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Table 1 Sociodemographic and clinical characteristics by HIV exposure

From: Association of in utero HIV exposure with child brain structure and language development: a South African birth cohort study

Variable

Total

N = 162

HEU children

N = 70

HU children

N = 92

P-value

Sociodemographic characteristics

Child age at scan, months

34.1 (1.7)

33.8 (1.8)

34.3 (1.7)

0.096

Sex

 Female

68 (42.0%)

24 (34.3%)

44 (47.8%)

 

 Male

94 (58.0%)

46 (65.7%)

48 (52.2%)

0.084

Site

 TC Newman

48 (29.6%)

5 (7.1%)

43 (46.7%)

 

 Mbekweni

114 (70.4%)

65 (92.9%)

49 (53.3%)

 < 0.001*

Monthly household income (ZAR)

 < R1000 (< ~ $75)

51 (31.5%)

24 (34.3%)

27 (29.4%)

 

 > R1000

111 (68.5%)

46 (65.7%)

65 (70.7%)

0.503

Maternal education

 Any secondary

108 (66.7%)

51 (72.9%)

57 (62.0%)

 

 Completed secondary

54 (33.3%)

19 (27.1%)

35 (38.0%)

0.145

Maternal employment status (employed)

44 (27.2%)

17 (24.3%)

27 (29.4%)

0.473

Maternal age at birth, years

28.0 (5.6)

29.6 (4.9)

26.8 (5.8)

0.002*

Maternal smoking during pregnancy

32 (19.8%)

9 (12.9%)

23 (25.0%)

0.054

Maternal alcohol use during pregnancy

24 (18.2%)

7 (13.5%)

17 (21.3%)

0.257

Duration of exclusive breastfeeding (months)

1.8 (1.8)

1.6 (2.1)

2.0 (1.5)

0.097

Anthropometry

Birthweight, kg

3.1 (0.6)

3.0 (0.6)

3.1 (0.6)

0.291

Birth head circumference, cm

33.6 (2.0)

33.3 (1.9)

33.9 (2.0)

0.061

Weight at scan, kg

13.9 (1.9)

13.9 (2.0)

13.8 (1.9)

0.629

Head circumference at scan, cm

49.8 (1.8)

49.8 (1.8)

49.7 (1.8)

0.969

Neuroanatomical variables

 Total intracranial volume, mean (SD), cm3

1214 (118)

1208 (116)

1219 (119)

0.586

Maternal and child HIV variables

Maternal CD4 in pregnancy, median (IQR) (cells/mm3)

 

476 (344—677)

 

-

 < 350 cells/mm3

 

17 (27.9%)

 

-

 350–500 cells/mm3

 

16 (26.2%)

 

-

 ≥ 500 cells/ mm3

 

28 (45.9%)

 

-

Maternal Viral load (VL) in pregnancy

 Lower than detectable (< 40 copies/mL)

 

44 (77.2%)

 

-

 VL detectable (≥ 40–1000 copies/mL)

 

7 (12.3%)

 

-

 Virally unsuppressed (> 1000 copies/mL)

 

6 (10.5%)

 

-

Timing of antiretroviral drug initiation

 Before conception

 

31 (44.3%)

 

-

 During pregnancy

 

39 (55.7%)

 

-

Antiretroviral regimen during pregnancy

 Monotherapy with AZT [zidovudine]

 

1 (1.4%)

 

-

 2 NRTIs + NNRTI [1st line]

 

68 (97.1%)

 

-

 2 NRTIs + PI [2nd line]

 

1 (1.4%)

 

-

Infant prophylaxis

 NVP [nevirapine] alone

 

56 (80.0%)

 

-

 NVP + AZT

 

14 (20.0%)

 

-

  1. Data are N (%), mean (SD), or median (IQR). Continuous variables were compared with unpaired t-tests; categorical variables were compared with chi-squared tests. *p < 0.05. Percentages are cited among those with non-missing values. Missing data: alcohol (n = 30); birthweight (n = 1); head circumference at birth (n = 1) and at scan (n = 1); maternal CD4 (n = 9); maternal viral load (n = 13). The lowest maternal CD4 within 1 year prior to birth and 3 months post-birth was used to reflect maternal immunosuppression in pregnancy and maximise sample numbers. Maternal viral load was measured during pregnancy; where there was more than one result, the highest viral load was taken. Of the NRTI + 2NNRTIs, 64 mothers were taking efavirenz, emtricitabine/lamivudine, and tenofovir. Abbreviations: HEU, HIV-exposed and uninfected; HU, HIV-unexposed; VL, viral load; NNRTI, non-nucleoside reverse-transcriptase inhibitor; NRTI, nucleoside reverse transcriptase inhibitor; PI, protease inhibitor; NVP, nevirapine; AZT, zidovudine