| Likely to defer ART at CD4+ 200 cells/mm3 | ||
---|---|---|---|
Provider characteristics | No. (%) | Unadjusted OR | Adjusted OR* |
Gender | Â | Â | Â |
Female | 63 (19.6) | - | Â |
Male | 88 (26.11) | 1.45 (1.00-2.09) | Â |
Age | Â | Â | Â |
< 35 | 33 (24.6) | - | Â |
35-50 | 89 (29.0) | 1.25 (0.79-1.98) | Â |
50+ | 31 (14.1) | 0.5 (0.29-0.87) | Â |
Degree | Â | Â | Â |
RN/NP/PA | 14 (11.1) | - | - |
MD/DO | 125 (25.6) | 2.75 (1.52-4.98) | 2.61 (1.39-4.92) |
Infectious disease specialization | Â | Â | Â |
No | 41 (22.8) | - | Â |
Yes | 101 (23.2) | 1.03 (0.68-1.55) | Â |
Years caring for HIV pts. | Â | Â | Â |
Per 5y increase | Â | 0.83 (0.74-0.93) | 0.84 (0.73-0.95) |
Number of HIV patients cared for regularly | Â | Â | Â |
< 20 | 43 (35.5) | - | - |
20-50 | 45 (23.4) | 0.56 (0.34-0.92) | 0.59 (0.33-1.05) |
50-100 | 25 (21.4) | 0.49 (0.27-0.88) | 0.67 (0.35-1.29) |
> 100 | 40 (17.2) | 0.38 (0.23-0.63) | 0.45 (0.25-0.83) |
Amount of workload comprised of clinical care | Â | Â | Â |
less than 25% | 24 (17.0) | - | - |
about half | 22 (18.8) | 1.13 (0.60-2.14) | 1.24 (0.57-2.73) |
more than 75% | 107 (26.5) | 1.76 (1.07-2.87) | 2.45 (1.35-4.45) |
Clinical site characteristics | Â | Â | Â |
Substance abuse treatment on site | Â | Â | Â |
No | 97 (26.6) | - | Â |
Yes | 56 (18.9) | 0.64 (0.44-0.93) | Â |
Proportion of patients who are IDU | Â | Â | Â |
< 10% | 91 (26.2) | - | - |
10-25% | 48 (20.8) | 0.74 (0.50-1.1) | 0.83 (0.52-1.32) |
More than 25% | 8 (12.1) | 0.39 (0.18-0.85) | 0.41 (0.16-1.03) |
Provider attitudes | Â | Â | Â |
"Even former IDUs have difficulty adhering to HAART" | Â | ||
Disagree or neutral | 101 (30.6) | - | - |
Agree | 47 (14.7) | 0.39 (0.27-0.58) | 0.42 (0.28-0.65) |
"Health care providers have little influence over patients' IDU practices" | Â | ||
Disagree or neutral | 114 (21.1) | - | Â |
Agree | 34 (30.9) | 1.67 (1.06-2.63) | Â |
"I feel uncomfortable talking to my patients about their IDU practices" | Â | ||
Disagree or neutral | 130 (22.6) | - | Â |
Agree | 18 (24.0) | 1.08 (0.61-1.90) | Â |
"Providers are not professionally obligated to care for IDUs with HIV" | Â | ||
Disagree or neutral | 121 (20.1) | - | - |
Agree | 27 (56.2) | 5.1 (2.79-9.33) | 4.79 (2.48-9.23) |