Table 3.
Covariates associated with non-retention on buprenorphine maintenance therapy#
| Covariates | 6-Month Non-Retention | 12-Month Non-Retention | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| N=266 | N=136 | |||||||||||
| Unadjusted HR | Adjusted HR | Unadjusted HR | Adjusted HR | |||||||||
| H.R. | 95% CI | P value | H.R. | 95% CI | P value | H.R. | 95% CI | P value | H.R. | 95% CI | P value | |
| Age | 0.96 | (0.94, 0.98) | <0.01 | 0.96 | (0.94, 0.98) | <0.01 | 0.99 | (0.96, 1.02) | 0.62 | |||
| Gender | ||||||||||||
| Male | Ref | Ref | ||||||||||
| Female | 0.76 | (0.49, 1.1) | 0.19 | 0.59 | (0.37, 0.92) | 0.02 | 0.69 | (0.36, 1.3) | 0.26 | |||
| Site | ||||||||||||
| Site 1 | Ref | |||||||||||
| Site 2 | 0.80 | (0.54, 1.20) | 0.22 | 0.78 | (0.45, 1.4) | 0.39 | ||||||
| Prescriber Specialty | ||||||||||||
| Psychiatry | Ref | |||||||||||
| Primary Care | 0.85 | (0.79, 1.72) | 0.45 | 0.67 | (0.85, 2.59) | 0.16 | * | |||||
| Baseline Cocaine Screen | ||||||||||||
| Negative | Ref | Ref | Ref | Ref | ||||||||
| Positive | 1.73 | (1.18, 2.54) | 0.01 | 2.18 | (1.35, 3.50) | <0.01 | 2.06 | (1.20, 3.51) | <0.01 | 3.12 | (1.57, 6.16) | <0.01 |
| Any Cocaine Screen | ||||||||||||
| Negative | Ref | |||||||||||
| Positive | 1.36 | (0.94, 1.97) | 0.10 | * | 1.22 | (0.73, 2.04) | 0.44 | |||||
| Mood Disorder | ||||||||||||
| No | Ref | Ref | ||||||||||
| Yes | 1.06 | (0.81, 1.40) | 0.65 | 1.08 | (0.73, 1.59) | 0.68 | ||||||
| Prescribed psychiatric medication | ||||||||||||
| No | Ref | Ref | Ref | Ref | ||||||||
| Yes | 0.57 | (1.2, 2.6) | <0.01 | 0.69 | (0.47, 1.01) | 0.05 | 0.41 | (0.24, 0.69) | <0.01 | 0.36 | (0.20, 0.62) | <0.01 |
| HIV-infected | ||||||||||||
| No | Ref | Ref | ||||||||||
| Yes | 1.16 | (0.56, 1.8) | 0.98 | 1.39 | (0.66, 2.94) | 0.38 | ||||||
| HCV-infected | ||||||||||||
| No | Ref | Ref | Ref | |||||||||
| Yes | 0.74 | (0.52, 1.10) | 0.13 | 0.56 | (0.36, 0.86) | 0.01 | 0.95 | (0.56, 1.60) | 0.85 | |||
| Receipt of on-site substance abuse counseling | ||||||||||||
| No | Ref | Ref | Ref | Ref | ||||||||
| Yes | 0.55 | (0.37, 0.78) | <0.01 | 0.54 | (0.36, 0.79) | <0.01 | 0.39 | (0.22, 0.67) | <0.01 | 0.34 | (0.19, 0.59) | <0.01 |
| AIC Goodness of Fit | 1169.28 | 502.9 | ||||||||||
Estimates from a Cox Proportional Hazard model
Non-significant variables were excluded based on AIC in the multivariate model
AIC = Akaike Information Criterion; Ref = referent