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Table 5 Determinants of HIV infection among children born to HIV positive mothers on PMTCT at referral hospitals in west Amhara, Ethiopia, 2021

From: Determinants of HIV infection among children born to HIV positive mothers on prevention of mother to child transmission program at referral hospitals in west Amhara, Ethiopia; case control study

Variables

Child HIV Status

COR (95% CI)

AOR (95% CI)

Positive

Negative

Place of delivery

 Home

40

36

9.3 (5.0, 14.0)

4.3 (2.0, 9.6) **

 Health Institution

26

218

1

Place of residence

 Rural

30

55

3.0 (1.7, 5.3)

 

 Urban

36

199

1

ANC visit

 No

22

16

7.437 (2.4, 8.40)

 

 Yes

44

238

1

Mode of delivery

 Vaginal Delivery

60

211

2.0 (1.8, 5.0)

 

 Cesarean Delivery

6

43

1

Breast feeding practice in the first six weeks

 Mixed feeding

26

27

5.5 (2.9, 10.0)

10 (3.2, 17.9) ***

 EBF/ERF

40

227

1

Immunization status of the infant

 Non immunized

27

24

6.6 (3.5, 12.6)

 

 Immunized

39

230

1

ARV prophylaxis for the infant at birth

 Not given

41

20

19.2 (6.8, 27.7)

 

 Given

25

234

1

Infant’s nevirapine adherence

 Poor

40

14

26.4 (9.7, 34.8)

10 (3.2, 22.4) ***

 Good

26

240

1

Maternal ARV adherence

 Poor

37

15

20.3 (9.9, 23.1)

4.3 (1.4,13.4) **

 Good

29

239

1

Nutritional status of the mother

 Malnourished

22

3

41.8 (12, 145)

 

 Not malnourished

44

251

1

Mother’s WHO clinical stage at enrollment

 WHO Stage > 1

45

29

16.6 (8.7, 21.7)

11.4 (4.1,19.1) ***

 WHO Stage 1

21

225

1

Mother’s CD4 count at enrollment

 CD4 </= 350

33

36

6.0 (3.3, 11.0)

 

 CD4 > 350

33

218

1

Age of the infant at enrollment

 Enrolled < 6 weeks

32

12

18.9 (6.9, 29.4)

15.0 (3.0, 20.5) **

 Enrolled = < 6 weeks

34

242

1

Birth weight at delivery in grams

 Birth weight < 2500

26

23

6.5 (3.4, 12.5)

 

 Birthweight > = 2500

40

231

1

  1. ** p-value < 0.01, *** p-value < 0.001, EBF exclusive breast feeding, AOR adjusted odds ratio, COR Crude odds ratio,