Mortality among people living with HIV on antiretroviral treatment in Bali, Indonesia: incidence and predictors:

Indonesia has the third highest number of people living with HIV/AIDS (PLWH) and the greatest increase in proportion of AIDS-related mortality in the Asia Pacific region between 2005 and 2013. Longitudinal mortality data among PLWH in Indonesia are limited. We conducted a retrospective cohort study from medical records of antiretroviral treatment (ART) recipients attending Badung General Hospital (BGH) and Bali Medica Clinic (BMC) between 2006 and 2014. We explored incidence of mortality by Kaplan–Meier analysis and identified predictors using a Cox proportional hazard model. In total, 575 patients were included in the analysis; the majority were male. The overall mortality rate was 10% per year. Multivariate analysis suggested that being male (adjusted hazard ratio [aHR]: 2.74; 95% confidence interval [CI]: 1.34–5.59), having a lower education (aHR: 2.17; 95%CI: 1.31–3.61), having heterosexual (aHR: 7.40; 95% CI: 2.61–21.00) or injecting drug use (aHR: 13.20; 95% CI: 3.17–55.00) as the likely transmissio...