Table 2. Bivariate and multivariable correlates of physician decision to defer initiation of antiretroviral therapy among people who inject drugs* (N = 204).
| OR | 95%CI | p | aOR | 95%CI | p | |
|---|---|---|---|---|---|---|
| Sociodemographic factors | ||||||
| Male sex | 0.47 | 0.21–1.07 | 0.072 | |||
| Age (years) | ||||||
| 18–35 | Ref | - | - | |||
| 36–50 | 1.32 | 0.50–3.46 | 0.574 | |||
| 51 and older | 0.68 | 0.23–2.02 | 0.486 | |||
| Clinical factors | ||||||
| Years practicing medicine | ||||||
| 0–10 years | Ref | - | - | |||
| 11–20 years | 1.42 | 0.46–4.40 | 0.542 | |||
| 21–30 years | 0.89 | 0.28–2.78 | 0.839 | |||
| 31 or more years | 0.80 | 0.21–3.10 | 0.747 | |||
| Infectious disease specialist | 1.05 | 0.42–2.60 | 0.921 | |||
| Prescribes methadone | 0.32 | 0.04–2.46 | 0.270 | |||
| Prescribes buprenorphine | 1.37 | 0.28–6.75 | 0.702 | |||
| Percent of time in patient care | ||||||
| 0–50% | 1.29 | 0.55–3.02 | 0.555 | |||
| 51–100% | Ref | - | - | |||
| Percent of time in HIV care | ||||||
| 0–50% | 0.99 | 0.40–2.46 | 0.978 | |||
| 51–100% | Ref | - | - | |||
| Works in PEPFAR region | 1.42 | 0.46–2.33 | 0.443 | |||
| Would defer ART | ||||||
| PWID | Ref | |||||
| PWID on OAT | 0.04 | 0.012–0.135 | <0.001 | 0.03 | 0.01–0.13 | <0.001 |
| Stigma | ||||||
| Feeling thermometers | ||||||
| PWH thermometer | 0.99 | 0.97–1.03 | 0.846 | |||
| PWID thermometer | 0.98 | 0.96–0.99 | 0.004 | |||
| MSM thermometer | 0.99 | 0.98–1.01 | 0.533 | |||
| Stigma-related constructs | ||||||
| PWID prejudice | 1.93 | 1.11–3.34 | 0.019 | |||
| PWID internalized shame | 1.95 | 1.21–3.16 | 0.006 | 1.33 | 0.60–2.95 | 0.479 |
| PWID fear | 1.76 | 1.09–2.85 | 0.021 | 0.86 | 0.42–1.77 | 0.479 |
| PWID stereotype | 2.78 | 1.43–5.38 | 0.002 | 2.41 | 1.18–5.72 | 0.018 |
| PWID discrimination intent | 2.27 | 1.30–3.97 | 0.004 | 1.84 | 0.90–3.76 | 0.094 |
PWH = people with HIV; PWID = people who inject drugs; MSM = men who have sex with men
*model restricted to scenario of PWID with CD4 lymphocyte count = 305 cells/mL