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Table 2 Results of two mixed effects logistic regression models examining the likelihood of Medicaid-enrolled youth with mental illness having one or more dental visits during 2015. Model 1 includes all youth and excludes health condition and prospective risk variables (n = 6564). Model 2 excludes youth with no medical or pharmacy claims data and includes all explanatory variables (n = 5805)

From: Dental visits in Medicaid-enrolled youth with mental illness: an analysis of administrative claims data

Factors

Model 1

Model 2

Odds Ratio

p-value

Average Predicted Probability

Odds Ratio

p-value

Average Predicted Probability

(95% CI)

(95% CI)

(95% CI)

(95% CI)

Sex

 Female

1.00 (Reference)

 

0.32

(0.30–0.33)

1.00 (Reference)

 

0.36

(0.32–0.36)

 Male

0.82

(0.73–0.92)

0.001

0.28

(0.26–0.29)

0.78

(0.69–0.89)

< 0.001

0.31

(0.27–0.31)

Age

 7–10

1.00 (Reference)

 

0.4

(0.36–0.44)

1.00 (Reference)

 

0.45

(0.37–0.45)

 11–14

0.75

(0.62–0.91)

0.004

0.34

(0.31–0.36)

0.76

(0.62–0.94)

0.010

0.38

(0.32–0.38)

 15–18

0.59

(0.49–0.71)

< 0.001

0.29

(0.27–0.31)

am

(0.53–0.79)

< 0.001

0.33

(0.29–0.33)

 19–20

0.36

(0.29–0.41)

< 0.001

0.2

(0.18–0.22)

0.42

(0.33–0.54)

< 0.001

0.26

(0.20–0.26)

Race/Ethnicity

 White

1.00 (Reference)

 

0.28

(0.25–0.30)

1.00 (Reference)

 

0.32

(0.27–0.32)

 Black /African American

1.05

(0.89–1.22)

0.580

0.28

(0.26–0.31)

1.07

(0.91–1.26)

0.428

0.33

(0.28–0.33)

 Hispanic

1.25

(1.04–1.51)

0.015

0.32

(0.29–0.35)

1.32

(1.09–1.60)

0.005

0.38

(0.32–0.38)

 Other

1.1

(0.77–1.55)

0.611

0.29

(0.23–0.36)

1.14

(0.79–1.65)

0.481

0.39

(0.24–0.39)

 Not Provided

1.22

(0.96–1.55)

0.101

0.32

(0.28–0.35)

1.26

(0.98–1.61)

0.072

0.38

(0.30–0.38)

Language

 English

1.00 (Reference)

 

0.29

(0.28–0.30)

1.00 (Reference)

 

0.33

(0.29–0.33)

 Not English

1.38

(1.13–1.68)

0.002

0.36

(0.31–0.40)

1.4

(1.14–1.73)

0.001

0.43

(0.34–0.43)

Education Levels in County

 15% + of adults have HS degree

1.00 (Ref)

 

0.31

(0.29–0.33)

1.00 (Reference)

 

0.35

(0.31–0.35)

  < 15% of adults have HS degree

0.8

(0.68–0.93)

0.004

0.27

(0.24–0.29)

0.79

(0.67–0.93)

0.005

0.31

(0.26–0.31)

Medicaid Eligibility Group

 SSI

1.00 (Reference)

 

0.29

(0.26–0.32)

1.00 (Reference)

 

0.32

(0.26–0.32)

 TANF

1.05

(0.87–1.28)

0.604

0.3

(0.28–0.32)

1.2

(0.97–1.47)

0.089

0.35

(0.31–0.35)

 Other (Prim Child Welf)

1.05

(0.73–1.52)

0.773

0.3

(0.23–0.37)

1.14

(0.78–1.65)

0.497

0.39

(0.25–0.39)

NCHS Urban-Rural Category

 Large Central Metro (Most Urban)

1.00 (Reference)

 

0.29

(0.27–0.31)

1.00 (Reference)

 

0.33

(0.29–0.33)

 Large Fringe Metro

1.16

(0.99–1.35)

0.064

0.32

(0.29–0.34)

