HIV-positive injection drug users who leave the hospital against medical advice: the mitigating role of methadone and social support.

摘要: Background: Leaving the hospital against medical advice has been associated with increased morbidity and readmission. Factors risk of leaving among HIV/AIDS patients or injection drug users have not examined in detail. Objectives: To examine clinical social factors (AMA) from a specialized ward who reported history use. Methods: All use admitted to at St. Paul's Hospital, Vancouver, British Columbia (the largest Canada) between April 1997 October 2000 were reviewed retrospectively. A multivariate logistic regression model utilizing generalized estimating equation algorithm identified AMA. Results: Of 1056 admissions by use, 263 (24.9%) resulted Independent positive predictors AMA included recent (adjusted odds ratio [AOR] = 2.08, 95% confidence interval [CI]: 1.41-3.07) aboriginal ethnicity (AOR 1.55, CI: 1.05-2.28). Discharge was also more likely occur on weekends 2.27, 1.49-3.48) days when assistance payments issued 2.95, 1.70-5.10). that independently reduced discharge in-hospital methadone 0.49, 0.32-0.76), support 0.33, 0.21-0.51), older age (per 10-year increment, AOR 0.56, 0.43-0.73). Conclusions: Among HIV-positive for subjects received inpatient treatment, age, had supports. Addiction treatment interventions enhance supports marginalized populations should be further explored.