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Supplemental data

Tables and figures included in this document:

- Supplementary Table 1: Median time to ART initiation and virologic suppression

- Supplementary Table 2. Multivariable Model of Relative Hazard of LTFU prior to competing event

- Supplementary Figure 1A, 1B, and 1C. Cumulative Incidence of ART Initiation/Loss to Follow-up and HIV Suppression/Loss to Follow-up Stratified by Enrollment Year and by (A) Enrollment CD4 count, (B) Race/Ethnicity, and (C) age.

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Supplementary Table 1: Median time to ART initiation and virologic suppression*

Median time in days (95% Confidence Interval)

2003-12 2003-04 2005-06 2007-08 2009-10 2011-12

Variabl

e N=15272 N = 2920 N = 2808 N = 3274 N = 3097 N = 3173

ART initiation

19 (18-20) 27 (23-31) 27 (24-32) 26 (23-29) 18 (16-20) 6 (4-8) CD4 Category (cells/mm3)

≥500

153 (122-180)

334 (179-495)

456 (373-550)

274 (209-337)

175 (126-230)

37 (26-48) 350-499 62 (52-69)

172 (106-245)

176 (138-230)

98 (75-136)

62 (44-76)

15 (11-25) 200-349 17 (15-19) 34 (27-43) 25 (17-32) 29 (22-35) 15 (11-19) <1 (0-4)

<200 9 (8-10) 14 (12-16) 15 (13-17) 12 (10-14) 7 (4-8) <1 Race/Ethnicity

White 21 (19-24) 33 (24-42) 41 (32-55) 25 (21-35) 20 (13-25) 6 (3-9) Black 19 (18-21) 26 (22-33) 25 (21-29) 27 (23-31) 20 (16-22) 5 (3-8) Hispanic 15 (13-17) 23 (16-31) 23 (17-31) 22 (17-30) 13 (10-17) 5 (1-8) HIV

Risk

HET 17 (16-19) 29 (21-35) 24 (19-30) 22 (19-26) 14 (11-17) 4 (0-7) MSM 21 (20-23) 29 (23-36) 32 (27-40) 35 (29-44) 22 (19-27) 8 (6-10) IDU 19 (15-23) 28 (19-39) 30 (20-44) 15 (8-24) 21 (12-34) 1 (0-8) Age Category

≤30 32 (28-37) 40 (30-52) 44 (30-65) 59 (47-69) 41 (33-52) 13 (10-15) 31-40 17 (15-19) 23 (19-29) 23 (19-34) 21 (17-25) 14 (11-20) 4 (0-7) 41-50 16 (14-18) 26 (20-34) 25 (20-32) 20 (15-25) 11 (9-16) 2 (0-6)

>50 13 (11-16) 25 (15-34) 24 (14-31) 20 (14-26) 13 (8-19) <1 (0-5) Gender

Male 18 (16-19) 24 (21-29) 27 (23-32) 25 (22-29) 18 (15-20) 6 (4-8) Female 22 (20-25) 38 (28-45) 28 (23-37) 27 (20-34) 18 (13-23) 7 (0-12) Virologic suppression

142 (139-147)

165 (151-177)

178 (164-198)

160 (151-170)

132 (126-137)

121 (116-126) CD4 Category (cells/mm3)

≥500 307 640 702 442 270 175

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(280-337) (467-805) (581-749) (340-548) (224-304) (160-192) 350-499

199 (185-216)

431 (328-505)

392 (315-465)

271 (237-323)

163 (148-181)

121 (112-132) 200-349

130 (124-136)

155 (134-182)

161 (133-183)

145 (134-165)

108 (97-125)

112 (101-123)

<200

112 (109-116)

118 (112-124)

127 (119-135)

110 (105-119)

104 (97-111)

106 (99-112) Race/Ethnicity

White

145 (136-152)

166 (138-198)

203 (166-237)

157 (142-175)

138 (129-154)

114 (107-126) Black

143 (138-151)

165 (143-181)

178 (160-208)

160 (145-175)

130 (119-138)

126 (119-133) Hispanic

141 (136-148)

167 (140-191)

162 (145-190)

163 (143-180)

127 (109-143)

120 (112-130) HIV

Risk HET

138 (133-143)

154 (136-171)

167 (152-198)

144 (130-159)