1.17

(1.00–1.38)

0.050

0.37

(0.31–0.37)

 Medium Metro

0.97

(0.81–1.17)

0.773

0.28

(0.25–0.31)

0.97

(0.80–1.18)

0.780

0.33

(0.27–0.33)

 Small Metro

1.13

(0.76–1.66)

0.546

0.31

(0.24–0.39)

1.15

(0.76–1.74)

0.493

0.42

(0.25–0.42)

 Non- Metro (Most Rural)

1.52

(0.98–2.36)

0.060

0.37

(0.28–0.47)

1.52

(0.96–2.41)

0.077

0.5

(0.30–0.50)

County is PCP HPSA

 No

1.00 (Reference)

 

0.3

(0.28–0.31)

1.00 (Reference)

 

0.33

(0.30–0.33)

 Yes

0.63

(0.35–1.12)

0.112

0.21

(0.12–0.31)

0.69

(0.39–1. 25)

0.222

0.35

(0.14–0.35)

County is MH HPSA

 No

1.00 (Reference)

 

0.3

(0.28–0.31)

1.00 (Reference)

 

0.33

(0.30–0.33)

 Yes

1

(0.77–1.28)

0.979

0.3

(0.25–0.34)

0.97

(0.75–1.27)

0.849

0.36

(0.26–0.36)

Did Member Have any Non-Dental Claims?

 No

1.00 (Ref)

 

0.14

(0.11–0.16)

   

 Yes

3.06

(2.44–3.84)

< 0.001

0.32

(0.30–0.33)

   

ADHD

 No

   

1.00 (Reference)

 

0.32

(0.28–0.32)

 Yes

   

1.34

(1.15–1.55)

< 0.001

0.39

(0.33–0.39)

Depression

 No

   

1.00 (Reference)

 

0.33

(0.30–0.33)

 Yes

   

1.02

(0.88–1.18)

0.831

0.35

(0.29–0.35)

Bipolar

 No

   

1.00 (Reference)

 

0.33

(0.30–0.33)

 Yes

   

0.97

(0.82–1.16)

0.759

0.35

(0.28–0.35)

Schizophrenia

 No

   

1.00 (Reference)

 

0.33

(0.30–0.33)

 Yes

   

0.83

(0.62–1.11)

0.199

0.33

(0.23–0.34)

PTSD

 No

   

1.00 (Reference)

 

0.33

(0.30–0.33)

 Yes

   

1.31

(0.97–1.75)

0.075

0.44

(0.31–0.44)

 Anxiety, no PTSD

 No

   

1.00 (Reference)

 

0.33

(0.30–0.33)

 Yes

   

1.15

(0.97–1.37)

0.111

0.38

(0.31–0.38)

Asthma

 No

   

1.00 (Reference)

 

0.33

(0.30–0.33)

 Yes

   

1.16

(1.01–1.35)

0.041

0.37

(0.31–0.37)

Diabetes

 No

   

1.00 (Reference)

 

0.33

(0.30–0.33)

 Yes

   

1.12

(0.73–1.73)

0.598

0.43

(0.25–0.43)

Hypertension

 No

   

1.00 (Reference)

 

0.33

(0.30–0.33)

 Yes

   

1.06

(0.89–1.26)

0.526

0.36

(0.29–0.36)

Pregnancy

 No

   

1.00 (Reference)

 

0.34

(0.31–0.34)

 Yes

   

0.61

(0.45–0.83)

0.002

0.28

(0.18–0.28)

Prospective Risk Score

 (Continuous)

   

1.09

(1.03–1.16)

0.004

See Fig. 1

Substance Use Disorder

 No

   

1.00 (Reference)

 

0.34

(0.31–0.34)

 Yes

   

0.87

(0.72–1.06)

0.159

0.33

(0.26–0.33)

  1. Abbreviations: ADHD Attention deficit/hyperactivity disorder, HPSA Health professional shortage area, HS High school, NCHS National Center for Health Statistics, MH Mental Health, PCP Primary care provider, PTSD Post-traumatic stress disorder, SSI Supplemental Security Income, TANF Temporary Aid for Needy Families