TABLE 2:
Among VA Patients Living with HIV with Unhealthy Alcohol Use: Relative risk of receiving alcohol related care for those living in urban versus large or small rural areas (N = 4581), overall and among the subsample with documented alcohol use disorder (AUD) (N = 2370)
| Relative Risks (RR) Comparing Receipt of Alcohol-related Care | |||||
|---|---|---|---|---|---|
| Large Rural Relative to Urban | Small Rural Relative to Urban | ||||
| RR | 95% CI | RR | 95% CI | ||
|
Among those with Unhealthy Alcohol Use (N = 4581) | |||||
| Receipt of Brief Intervention | Model 1 | 1.13 | (.98, 1.30) | 1.06 | (.92, 1.22) |
| Model 2 | 1.17 | (1.02, 1.34) | 1.08 | (.95, 1.23) | |
| Model 3 (primary) | 1.19 | (1.04, 1.37) | 1.08 | (.95, 1.23) | |
| Receipt of Specialty Addictions Treatment | Model 1 | .62 | (.42, .91) | .58 | (.43, .78) |
| Model 2 | .70 | (.49, 1.00) | .69 | (.52, .92) | |
| Model 3 (primary) | .85 | (.65, 1.10) | .77 | (.61, .97) | |
| Receipt of AUD Medications | Model 1 | .90 | (.41, 1.95) | .85 | (.43, 1.69) |
| Model 2 | 1.01 | (.46, 2.22) | .87 | (.44, 1.74) | |
| Model 3 (primary) | 1.22 | (.54, 2.78) | .94 | (.48, 1.83) | |
|
Among subsample of those with documented AUD (N = 2370) | |||||
| Receipt of Specialty Addictions Treatment | Model 1 | .80 | (.55, 1.14) | .70 | (.55, .89) |
| Model 2 | .82 | (.58, 1.17) | .77 | (.60, .98) | |
| Model 3 (primary) | .94 | (.72, 1.24) | .84 | (.67, 1.05) | |
| Receipt of AUD Medications | Model 1 | 1.09 | (.45, 2.62) | .80 | (.40, 1.58) |
| Model 2 | 1.16 | (.48, 2.82) | .76 | (.38, 1.53) | |
| Model 3 (primary) | 1.24 | (.50, 3.07) | .79 | (.39, 1.58) | |
Model 1: Adjusted for fiscal year
Model 2: Adjusted for fiscal year of AUDIT-C screen, age, sex, race/ethnicity, marital status, VA eligibility status, and region
Model 3: Adjusted for fiscal year of AUDIT-C screen, age, sex, race/ethnicity, marital status, VA eligibility status, region, HIV disease severity, depression, other mood disorders, PTSD, anxiety, severe mental illness, stimulant use disorder, opioid use disorder, other drug use disorder, AUDIT-C category, alcohol use disorder, alcohol specific-conditions, healthcare utilization (inpatient and outpatient), and past-year tobacco use or use disorder.
CI = 95% Confidence Interval
RR = Relative Risk (Incidence rate ratio) obtained from Poisson regression model
Relative risk is bolded if P < .05