Table 2 Mixed effect logistic regression model results examining two HEDIS measures in Medicaid enrollees with schizophrenia or bipolar disorders who are on antipsychotic medications, 2015. Model 1 examines characteristics associated with non-adherence to antipsychotic medication in persons with schizophrenia (SAA; n=3705). Model 2 examines characteristics associated with not receiving recommended diabetes screening in persons with schizophrenia or bipolar disorder (SSD; n=4910). Higher odds represent a higher likelihood of poor care quality as evaluated by the measure

 Female

1.00 (base)

n/a

n/a

1.00 (base)

n/a

n/a

 Male

0.77 (0.54, 1.08)

0.133

n/a

1.74 (1.28, 2.37)

< 0.001

n/a

 18–29

n/a

n/a

n/a

1.00 (base)

n/a

n/a

 19–29

1.00 (base)

n/a

n/a

n/a

n/a

n/a

 30–39

0.73 (0.50, 1.07)

0.106

n/a

1.18 (0.85, 1.63)

0.322

n/a

 40–49

0.67 (0.46, 0.97)

0.035

n/a

1.31 (0.93, 1.82)

0.118

n/a

 50–64

0.40 (0.28, 0.57)

< 0.001

n/a

1.27 (0.91, 1.77)

0.156

n/a

 18–29 Female

n/a

n/a

n/a

1.00 (base)

n/a

0.233 (0.195, 0.271)

 18–29 Male

n/a

n/a

n/a

1.00 (base)

n/a

0.321 (0.289, 0.353)

 19–29 Female

1.00 (base)

n/a

0.609 (0.540, 0.677)

n/a

n/a

n/a

 19–29 Male

1.00 (base)

n/a

0.547 (0.503, 0.592)

n/a

n/a

n/a

 30–39 Female

1.00 (base)

n/a

0.537 (0.481, 0.592)

1.00 (base)

n/a

0.258 (0.223, 0.292)

 30–39 Male

1.09 (0.69, 1.71)

0.710

0.494 (0.453, 0.536)

0.84 (0.56, 1.26)

0.393

0.319 (0.286, 0.351)

 40–49 Female

1.00 (base)

n/a

0.515 (0.463, 0.568)

1.00 (base)

n/a

0.274 (0.237, 0.310)

 40–49 Male

1.01 (0.64, 1.59)

0.978

0.454 (0.407, 0.501)

0.67 (0.43, 1.03)

0.068

0.298 (0.259, 0.337)

 50–64 Female

1.00 (base)

n/a

0.396 (0.355, 0.436)

1.00 (base)

n/a

0.269 (0.236, 0.302)

 50–64 Male

1.49 (0.99, 2.26)

0.058

0.426 (0.390, 0.463)

0.55 (0.37, 0.82)

0.003

0.262 (0.231, 0.293)

 White

1.00 (base)

n/a

0.379 (0.344, 0.413)

1.00 (base)

n/a

0.284 (0.260, 0.309)

 Black / African American

2.14 (1.76, 2.60)

< 0.001

0.555 (0.527, 0.582)

1.04 (0.85, 1.27)

0.716

0.290 (0.267, 0.314)

 Hispanic

1.30 (1.01, 1.68)

0.039

0.439 (0.395, 0.484)

0.89 (0.68, 1.16)

0.392

0.266 (0.232, 0.300)

 Other

0.84 (0.50, 1.40)

0.494

0.340 (0.237, 0.444)

0.80 (0.48, 1.34)

0.400

0.250 (0.176, 0.324)

 Not Provided

1.64 (1.33, 2.02)

< 0.001

0.493 (0.461, 0.525)

0.99 (0.81, 1.23)

0.962

0.283 (0.259, 0.308)

 English

1.00 (base)

n/a

0.481 (0.463, 0.499)

1.00 (base)

n/a

0.289 (0.274, 0.304)

 Not English

0.97 (0.79, 1.21)

0.803

0.474 (0.430, 0.518)

0.76 (0.60, 0.97)

0.025

0.246 (0.213, 0.280)

 Large Central Metro (most urban)

1.00 (base)

n/a

0.501 (0.478, 0.524)

1.00 (base)

n/a

0.292 (0.272, 0.313)

 Large Fringe Metro

0.79 (0.66, 0.94)

0.010

0.447 (0.414, 0.480)

0.74 (0.60, 0.91)

0.004

0.245 (0.219, 0.270)

 Medium Metro

0.89 (0.72, 1.11)

0.307

0.476 (0.434, 0.517)

1.02 (0.80, 1.30)

0.855

0.296 (0.264, 0.328)

 Small Metro or Non-Metro (most rural)

0.61 (0.39, 0.97)

0.036

0.390 (0.294, 0.486)

1.24 (0.79, 1.94)

0.351

0.327 (0.256, 0.398)

 15%+ of adults have HS degree

1.00 (base)

n/a

0.495 (0.474, 0.516)

1.00 (base)

n/a

0.290 (0.273, 0.307)

