Table 3.

Effect of mental health comorbidities^a on the association of retention^b in care and mental health utilization in HIV-positive patients^c receiving care at UAB, 2007–2013 (N = 743)

Mental health utilization	Univariate analysisd		Multivariable analysisd,e
	Mental health comorbidity		Mental health comorbidity
	0	≥ 1	0	≥ 1
0	N = 271	N = 288
	OR = 1.0	OR = 0.9	OR = 1.0	OR = 1.0
		(95% CI: 0.6, 1.4)		(95% CI: 0.6, 1.5)
		P = 0.74		P = 0.96
	(Reference category)		(Reference category)
1–2	N = 23	N = 75
	OR = 1.8	OR = 1.0	OR = 2.3	OR = 1.2
	(95% CI 0.5, 9.0)	(95% CI 0.5, 2.2)	(95% CI 0.7, 11.8)	(95% CI 0.6, 2.4)
	P = 0.37	P = 0.89	P = 0.19	P = 0.69
≥ 3	N = 13	N = 73
	OR = 5.6	OR = 3.2	OR = 5.7	OR = 3.8
	(95% CI 0.7, 720.0)	(95% CI 1.3, 10.0)	(95% CI 0.7, 738.8)	(95% CI 1.5, 12.2)
	P = 0.12	P = 0.01	P = 0.12	P = 0.005

CI confidence interval, OR odds ratio, UAB University of Alabama at Birmingham (Birmingham, AL, USA)

^aMeasured as total count of depression, drug use, and alcohol use

^bDefinition: at least two primary care appointments being attended within a period of 12 months but separated by at least 90 days

^cTreatment naïve and newly engaged in care

^dLogistic regression method with Firth’s bias correction

^eAdjusted for age, race, sex, and transmission risk