Table 3.
Multivariable Associations Between Provider Beliefs and Demographics and Likelihood of Offering Standard Cancer Treatment to HIV-Infected Patients
| Factor | Adjusted OR* | 95% CI |
|---|---|---|
| 1: Perceptions† | 0.92 | 0.80 to 1.07 |
| 2: Comfort level discussing adverse effects and prognosis‡ | 1.52 | 1.12 to 2.07 |
| 3: Toxicity and efficacy concerns§ | 0.67 | 0.53 to 0.85 |
NOTE. Patients with missing data were excluded from analysis.
Abbreviation: OR, odds ratio.
ORs adjusted for specialty, sex, age, time since training, geographic region, residence in high-prevalence state, No. of patients without insurance, No. of patients with Medicare or Ryan White insurance, size of group practice, and factors 1 to 3.
Factor 1 includes following perceptions: HIV-infected patients are less likely to adhere to cancer treatment, are more likely to be uninsured or underinsured, have more-advanced cancer stage, have worse performance status, and have more-severe comorbidities.
Factor 2 includes following perception: personal comfort level with discussion of cancer adverse effects and prognosis in HIV-infected patients.
Factor 3 includes following perceptions: HIV-infected patients are more likely to experience toxicity from chemotherapy and radiation therapy, and cancer treatment is less efficacious in HIV-infected patients.