Table 4

Frequency of subjects who developed ATL by demographic characteristics and by VL level

Demographic characteristicsNo. of subjectsNo. of ATLs (% of subjects)Frequency of ATL by VL level, n (% of subjects in each quartile in Table 2)
Quartiles 1 and 2 (VL: < 1.60)*Quartile 3 (VL: 1.60-4.54)Quartile 4 (VL: ≥ 4.54)
Total 1218 14 (1.1) 1 (0.3) 13 (4.3) 
Sex      
    Male 426 4 (0.9) 1 (1.1) 3 (2.0) 
    Female 792 10 (1.3) 10 (6.4) 
Age, y      
    Younger than 40 167 — — — 
    40-49 200 2 (1.0) 2 (3.7) 
    50-59 273 3 (1.1) 3 (3.7) 
    60-69 260 3 (1.2) 3 (4.5) 
    70 or older 318 6 (1.9) 1 (1.3) 5 (6.5) 
First opportunity for HTLV-1 testing      
    Screening 661 4 (0.6) 4 (2.8) 
    Revelation of HTLV-1-positive family 134 2 (1.5) 2 (8.3) 
    During treatment for other diseases 265 7 (2.6) 1 (1.8) 6 (7.0) 
    Unknown 158 1 (0.6) 1 (2.0) 
Family history of HTLV-1–related diseases      
    Absence or carrier/HU/HAU only 385 5 (1.3) 1 (1.0) 4 (5.0) 
    HAM/TSP — — — 
    ATL 107 3 (2.8) 3 (9.7) 
    Leukemia or lymphoma 36 
    Unknown family history 681 6 (0.9) 6 (3.4) 
Comorbidity      
    Absence 961 10 (1.0) 10 (4.1) 
    Infectious diseases 45 1 (2.2) 1 (5.9) 
    Autoimmune diseases 29 — — — 
    Malignant diseases 80 1 (1.3) 1 (5.9) 
    Skin diseases 16 1 (6.3) 1 (33.3) 
    Other disease 87 1 (1.1) 1 (5.3) 
Demographic characteristicsNo. of subjectsNo. of ATLs (% of subjects)Frequency of ATL by VL level, n (% of subjects in each quartile in Table 2)
Quartiles 1 and 2 (VL: < 1.60)*Quartile 3 (VL: 1.60-4.54)Quartile 4 (VL: ≥ 4.54)
Total 1218 14 (1.1) 1 (0.3) 13 (4.3) 
Sex      
    Male 426 4 (0.9) 1 (1.1) 3 (2.0) 
    Female 792 10 (1.3) 10 (6.4) 
Age, y      
    Younger than 40 167 — — — 
    40-49 200 2 (1.0) 2 (3.7) 
    50-59 273 3 (1.1) 3 (3.7) 
    60-69 260 3 (1.2) 3 (4.5) 
    70 or older 318 6 (1.9) 1 (1.3) 5 (6.5) 
First opportunity for HTLV-1 testing      
    Screening 661 4 (0.6) 4 (2.8) 
    Revelation of HTLV-1-positive family 134 2 (1.5) 2 (8.3) 
    During treatment for other diseases 265 7 (2.6) 1 (1.8) 6 (7.0) 
    Unknown 158 1 (0.6) 1 (2.0) 
Family history of HTLV-1–related diseases      
    Absence or carrier/HU/HAU only 385 5 (1.3) 1 (1.0) 4 (5.0) 
    HAM/TSP — — — 
    ATL 107 3 (2.8) 3 (9.7) 
    Leukemia or lymphoma 36 
    Unknown family history 681 6 (0.9) 6 (3.4) 
Comorbidity      
    Absence 961 10 (1.0) 10 (4.1) 
    Infectious diseases 45 1 (2.2) 1 (5.9) 
    Autoimmune diseases 29 — — — 
    Malignant diseases 80 1 (1.3) 1 (5.9) 
    Skin diseases 16 1 (6.3) 1 (33.3) 
    Other disease 87 1 (1.1) 1 (5.3) 

ATL indicates adult T-cell leukemia; HTLV-1, human T-cell leukemia virus type 1; VL, HTLV-1 proviral load; HU, HTLV-1 uveitis; HAU, HTLV-1–associated uveitis; HAM, HTLV-1 myelopathy; TSP, tropical spastic paraparesis; and —, not applicable.

*

The VL was categorized based on quartile cutoff points (the 25th, 50th, and 75th percentiles of the VL distribution) in 1218 HTLV-1 carriers. The unit of VL was copies/100 PBMCs.

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