Is insurance instability associated with hypertension outcomes and does this vary by race/ethnicity?

Table 2 Odds Ratios of Uncontrolled BP for Different Types of Insurance Stability/Instability, Compared to Stable Private Insurance, in Two Massachusetts Urban Safety Net Hospital Systems

Adjusted Odds Ratio of Uncontrolled BP
Insurance Instability Group	n (6-month Person-Intervals)	OR (95% CI) p-value
Stable Private	97,202	Reference
Stable Public	113,142	0.93 (0.90, 0.96)
Switch without losing insurance^a	12,360	0.96 (0.92, 1.00)
Switch from uninsured to insured	10,915	1.09 (1.05, 1.14)
Switch from insured to uninsured	7989	1.07 (1.02, 1.12)
Always uninsured	27,193	1.15 (1.10, 1.20)

Instability (6-Category) p-value: < 0.001
Note: GEE model adjusted for race, age, comorbidity burden, sex, area-level education, area-level income, site of care and time; bolded ORs are significant
^aIncludes switches from private to public, public to private, or among the 3 public groups (Medicare, Medicaid, subsidized)
40,615 patients were included in this analysis (11,624 White, 2911 Hispanic, 23,560 Black and 2520 Asian)

ISSN: 1472-6963