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Table 3 Crude and adjusted odds ratios and 95% confidence intervals for the association between HPSA residence (reference: non-HPSA residence) and awareness, treatment or control of hypertension, diabetes, and hyperlipidemia, stratified by insurance status

From: Awareness and management of chronic disease, insurance status, and health professional shortage areas in the REasons for Geographic And Racial Differences in Stroke (REGARDS): a cross-sectional study

  INSURED UNINSURED
   CRUDE ADJUSTED †   CRUDE ADJUSTED †
   Odds ratio 95% Confidence interval Odds ratio 95% Confidence interval   Odds ratio 95% Confidence interval Odds ratio 95% Confidence interval
  n Lower limit Upper limit Lower limit Upper limit n Lower limit Upper limit Lower limit Upper limit
HYPERTENSION‡ (n = 12736)               
Awareness* 11451 0.91 0.76 1.08 0.88 0.74 1.06 830 1.40 0.72 2.71 2.30 1.08 4.89
Treatment 10916 0.87 0.67 1.13 0.85 0.64 1.12 751 1.86 0.78 4.43 1.95 0.76 4.98
Control 6364 0.86 0.76 0.97 0.92 0.81 1.04 698 0.53 0.36 0.77 0.45 0.29 0.71
DIABETESβ (n = 4884)               
Awareness 4407 0.95 0.71 1.26 0.97 0.70 1.19 350 1.24 0.57 2.67 1.43 0.50 2.63
Treatment 3575 1.30 1.02 1.66 1.31 1.01 1.71 299 1.16 0.57 2.39 1.32 0.55 3.17
Control 1441 0.88 0.72 1.08 0.90 0.72 1.11 243 0.97 0.51 1.81 1.11 0.54 2.28
HYPERLIPIDEMIAλ (n = 14053)               
Awareness 10416 0.89 0.79 1.00 0.89 0.79 1.01 896 1.38 0.97 1.97 1.50 1.01 2.22
Treatment 6599 0.98 0.87 1.11 0.97 0.85 1.11 553 1.31 0.87 1.98 1.18 0.73 1.92
Control 5118 0.83 0.69 0.98 0.84 0.70 1.02 292 0.76 0.43 1.34 0.72 0.37 1.41
  1. *Insurance status: Defined as whether participants have any type of insurance.
  2. HPSA: Health Professional Shortage Area.
  3. ‡Hypertension was defined as having a blood pressure ≥ 140/90 or (≥ 130/80 or greater if the participant also had diabetes or chronic kidney disease, defined as estimated glomerular filtration rate (eGFR) <60 ml/min/1.73 m2), or report of being told by a doctor or nurse they had hypertension.
  4. βDiabetes was defined as a fasting blood sugar ≥126 mg/dL, having been told by a doctor or nurse they had diabetes, or treatment with a diabetes medication.
  5. λHyperlipidemia was defined as cholesterol ≥130 mg/dL, having been told by a doctor or nurse they had high cholesterol, or treatment with a cholesterol medication.
  6. †Adjusted for age, race, gender, income, education, alcohol use, tobacco use, exercise, medication adherence, BMI category, urban group, and comorbid chronic condition(hypertension, diabetes, or hyperlipidemia).
  7. (hypertension, diabetes, or hyperlipidemia).
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BMC Health Services Research

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