Table 5.
Adjusted* Associations of Health Care Delivery Variables and Adherence† to Combination Antiretroviral Therapy for HIV-infected Female and Male Drug Users Without Diagnosed Depression
| Adjusted Odds of Adherence (95% CI) | |||
|---|---|---|---|
| Characteristic | Overall | Women | Men |
| Psychiatric care (2+ visits) and antidepressant medication | |||
| Both | 1.15 (0.73 to 1.80) | 1.25 (0.60 to 2.62) | 1.08 (0.59 to 1.86) |
| Psychiatric care only | 0.88 (0.56 to 1.39) | 1.26 (0.60 to 2.65) | 0.72 (0.39 to 1.26) |
| Antidepressant medication only | 1.23 (1.02 to 1.49) | 1.28 (0.90 to 1.82) | 1.21 (0.96 to 1.53) |
| Neither | 1.00 | 1.00 | 1.00 |
| Regular drug treatment | |||
| Yes | 1.17 (0.98 to 1.40) | 1.02 (0.73 to 1.41) | 1.26 (1.02 to 1.56) |
| No | 1.00 | 1.00 | 1.00 |
| Regular medical care | |||
| Yes | 0.95 (0.80 to 1.12) | 0.96 (0.70 to 1.31) | 0.94 (0.76 to 1.17) |
| No | 1.00 | 1.00 | 1.00 |
| HIV-focused care (2+ visits) | |||
| Yes | 1.03 (0.84 to 1.26) | 1.06 (0.73 to 1.55) | 1.00 (0.80 to 1.28) |
| No | 1.00 | 1.00 | 1.00 |
*
Also adjusted for: gender (in overall model); age; residence; chronic non-HIV medical condition; acute infection, AIDS or chronic HIV-related complication; acute illicit drug–related complication; drug dependence; heroin or cocaine abuse/dependence; other drug abuse/dependence; alcohol abuse/dependence or acute alcohol-related complication.
†
Adherence defined as >95% of days covered by at least 2 antiretroviral drugs from initiation of combination therapy in 1997 until the end of the year.
CI, confidence interval.