126 (113-135)

121 (112-131) MSM

145 (139-151)

175 (150-196)

189 (166-215)

175 (164-188)

136 (128-146)

118 (111-126) IDU

159 (147-175)

186 (154-238)

190 (148-239)

159 (133-193)

132 (115-171)

126 (108-148) Age Category

≤30

160 (151-170)

160 (135-191)

238 (200-270)

211 (189-246)

155 (139-171)

127 (115-135) 31-40

137 (131-145)

166 (139-185)

166 (151-190)

138 (123-159)

126 (109-136)

119 (110-128) 41-50

143 (136-150)

181 (155-200)

178 (154-212)

156 (143-170)

122 (112-132)

118 (106-126)

>50

129 (121-138)

132 (112-167)

138 (115-173)

138 (122-157)

112 (96-138)

123 (111-137) Gender

Male

140 (136-145)

161 (147-180)

173 (156-191)

158 (148-168)

131 (124-138)

120 (114-126) Female

151 (143-161)

170 (143-192)

199 (167-241)

167 (147-193)

132 (119-141)

125 (110-137)

*Excludes subjects that were censored or with competing event prior to ART initiation or virologic suppression

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Supplementary Table 2. Multivariable Model of Relative Hazard of Loss to Follow-up (LTF) prior to competing events

LTFU prior to ART Initiation

LTFU prior to HIV Suppression

Variable SHR P value SHR P value

Enrollment Year

2003-04 Ref Ref

2005-06 1.00 (0.91 - 1.10) 0.982 1.01 (0.94 - 1.09) 0.819 2007-08 0.82 (0.75 - 0.90) <0.001 0.87 (0.81- 0.94) <0.001 2009-10 0.57 (0.51 - 0.63) <0.001 0.71 (0.66 - 0.77) <0.001 2011-12 0.39 (0.34 - 0.44) <0.001 0.55 (0.50 - 0.60) <0.001 CD4 Count

≥500 Ref Ref

350-499 0.69 (0.64 - 0.75) <0.001 0.81 (0.76 - 0.87) <0.001 200-349 0.36 (0.32 - 0.39) <0.001 0.62 (0.57 - 0.66) <0.001

<200 0.17 (0.15 - 0.19) <0.001 0.48 (0.45 - 0.51) <0.001 Age (years)

≤30 Ref Ref

31-40 0.76 (0.70 - 0.83) <0.001 0.87 (0.81 - 0.92) <0.001 41-50 0.69 (0.63 - 0.75) <0.001 0.79 (0.73 - 0.84) <0.001

>50 0.59 (0.52 - 0.67) <0.001 0.59 (0.54 - 0.65) <0.001 Gender

Female Ref Ref

Male 1.17 (1.07- 1.29) <0.001 1.23 (1.15 - 1.32) <0.001 Race/Ethnicity

White Ref Ref

Black 1.05 (0.96- 1.15) 0.295 1.00 (0.93 - 1.08) 0.981

Hispanic 0.85 (0.77- 0.95) 0.003 0.81 (0.74 - 0.88) <0.001 Other 1.40 (1.2. – 1.63) <0.001 1.28 (1.13 - 1.46) <0.001 HIV Risk

MSM Ref Ref

HET 1.19 (1.08- 1.31) <0.001 1.34 (1.25 - 1.44) <0.001 IDU 1.43 (1.28- 1.59) <0.001 1.69 (1.55 - 1.84) <0.001 Other 2.25 (1.98- 2.57) <0.001 2.31 (20.9 - 2.56) <0.001

*Statistically significant results (at a <0.05 level) are displayed in bold. Death was a competing events in both analyses. SHR: Subdistribution Hazard Ratio

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Supplementary Figure 1A, 1B, and 1C. Cumulative Incidence of ART Initiation/Loss to Follow-up and HIV Suppression/Loss to Follow-up Stratified by Enrollment Year and by (A) Enrollment CD4 count, (B) Race/Ethnicity, and (C) age.*

A.

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B.

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C.

*The black curves represent 2003-04, orange 2005-06, blue 2007-08, and red 2009-10. The curves with the positive slope represent the cumulative incidence of ART initiation and virologic suppression where indicated. The curves with the negative slope represent the cumulative incidence of LTFU (1-cumulative incidence of LTFU).

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