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Table 4 Multivariate analyses of CD4 counts and viral control over 36 months among newly enrolled KPNC members with HIV

From: Health care utilization and HIV clinical outcomes among newly enrolled patients following Affordable Care Act implementation in a California integrated health system: a longitudinal study

CD4 Count

Coefficient (95% CI)

P

Time (Reference = 0–6 months)

 6–12 months

28.97 (1.48, 2.89)

<.01

 12–18 months

46.8 (1.49, 3.29)

<.01

 18–24 months

63.21 (1.73, 3.91)

<.01

 24–30 months

69.54 (1.93, 4.63)

<.01

 30–36 months

93.68 (2.01, 5.42)

<.01

Gender (Reference = Male)

14.3 (0.27, 1.02)

0.76

Race/Ethnicity (Reference = White)

 Asian

−1.22 (0.45, 2.06)

<.01

 Black

−62.62 (0.21, 0.58)

0.05

 Hispanic

−79.72 (0.29, 0.85)

<.01

 Other

48.12 (0.08, 1.56)

0.62

Age (at enrollment)

−2.13 (1.00, 1.04)

0.03

Deductible level (Reference = none)a

 Low deductible

−14.62 (0.36, 1.11)

0.33

 High deductible

13.36 (0.42, 1.00)

0.36

Exchange (Reference = not through exchange)b

15.28 (0.54, 1.42)

0.27

AIDS Drug Assistance Program (Reference = none)

27.37 (1.32, 3.66)

0.26

HIV RNA level < 75 Copies/mL

OR (95% CI)

P

Time (Reference = 0–6 months)

 6–12 months

2.06 (1.48, 2.89)

<.01

 12–18 months

2.22 (1.49, 3.29)

<.01

 18–24 months

2.6 (1.73, 3.91)

<.01

 24–30 months

2.99 (1.93, 4.63)

<.01

 30–36 months

3.3 (2.01, 5.42)

<.01

Gender (Reference = Male)

0.52 (0.27, 1.02)

0.06

Race/Ethnicity (Reference = White)

 Asian

0.97 (0.45, 2.06)

0.93

 Black

0.35 (0.21, 0.58)

<.01

 Hispanic

0.5 (0.29, 0.85)

0.01

 Other

0.36 (0.08, 1.56)

0.17

Age (at enrollment)

1.02 (1.00, 1.04)

0.04

Deductible level (Reference = none)a

 Low deductible

0.63 (0.36, 1.11)

0.11

 High deductible

0.65 (0.42, 1.00)

0.05

Exchange (Reference = not through exchange)b

0.88 (0.54, 1.42)

0.59

AIDS Drug Assistance Program (Reference = none)

2.2 (1.32, 3.66)

0.01

  1. KPNC Kaiser Permanente Northern California, OR Odds Ratio, CI Confidence interval
  2. aLow deductible = $1 to 999; high deductible = $1000+ (comparison = no deductible)
  3. bCalifornia Insurance Exchange vs. other mechanisms