Factors associated with hospitalizations for co-occurring HIV and opioid-related diagnoses: Evidence from the national inpatient sample, 2009–2017
There has been evidence of rising HIV incidence attributable to opioid misuse within some areas of the U.S. The purpose of our study was to explore national trends in co-occurring HIV and opioid-related hospitalizations and to identify their risk factors. We used the 2009–2017 National Inpatient Sam...
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| Format: | Article |
| Language: | English |
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Elsevier
2023-08-01
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| Series: | Preventive Medicine Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S221133552300116X |
| _version_ | 1797802832915595264 |
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| author | Nima Khodakarami Marvellous A. Akinlotan Timothy Callaghan Kristin M. Primm Meera Vadali Jane Bolin Alva O. Ferdinand |
| author_facet | Nima Khodakarami Marvellous A. Akinlotan Timothy Callaghan Kristin M. Primm Meera Vadali Jane Bolin Alva O. Ferdinand |
| author_sort | Nima Khodakarami |
| collection | DOAJ |
| description | There has been evidence of rising HIV incidence attributable to opioid misuse within some areas of the U.S. The purpose of our study was to explore national trends in co-occurring HIV and opioid-related hospitalizations and to identify their risk factors. We used the 2009–2017 National Inpatient Sample to indicate hospitalizations with co-occurring HIV and opioid misuse diagnoses. We estimated the frequency of such hospitalizations per year. We fitted a linear regression to the annual HIV-opioid co-occurrences with year as a predictor. The resulting regression did not reveal any significant temporal changes. We used multivariable logistic regression to determine the adjusted odds (AOR) of hospitalization for co-occurring HIV and opioid-related diagnoses. The odds of hospitalization were lower for rural residents (AOR = 0.28; CI = 0.24–0.32) than urban. Females (AOR = 0.95, CI = 0.89–0.99) had lower odds of hospitalization than males. Patients identifying as White (AOR = 1.23, CI = 1.00–1.50) and Black (AOR = 1.27, CI = 1.02–1.57) had higher odds of hospitalization than other races. When compared to co-occuring hospitalizations in the Midwest, the odds were higher in the Northeast. (AOR = 2.56, CI = 2.07–3.17) Future research should explore the extent to which similar findings occur in the context of mortality and targeted interventions should intesify for subpopulations at highest risk of co-occuring HIV and opioid misuse diagnoses. |
| first_indexed | 2024-03-13T05:11:41Z |
| format | Article |
| id | doaj.art-15ade6cb9ce346b2b73536b30d76588c |
| institution | Directory Open Access Journal |
| issn | 2211-3355 |
| language | English |
| last_indexed | 2024-03-13T05:11:41Z |
| publishDate | 2023-08-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Preventive Medicine Reports |
| spelling | doaj.art-15ade6cb9ce346b2b73536b30d76588c2023-06-16T05:09:23ZengElsevierPreventive Medicine Reports2211-33552023-08-0134102225Factors associated with hospitalizations for co-occurring HIV and opioid-related diagnoses: Evidence from the national inpatient sample, 2009–2017Nima Khodakarami0Marvellous A. Akinlotan1Timothy Callaghan2Kristin M. Primm3Meera Vadali4Jane Bolin5Alva O. Ferdinand6Pennsylvania State University, Department of Health Policy & Administration, United StatesTexas A&M University College of Nursing, United States; Southwest Rural Health Research Center, Texas A&M University School of Public Health, United StatesDepartment of Health Law, Policy, and Management, Boston University School of Public Health, United StatesDepartment of Epidemiology, The University of Texas MD Anderson Cancer Center, United StatesSouthwest Rural Health Research Center, Texas A&M University School of Public Health, United StatesTexas A&M University College of Nursing, United States; Southwest Rural Health Research Center, Texas A&M University School of Public Health, United States; Department of Health Policy & Management, Texas A&M School of Public Health, United StatesSouthwest Rural Health Research Center, Texas A&M University School of Public Health, United States; Department of Health Policy & Management, Texas A&M School of Public Health, United States; Corresponding author at: 1266 TAMU, 212 Adriance Lab Rd, College Station, TX 77843, United States.There has been evidence of rising HIV incidence attributable to opioid misuse within some areas of the U.S. The purpose of our study was to explore national trends in co-occurring HIV and opioid-related hospitalizations and to identify their risk factors. We used the 2009–2017 National Inpatient Sample to indicate hospitalizations with co-occurring HIV and opioid misuse diagnoses. We estimated the frequency of such hospitalizations per year. We fitted a linear regression to the annual HIV-opioid co-occurrences with year as a predictor. The resulting regression did not reveal any significant temporal changes. We used multivariable logistic regression to determine the adjusted odds (AOR) of hospitalization for co-occurring HIV and opioid-related diagnoses. The odds of hospitalization were lower for rural residents (AOR = 0.28; CI = 0.24–0.32) than urban. Females (AOR = 0.95, CI = 0.89–0.99) had lower odds of hospitalization than males. Patients identifying as White (AOR = 1.23, CI = 1.00–1.50) and Black (AOR = 1.27, CI = 1.02–1.57) had higher odds of hospitalization than other races. When compared to co-occuring hospitalizations in the Midwest, the odds were higher in the Northeast. (AOR = 2.56, CI = 2.07–3.17) Future research should explore the extent to which similar findings occur in the context of mortality and targeted interventions should intesify for subpopulations at highest risk of co-occuring HIV and opioid misuse diagnoses.http://www.sciencedirect.com/science/article/pii/S221133552300116XOpioid misuseHospitalizationHIV infectionsHumansInpatient careRurality |
| spellingShingle | Nima Khodakarami Marvellous A. Akinlotan Timothy Callaghan Kristin M. Primm Meera Vadali Jane Bolin Alva O. Ferdinand Factors associated with hospitalizations for co-occurring HIV and opioid-related diagnoses: Evidence from the national inpatient sample, 2009–2017 Preventive Medicine Reports Opioid misuse Hospitalization HIV infections Humans Inpatient care Rurality |
| title | Factors associated with hospitalizations for co-occurring HIV and opioid-related diagnoses: Evidence from the national inpatient sample, 2009–2017 |
| title_full | Factors associated with hospitalizations for co-occurring HIV and opioid-related diagnoses: Evidence from the national inpatient sample, 2009–2017 |
| title_fullStr | Factors associated with hospitalizations for co-occurring HIV and opioid-related diagnoses: Evidence from the national inpatient sample, 2009–2017 |
| title_full_unstemmed | Factors associated with hospitalizations for co-occurring HIV and opioid-related diagnoses: Evidence from the national inpatient sample, 2009–2017 |
| title_short | Factors associated with hospitalizations for co-occurring HIV and opioid-related diagnoses: Evidence from the national inpatient sample, 2009–2017 |
| title_sort | factors associated with hospitalizations for co occurring hiv and opioid related diagnoses evidence from the national inpatient sample 2009 2017 |
| topic | Opioid misuse Hospitalization HIV infections Humans Inpatient care Rurality |
| url | http://www.sciencedirect.com/science/article/pii/S221133552300116X |
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