After adjusting for age, sex, BMI, educational attainment, baseline CD4 count, WHO-stage, active tuberculosis, and year of ART initiation, CAA positivity showed a trend of a decreased hazard of death or LFU (HR: 0.58, 95% CI: 0.32–1.05, p = 0.07), while CD4 count and MXD >1,100 cells/μl (HR: 0.56, 95% CI: 0.34–0.93–0, p = 0.03) were identified as independent protective factors (Fig 1). Here, CD4 is linked to tuberculosis.