Table 4.
Factors associated with drop-out (fewer weeks in treatment), Cox proportional hazard models
Baseline or induction-related characteristic | All patients, n = 477 | Inductions, n = 302 | ||||||
---|---|---|---|---|---|---|---|---|
Hazard ratio | 95% CI | Adjusteda HR | 95% CI | Hazard ratio | 95% CI | Adjustedb HR | 95% CI | |
Age (increasing by year) | 0.99 | 0.97–1.00 | 0.98 | 0.97–1.00 | 0.99 | 0.97–1.00 | 0.99 | 0.97–1.00 |
Unemployed | 0.87 | 0.68–1.10 | – | – | 0.72 | 0.54–0.95 | 0.74 | 0.54–1.01 |
Year of First Visit (ref. 2007) | ||||||||
2008 | 0.66 | 0.45–0.96 | 0.81 | 0.54–1.20 | 1.02 | 0.63–1.66 | 1.10 | 0.62–1.96 |
2009 | 0.65 | 0.48–0.88 | 0.67 | 0.49–0.91 | 0.78 | 0.55–1.11 | 0.94 | 0.64–1.38 |
2010 | 0.75 | 0.55–1.04 | 0.75 | 0.54–1.04 | 0.72 | 0.48–1.07 | 0.88 | 0.57–1.35 |
2011 | 0.67 | 0.47–0.97 | 0.70 | 0.49–1.01 | 0.83 | 0.54–1.28 | 1.00 | 0.63–1.58 |
2012 | 0.62 | 0.36–1.06 | 0.61 | 0.35–1.05 | 0.61 | 0.31–1.22 | 0.67 | 0.33–1.36 |
2013 | 0.64 | 0.29–1.38 | 0.62 | 0.29–1.34 | 0.60 | 0.24–1.50 | 0.70 | 0.28–1.78 |
Inducted | 1.71 | 1.36–2.16 | 1.46 | 1.10–1.93 | – | – | – | – |
Prior buprenorphine | 1.29 | 0.49–0.82 | – | – | 0.79 | 0.60–1.04 | 0.79 | 0.58–1.06 |
Heroin use, active | 1.59 | 1.27–1.99 | 1.25 | 0.96–1.64 | 1.20 | 0.89–1.61 | 1.27 | 0.93–1.75 |
Cocaine use, active | 1.32 | 1.03–1.71 | 1.18 | 0.90–1.54 | 1.22 | 0.91–1.63 | 1.15 | 0.83–1.59 |
Outpatient counseling, active | 0.97 | 0.72–1.31 | – | – | 0.81 | 0.54–1.21 | – | – |
12-step attendance, active | 1.01 | 0.79–1.29 | – | – | 1.02 | 0.77–1.37 | – | – |
Any induction-related AE | – | – | – | – | 1.24 | 0.84–1.81 | – | – |
Methadone-to-buprenorphine induction | – | – | – | – | 1.02 | 0.64–1.64 | – | – |
Factors not shown and not significantly associated with retention among all patients or inductions: gender, ethnicity, homelessness, uninsured, active benzodiazepine or cannabis use
aHazard model adjusted for age, year of first visit, inducted, active baseline heroin and cocaine use. All transfer patients had prior buprenorphine experience; adding this term to the model reduces the significance of induction and vice versa
bHazard model adjusted for age, unemployment, year of first visit, prior buprenorphine experience, active baseline heroin and cocaine use