Research Article

Incidence of Hyperlipidemia among Adults Initiating Antiretroviral Therapy in the HIV Outpatient Study (HOPS), USA, 2007–2021

Table 1

Demographic and clinical characteristics by the ART regimen type among ART-naïve adults with HIV initiating ART in the HIV Outpatient Study, USA, 2007–2021 (N = 349).

Demographic and clinical characteristicsTotalNon-INSTI-basedINSTI-based value1
Nn (%)n (%)

Total349181 (100)168 (100)
Age at baseline0.30
 18–44270136 (75.1)134 (79.8)
 45+7945 (24.9)34 (20.2)
 Age, years, median (Q1–Q3)34933.5 (25.6, 44.9)31.8 (26.5, 41.9)0.69
Sex at birth0.52
 Female7843 (23.8)35 (20.8)
 Male271138 (76.2)133 (79.2)
Race/ethnicity0.61
 Non-Hispanic White7943 (23.8)36 (21.4)
 Others270138 (76.2)132 (78.6)
HIV transmission risk group0.73
 MSM196100 (55.2)96 (57.1)
 PWID73 (1.7)4 (2.4)
 Heterosexual13772 (39.8)65 (38.7)
 Other/unknown96 (3.3)3 (1.8)
Payer at baseline0.019
 Private14373 (40.3)70 (41.6)
 Public18591 (50.3)94 (56.0)
 No/other/unknown2117 (9.4)4 (2.4)
Type of the HOPS site0.91
 Public10354 (29.8)49 (29.2)
 Private246127 (70.2)119 (70.8)
Nadir CD4 count at baseline (cells/mm3)0.024
 <20011265 (35.9)47 (28.0)
 200–3498349 (27.1)34 (20.2)
 350–4997738 (21.0)39 (23.2)
 500+7025 (13.8)45 (26.8)
 Unknown74 (2.2)3 (1.8)
 Median CD4 count (Q1–Q3)312289 (129.0, 417.0)354 (180.0, 514.0)0.003
HIV viral load at baseline (copies/mL)0.75
 <2003316 (8.8)17 (10.1)
 200–9992412 (6.6)12 (7.1)
 1,000–99,999204111 (61.3)93 (55.4)
 ≥100,0007738 (21.1)39 (23.2)
 Unknown114 (2.2)7 (4.2)
 Median log10 viral load at baseline (Q1–Q3)3494.4 (3.7, 4.9)4.5 (3.6, 5.0)0.78
Years since HIV diagnosis to ART initiation, median (Q1–Q3)3490.3 (0.1, 1.2)0.2 (0.1, 1.1)0.003
Total cholesterol at baseline, median (Q1–Q3)349150.0 (128.0, 171.0)145.5 (125.5, 167.5)0.37
Total triglycerides at baseline, median (Q1–Q3)34992.0 (65.0, 116.0)83 (62.5, 110.5)0.17
HDL-C at baseline, median (Q1–Q3)34942.0 (34.0, 50.0)42.0 (34.0, 50.0)0.83
Non-HDL-C at baseline, median (Q1–Q3)349106.0 (86.0, 123.0)100.0 (86.0, 120.5)0.27
LDL-C at baseline, median (Q1–Q3)34987.0 (73.0, 107.0)85.0 (69.5, 102.5)0.58
Initial ART regimen<0.0001
 NRTI plus PI6868 (37.6)0
 NRTI plus NNRTI113113 (62.4)0
 NRTI plus INSTI1680168 (100)
TDF use<0.001
 Yes230163 (90.1)67 (39.9)
 No (TAF and ABC)11918 (9.9)101 (60.1)
TAF use<0.001
 Yes765 (2.8)71 (42.3)
 No (TDF and ABC)273176 (97.2)97 (57.7)
Cigarette smoker at baseline0.52
 Ever192103 (56.9)89 (53.0)
 Never15778 (43.1)79 (47.0)
Alcohol drinker at baseline0.14
 Current8651 (28.2)35 (20.8)
 Not current263130 (71.8)133 (79.2)
Family history of CHD at HOPS enrollment0.21
 Yes11152 (28.7)59 (35.1)
 No238129 (71.3)109 (64.9)
BMI at baseline0.14
 <2518095 (52.5)85 (50.6)
 25–29.97538 (21.0)37 (22.0)
 30+7342 (23.2)31 (18.5)
 Missing216 (3.3)15 (8.9)
BMI, median (Q1–Q3)34924.5 (21.6, 29.3)24.3 (21.6, 29.2)0.92

Note. Baseline was defined as the date of ART initiation. ABC, abacavir; ART, antiretroviral therapy; BMI, body mass index; CHD, coronary heart disease; CI, confidence interval; HDL-C, high-density lipoprotein cholesterol; LDL-C: low-density cholesterol; INSTIs, integrase strand transfer inhibitors; Q1–Q3, range between quartiles 1 and 3; MSM, men who have sex with men; N/A, not applicable; NNRTI, nonnucleoside reverse transcriptase inhibitors; NRTI, nucleoside reverse transcriptase inhibitors; PI, protease inhibitor; PWIDs, people who inject drugs; TAF, tenofovir alafenamide; TDF, tenofovir disoproxil fumarate. 1Chi-square or Fishers exact test for categorical variables and the Wilcoxon two-sample test for continuous variables.