Table 4.
Adjusted* Associations of Health Care Delivery Variables and Adherence† to Combination Antiretroviral Therapy for HIV-infected Female and Male Drug Users With Diagnosed Depression
| Adjusted Odds of Adherence (95% CI) | |||
|---|---|---|---|
| Characteristic | Overall | Women | Men |
| Psychiatric care (2+ visits) and antidepressant medication | |||
| Both | 1.49 (1.04 to 2.15) | 1.92 (1.00 to 3.68) | 1.26 (0.81 to 1.98) |
| Psychiatric care only | 1.52 (1.03 to 2.26) | 1.58 (0.78 to 3.17) | 1.53 (0.94 to 2.49) |
| Antidepressant medication only | 1.30 (0.86 to 1.97) | 1.46 (0.69 to 3.09) | 1.21 (0.73 to 2.03) |
| Neither | 1.00 | 1.00 | 1.00 |
| Regular drug treatment | |||
| Yes | 1.44 (1.12 to 1.87) | 1.16 (0.75 to 1.79) | 1.65 (1.19 to 2.28) |
| No | 1.00 | 1.00 | 1.00 |
| Regular medical care | |||
| Yes | 1.04 (0.81 to 1.34) | 1.05 (0.69 to 1.61) | 1.03 (0.75 to 1.42) |
| No | 1.00 | 1.00 | 1.00 |
| HIV-focused care (2+ visits) | |||
| Yes | 1.19 (0.86 to 1.63) | 1.04 (0.61 to 1.79) | 1.28 (0.85 to 1.92) |
| No | 1.00 | 1.00 | 1.00 |
*
Also adjusted for: gender (in overall model); age; residence; chronic non-HIV medical condition; acute infection, AIDS; acute illicit drug–related complication; drug dependence; heroin or cocaine abuse/dependence; other drug abuse/dependence; alcohol abuse/dependence.
†
Adherence defined as >95% of days covered by at least two antiretroviral drugs from initiation of combination therapy in 1997 until the end of the year.
CI, confidence interval.