Table 4. Association between living in an ADAP waiting list state and ART initiation and virologic suppression, U.S. NA-ACCORD, 2001–2009.
Outcome: 6-month ART initiation | Outcome: 1-year virologic suppression | |||
HR | 95% CI | HR | 95% CI | |
Overall | ||||
Living in a waiting list state (vs. not living in a waiting list state) | ||||
Crude (N = 8,874) | 1.55 | 1.38–1.73 | 1.39 | 1.24–1.57 |
Regression-adjusted (N = 8,874) | 1.73 | 1.45–2.07 | 1.21 | 1.01–1.44 |
Propensity score-matched (N = 620) * | 1.12 | 0.87–1.45 | 1.05 | 0.79–1.38 |
Injection drug users only (N = 1,824) | ||||
Living in a waiting list state (vs. not living in a waiting list state) | ||||
Crude | 1.59 | 1.19–2.11 | 1.49 | 1.10–2.03 |
Regression-adjusted | 2.15 | 1.31–3.55 | 1.30 | 0.80–2.09 |
ART = antiretroviral therapy, CI = confidence interval, HR = hazard ratio.
All analyses use Cox proportional hazards regression.
Hazard ratios obtained after 1∶3 matching (with replacement) 398 “exposed” to 222 “unexposed” individuals based on propensity of living in a waiting list state.
Both regression-adjusted and propensity-score matched analyses account for the following variables: age; sex; race/ethnicity; transmission risk; CD4+ count and viral load at eligibility; history of alcohol abuse, substance abuse, and mental disorders; year of eligibility; type of cohort; clinic-specific mechanisms to help obtain ART; state-level population density, % population of black race, % population below poverty line, median household income, and per capita Medicaid spending on HIV.