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Table 3 Multivariate analysis on health characteristics and health service use

From: Affordable care act: comparison of healthcare indicators among different insurance beneficiaries with new coverage eligibility

 

Private vs. Public

RPIE vs. EME

Private vs. RPIE

Public vs. EME

Characteristics

Odds ratio (95 % CI)

Adjusted odds ratio (95 % CI)

Odds ratio (95 % CI)

Adjusted odds ratio (95 % CI)

Odds ratio (95 % CI)

Adjusted odds ratio (95 % CI)

Odds ratio (95 % CI)

Adjusted odds ratio (95 % CI)

General Health

        

 Fair/Poor, self-reported health

0.164*** (0.147, 0.183)

0.469*** (0.400, 0.550)

0.639*** (0.556, 0.735)

0.856 (0.699, 1.048)

0.537*** (0.476, 0.605)

0.823** (0.719, 0.942)

2.091*** (1.836, 2.380)

2.020*** (1.727, 2.363)

Chronic Conditions

        

 Heart-related Disease

0.453*** (0.399, 0.515)

0.693*** (0.566, 0.849)

0.979 (0.784, 1.223)

0.715 (0.507, 1.009)

1.369*** (1.164, 1.611)

1.304** (1.089, 1.561)

2.957*** (2.426, 3.604)

2.221*** (1.767, 2.792)

 Diabetes

0.366*** (0.322, 0.417)

0.548*** (0.448–0.671)

0.808 (0.652, 1.001)

1.019 (0.751, 1.382)

1.162 (0.983, 1.372)

1.464*** (1.216, 1.761)

2.561*** (2.123, 3.090)

2.439*** (1.951, 3.050)

 Cancer

0.917 (0.770, 1.092)

1.060 (0.812, 1.384)

1.208 (0.882, 1.656)

0.913 (0.569, 1.466)

1.924*** (1.557, 2.378)

1.412** (1.121, 1.777)

2.535*** (1.894, 3.394)

1.773** (1.270, 2.475)

Health-Related Lifestyle

        

 Overweight

1.206*** (1.095, 1.329)

0.957 (0.830, 1.103)

1.100 (0.979, 1.236)

1.002 (0.846, 1.186)

0.930 (0.853, 1.015)

0.959 (0.870, 1.057)

0.849* (0.749, 0.961)

0.999 (0.860, 1.160)

 Obese

0.633*** (0.577, 0.694)

0.858* (0.748, 0.984)

0.871* (0.774, 0.981)

1.094 (.924, 1.296)

1.040 (0.951, 1.138)

1.209*** (1.094, 1.337)

1.432*** (1.270, 1.615)

1.366*** (1.183, 1.576)

 Smoking

0.404*** (0.364, 0.449)

0.705*** (0.600, 0.828)

0.882 (0.773, 1.007)

0.797* (0.646, 0.984)

0.625*** (0.562, 0.694)

0.727*** (0.644, 0.820)

1.364*** (1.195, 1.556)

1.112 (0.944, 1.310)

Mental Health

        

 Felt Hopeless all the time or most of the time

0.163*** (0.136, 0,195)

0.515*** (0.396, 0.669)

0.558*** (0.436, 0.713)

0.698

(0.486, 1.005)

0.555*** (0.442, 0.696)

0.799 (0.623, 1.026)

1.899*** (1.550, 2.327)

1.568*** (1.245, 1.975)

 Felt Sad all the time or most of the time

0.142*** (0.115, 0.174)

0.539*** (0.400–0.727)

0.523*** (0.397, 0.688)

0.692 (0.463, 1.035)

0.508*** (0.391, 0.661)

0.721* (0.540, 0.963)

1.873*** (1.499, 2.339)

1.491** (1.158, 1.921)

 Felt Worthless all the time or most of the time

0.186*** (0.153, 0.225)

0.286*** (0.221, 0.369)

0.654** (0.499, 0.858)

0.721 (0.475, 1.094)

0.587*** (0.461, 0.748)

0.774 (0.594, 1.009)

2.070*** (1.647, 2.602)

1.557** (1.202, 2.018)

Health Care Access

        

 Have Usual Source of Care

0.918 (0.820, 1.027)

0.835* (0.708, 0.985)

1.117 (0.998, 1.249)

1.039 (0.880, 1.227)

4.631*** (4.239, 5.059)

3.841*** (3.473, 4.247)

5.635*** (4.936, 6.434)

4.473*** (3.829, 5.227)

 Routine Check-up, a prior year

0.697 (0.629, 0.772)

0.720*** (0.620, 0.835)

1.082 (0.965, 1.213)

1.081 (0.914, 1.279)

3.235*** (2.967, 3.526)

2.908*** (2.638, 3.205)

5.019*** (4.419, 5.700)

3.929*** (3.383, 4.563)

 Dental Check-up, a prior year

3.337*** (3.041, 3.662)

1.993*** (1.738, 2.286)

1.451*** (1.291, 1.632)

1.419*** (1.198, 1.681)

3.690*** (3.384, 4.024)

2.670*** (2.424, 2.941)

1.605*** (1.421, 1.813)

1.547*** (1.334, 1.795)

Women’s Screening

        

 Pap test, prior 3 yearsb

1.431*** (1.208, 1.696)

1.094 (0.849, 1.411)

1.005 (0.831, 1.214)

1.102 (0.834, 1.456)

2.523*** (2.150, 2.961)

2.436*** (2.036, 2.914)

1.771*** (1.453, 2.157)

1.889*** (1.490, 2.393)

 Breast Exam, prior 2 yearsb

1.594*** (1.375, 1.849)

1.047 (0.841, 1.305)

1.200* (1.015, 1.418)

1.186 (0.933, 1.508)

3.059*** (2.653, 3.529)

2.746*** (2.348, 3.210)

2.303*** (1.939, 2.734)

2.045*** (1.674, 2.498)

 Mammogram, prior 2 yearsc

1.424*** (1.258, 1.611)

1.066 (0.868, 1.309)

1.341** (1.124, 1.600)

1.089 (0.837, 1.416)

2.426*** (2.122, 2.773)

2.665*** (2.269, 3.130)

2.286*** (1.931, 2.705)

1.848*** (1.500, 2.277)

Unmet Health Needs

        

 Immediate Care/Treatmentd

0.655*** (0.537, 0.798)

0.711* (0.521, 0.969)

0.723* (0.556, 0.942)

0.849 (0.580, 1.242)

0.390*** (0.314, 0.484)

0.466*** (0.367, 0.592)

0.430*** (0.336, 0.552)

0.440*** (0.332, 0.583)

 Needed Care/Treatment/Testse

0.411*** (0.341, 0.495)

0.622** (0.470, 0.824)

0.639** (0.495, 0.826)

0.830 (0.576, 1.194)

0.268*** (0.219, 0.328)

0.341*** (0.273, 0.424)

0.416*** (0.326, 0.531)

0.408*** (0.309, 0.538)

 Appointment When Wantedf

0.818** (0.707, 0.947)

0.980 (0.787, 1.222)

0.782* (0.629, 0.971)

0.741 (0.539, 1.019)

0.510*** (0.435, 0.598)

0.593*** (0.498, 0.705)

0.487*** (0.396, 0.600)

0.540*** (0.427, 0.685)

  1. Note. * p < .05, ** p < .01, *** p < .001; Data from Medical Expenditure Panel Survey (MEPS) 2012; Adjusted odds ratios were obtained from the multiple logistic regression controlling for age, gender, race/ethnicity, family income, education, marital status, region and family size