Table 2.
Estimates of the association linking drug history status in the early 1980s with subsequent mortality in five communities/four cities. Data from the United States Epidemiologic Catchment Area Program, 1980-2007 (n = 7207).
Estimated relative risk (RR) from conditional logistic regression for discrete time data (area-time matched risk sets of survival data) |
Estimated relative risk (RR) from unconditional logistic regression with weights and Taylor series variance approacha |
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RR | 95% confidence interval | p-value | RR | 95% confidence interval | p-value | |||
Model 1 | ||||||||
Any heroin use | ||||||||
Yes | 3.6 | 2.4 | 5.3 | <0.001 | 3.7 | 1.9 | 7.0 | <0.001 |
No (reference) | 1.0 | 1.0 | ||||||
Model 2 | ||||||||
Drug use status at baseline | ||||||||
Heroin and one or more (1+) other IRD taken daily or near-daily for 2+ weeks | 4.0 | 2.4 | 6.6 | <0.001 | 6.7 | 2.9 | 15.6 | <0.001 |
‘Non-daily’ use of heroin, sometimes with extra-medical daily use of 1+ IRDb | 3.4 | 1.9 | 6.2 | <0.001 | 2.7 | 1.2 | 6.2 | 0.021 |
Never used heroin, but sustained daily or near-daily extra-medical use of 1+ IRD | 1.3 | 1.1 | 1.7 | 0.029 | 1.5 | 1.1 | 2.0 | 0.007 |
Never used heroin, with ‘non-daily’ use of 1+ IRD on 5+ occasions in the lifetime | 1.0 | 0.8 | 1.3 | 0.935 | 1.3 | 0.9 | 1.8 | 0.070 |
Never used heroin, with ‘non-daily’ use of 1+ IRD on <6 occasions | 0.8 | 0.6 | 1.1 | 0.254 | 0.9 | 0.6 | 1.2 | 0.351 |
Never used an IRD (reference) | 1.0 | 1.0 |
Note: All models include covariate adjustment for sex, age (centered to the lowest age value), and age (centered) squared.
Unconditional model also adjusted by community.
This group included 15 individuals who used only heroin, but never daily, and 36 non-daily heroin users who also used 1+ IRD daily.