Impact of HIV/HCV Co-Infection on Mortality and Attrition in Antiretroviral Therapy Among People with HIV - Guangxi Zhuang Autonomous Region, China, 2003-2022

China CDC Wkly. 2023 Nov 3;5(44):973-977. doi: 10.46234/ccdcw2023.183.

Abstract

What is already known about this topic?: The effects of concurrent human immunodeficiency virus (HIV)/hepatitis C virus (HCV) infection on mortality and patient attrition in those undergoing antiretroviral therapy continue to be a contested area of research.

What is added by this report?: According to the propensity score-matched cohort, individuals with HIV/HCV co-infection exhibit an elevated risk of all-cause mortality [adjusted hazard ratio: 2.048, 95% confidence interval (CI): 1.526-2.749] and attrition (adjusted incidence rate ratio: 1.659, 95% CI: 1.4.8-1.961) compared to their counterparts who are mono-infected with HIV.

What are the implications for public health practice?: The pressing need for tailored testing and follow-up protocols for individuals co-infected with HIV/HCV cannot be overstated.

Keywords: HCV; HIV; antiviral therapy; mortality.

Grants and funding

Supported by National Natural Science Foundation of China (12071366), the Guangxi Key Laboratory of AIDS Prevention Control and Translation of Guangxi Zhuang Autonomous Region (ZZH2020010), and the Guangxi Bagui Scholars Program of Key Technical Position for HIV/AIDS Prevention and Control