 < 15% of adults have HS degree

0.83 (0.70, 0.97)

0.024

0.451 (0.422, 0.480)

0.86 (0.71, 1.05)

0.134

0.267 (0.242, 0.292)

 No

1.00 (base)

n/a

0.475 (0.458, 0.492)

1.00 (base)

n/a

0.283 (0.268, 0.298)

 Yes

1.41 (0.99, 2.03)

0.060

0.554 (0.475, 0.633)

0.96 (0.66, 1.39)

0.810

0.276 (0.219, 0.332)

 Same Zip Code

1.00 (base)

n/a

0.494 (0.460, 0.528)

1.00 (base)

n/a

0.279 (0.253, 0.304)

 > 0 to < 5 Miles

0.86 (0.72, 1.04)

0.128

0.460 (0.433,0.488)

1.03 (0.85, 1.26)

0.746

0.284 (0.262, 0.306)

 5 to < 15 Miles

0.98 (0.81, 1.19)

0.872

0.490 (0.462, 0.519)

1.06 (0.87, 1.30)

0.550

0.289 (0.266, 0.311)

 15 to < 30 Miles

0.86 (0.65, 1.14)

0.283

0.459 (0.404, 0.514)

1.03 (0.77, 1.39)

0.822

0.284 (0.243, 0.325)

 >=30 Miles

1.13 (0.78, 1.64)

0.507

0.523 (0.445, 0.601)

0.80 (0.55, 1.16)

0.239

0.244 (0.192, 0.296)

 No

1.00 (base)

n/a

0.465 (0.444, 0.486)

1.00 (base)

n/a

0.309 (0.292, 0.326)

 Yes

1.21 (1.02, 1.43)

0.028

0.508 (0.478, 0.539)

0.53 (0.44, 0.64)

< 0.001

0.210 (0.186, 0.234)

 No

1.00 (base)

n/a

0.480 (0.458, 0.501)

1.00 (base)

n/a

0.303 (0.286, 0.321)

 Yes

1.00 (0.84, 1.18)

0.973

0.479 (0.449, 0.509)

0.65 (0.54, 0.78)

< 0.001

0.235 (0.211, 0.258)

 No

1.00 (base)

n/a

0.463 (0.444, 0.482)

n/a

n/a

n/a

 Yes

1.38 (1.15, 1.65)

0.001

0.537 (0.500, 0.573)

n/a

n/a

n/a

 Bipolar

n/a

n/a

n/a

1.00 (base)

n/a

0.308 (0.283, 0.334)

 Schizophrenia

n/a

n/a

n/a

0.89 (0.75, 1.07)

0.224

0.290 (0.272, 0.308)

 Both Schizophrenia and Bipolar

n/a

n/a

n/a

0.45 (0.34, 0.59)

< 0.001

0.189 (0.157, 0.220)

 No

1.00 (base)

n/a

0.436 (0.414, 0.458)

1.00 (base)

n/a

0.330 (0.311, 0.348)

 Yes

1.59 (1.36, 1.86)

< 0.001

0.544 (0.517, 0.571)

0.44 (0.37, 0.52)

< 0.001

0.198 (0.178, 0.218)

 No

1.00 (base)

n/a

0.471 (0.452, 0.490)

1.00 (base)

n/a

0.296 (0.280, 0.312)

 Yes

1.16 (0.96, 1.40)

0.113

0.506 (0.470, 0.542)

0.64 (0.52, 0.78)

< 0.001

0.226 (0.200, 0.254)

 No

1.00 (base)

n/a

0.476 (0.459, 0.493)

1.00 (base)

n/a

0.284 (0.270, 0.298)

 Yes

1.30 (0.96, 1.76)

0.096

0.536 (0.468, 0.603)

0.62 (0.35, 1.10)

0.103

0.213 (0.134, 0.291)

 No

1.00 (base)

n/a

0.484 (0.467, 0.502)

1.00 (base)

n/a

0.284 (0.270, 0.299)

 Yes

0.87 (0.69, 1.10)

0.224

0.451 (0.404, 0.499)

0.85 (0.63, 1.16)

0.300

0.259 (0.213, 0.305)

 No

1.00 (base)

n/a

n/a

n/a

n/a

n/a

 Yes

0.74 (0.62, 0.89)

0.002

n/a

n/a

n/a

n/a

 No

1.00 (base)

n/a

0.472 (0.448, 0.497)

1.00 (base)

n/a

0.329 (0.311, 0.348)

 Yes

1.07 (0.91, 1.25)

0.438

0.487 (0.462, 0.512)

0.43 (0.36, 0.51)

< 0.001

0.194 (0.174, 0.214)

 No

1.00

n/a

0.489 (0.471, 0.507)

1.00 (base)

n/a

0.301 (0.286, 0.317)

 Yes

0.79 (0.65, 0.95)

0.014

0.434 (0.395, 0.473)

0.26 (1.19, 0.35)

< 0.001

0.121 (0.928, 0.150)