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Table 3 Likelihood of deferring ART for HIV-infected patients who report active injection drug use

From: Provider and clinic-level correlates of deferring antiretroviral therapy for people who inject drugs: a survey of North American HIV providers

 

Likely to defer ART at CD4+ 200 cells/mm3

Provider characteristics

No. (%)

Unadjusted OR

Adjusted OR*

Gender

   

Female

63 (19.6)

-

 

Male

88 (26.11)

1.45 (1.00-2.09)

 

Age

   

< 35

33 (24.6)

-

 

35-50

89 (29.0)

1.25 (0.79-1.98)

 

50+

31 (14.1)

0.5 (0.29-0.87)

 

Degree

   

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

   

No

41 (22.8)

-

 

Yes

101 (23.2)

1.03 (0.68-1.55)

 

Years caring for HIV pts.

   

Per 5y increase

 

0.83 (0.74-0.93)

0.84 (0.73-0.95)

Number of HIV patients cared for regularly

   

< 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

   

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

   

Substance abuse treatment on site

   

No

97 (26.6)

-

 

Yes

56 (18.9)

0.64 (0.44-0.93)

 

Proportion of patients who are IDU

   

< 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

   

"Even former IDUs have difficulty adhering to HAART"

 

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"

 

Disagree or neutral

114 (21.1)

-

 

Agree

34 (30.9)

1.67 (1.06-2.63)

 

"I feel uncomfortable talking to my patients about their IDU practices"

 

Disagree or neutral

130 (22.6)

-

 

Agree

18 (24.0)

1.08 (0.61-1.90)

 

"Providers are not professionally obligated to care for IDUs with HIV"

 

Disagree or neutral

121 (20.1)

-

-

Agree

27 (56.2)

5.1 (2.79-9.33)

4.79 (2.48-9.23)

  1. *Adjusted for all other variables in the model