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Table 4 Adjusted Correlates between the SAVA syndemic factors and unsuppressed viral load among female sex workers living with HIV in eThekwini, South Africa (n = 1384)

From: Prevalence of depression, syndemic factors and their impact on viral suppression among female sex workers living with HIV in eThekwini, South Africa

 

Prevalence Ratios for unsuppressed viral load (95% CI)

p-value

Depression in the absence of substance use and violence

1.24 (1.08, 1.43)

 < 0.01

SAVA syndemic (substance use and violence) in the absence of depression

1.13 (1.01, 1.26)

0.01

Depression and SAVA syndemic (substance use and violence)#

1.15 (1.02, 1.28)

0.02

No depression and absence of substance use and violence syndemic

REF

–

  1. Modified robust Poisson regression models adjusted for age (as a cubic term), homelessness, relationship status, and anticipated stigma were used to estimate adjusted prevalence ratios (aPRs)
  2. *not virally suppressed is defined as viral load > 50copies/mL; the model was adjusted for age, homelessness and relationship status. Depression is defined as a PHQ score ≥ 10
  3.  + the SAVA syndemic term was a combination of (i) ever experiencing physical or sexual violence and (ii) being in the moderate, high or severe risk category on the AUDIT-C or using illicit drugs in the past month
  4. #modeled as an interaction term