU - Schneider, Michael F.
AU - Anastos, Kathryn
AU - Cohen, Mardge
AU - Khalsa, Ann
AU - Minkoff, Howard
AU - Young, Mary
AU - Greenblatt, Ruth M.
PY - 2005/4/1
Y1 - 2005/4/1
N2 - We characterized factors and temporal trends associated with discontinuation of highly active antiretroviral therapy (HAART) among 936 HIV-infected women enrolled in the Women's Inter-agency HIV Study. A multivariate analysis of post-HAART initiation exposures found that high HIV RNA levels (relative hazard [RH] = 1.36, P < 0.001) and high depressive symptom scores (RH = 1.53, P = 0.012) were associated with HAART discontinuation. The adjusted hazard of discontinuation was higher in the 2 most recent calendar periods compared with the first (RH =1.61, P = 0.026; RH = 1.56, P = 0.074, respectively). The increasing risk of HAART discontinuation in recent calendar periods and changes in the clinical factors associated with discontinuation reflect ongoing and dynamic shifts in the approach to HAART utilization.
AB - We characterized factors and temporal trends associated with discontinuation of highly active antiretroviral therapy (HAART) among 936 HIV-infected women enrolled in the Women's Inter-agency HIV Study. A multivariate analysis of post-HAART initiation exposures found that high HIV RNA levels (relative hazard [RH] = 1.36, P < 0.001) and high depressive symptom scores (RH = 1.53, P = 0.012) were associated with HAART discontinuation. The adjusted hazard of discontinuation was higher in the 2 most recent calendar periods compared with the first (RH =1.61, P = 0.026; RH = 1.56, P = 0.074, respectively). The increasing risk of HAART discontinuation in recent calendar periods and changes in the clinical factors associated with discontinuation reflect ongoing and dynamic shifts in the approach to HAART utilization.
KW - Antiretroviral therapy
KW - Cohort studies
KW - Discontinuation
KW - HIV/AIDS
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UR - http://www.scopus.com/inward/citedby.url?scp=15044342299&partnerID=8YFLogxK
U2 - 10.1097/01.qai.0000138160.91568.19
DO - 10.1097/01.qai.0000138160.91568.19
M3 - Article
C2 - 15764968
AN - SCOPUS:15044342299
SN - 1525-4135
VL - 38
SP - 500
EP - 503
JO - Journal of Acquired Immune Deficiency Syndromes and Human Retrovirology
JF - Journal of Acquired Immune Deficiency Syndromes and Human Retrovirology
IS - 4
ER -