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Long-term Patterns of Self-reported Opioid Use, VACS Index, and Mortality Among People with HIV Engaged in Care
- Source :
- AIDS Behav
- Publication Year :
- 2021
-
Abstract
- Longitudinal analyses of opioid use and overall disease severity among people with HIV (PWH) are lacking. We used joint-trajectory and Cox proportional hazard modeling to examine the relationship between self-reported opioid use and the Veterans Aging Cohort Study (VACS) Index 2.0, a validated measure of disease severity and mortality, among PWH engaged in care. Using data from 2002 and 2018, trajectory modeling classified 20% of 3,658 PWH in low (i.e., lower risk of mortality), 40% in moderate, 28% in high, and 12% in extremely high VACS Index trajectories. Compared to those with moderate VACS Index trajectory, PWH with an extremely high trajectory were more likely to have high, then de-escalating opioid use (adjusted odds ratio [AOR], 95% confidence interval [CI]: 5·17 [3·19–8·37]) versus stable, infrequent use. PWH who report high frequency opioid use have increased disease severity and mortality risk over time, even when frequency of opioid use de-escalates.
- Subjects :
- medicine.medical_specialty
Aging
Index (economics)
Social Psychology
business.industry
Opioid use
Public health
Public Health, Environmental and Occupational Health
Human immunodeficiency virus (HIV)
HIV Infections
Odds ratio
medicine.disease_cause
Lower risk
Confidence interval
Article
Analgesics, Opioid
Cohort Studies
Infectious Diseases
Medicine
Humans
Self Report
business
Cohort study
Demography
Veterans
Subjects
Details
- ISSN :
- 15733254 and 10907165
- Volume :
- 25
- Issue :
- 9
- Database :
- OpenAIRE
- Journal :
- AIDS and behavior
- Accession number :
- edsair.doi.dedup.....0f2d448e546d7a64bafcc7b273c5bae2