TABLE 4.
Adjusted moderation of access on chronic disease control for racial and ethnic groups compared to White patients.
| Race or ethnicity × access score product term p‐value | Estimated disease control rate with access = 0% (95% CI) | Delta control rate compared to White at access = 0% (pp) (95% CI) | Estimated control rate with access = 100% (95% CI) | Delta control rate compared to White at access = 100% (pp) (95% CI) | |
|---|---|---|---|---|---|
| HTN Control | |||||
| AIAN | 0.51 | 75.2 (58.8, 91.5) | −2.7 (−19.1, 13.7) | 83.2 (75.3, 91.0) | 3.4 (−4.5, 11.3) |
| Asian | 0.59 | 83.2 (73.7, 92.7) | 5.4 (−4.2, 15.0) | 80.2 (66.2, 94.2) | 0.4 (−13.6, 14.5) |
| Black | 0.60 | 75.0 (72.0. 77.9) | −2.9 (−6.2, 0.4) | 75.9 (73.2, 78.5) | −3.9 (−6.8, −1.0) |
| Hispanic | 0.11 | 75.5 (69.2, 81.8) | −2.3 (−8.8, 4.2) | 83.9 (79.9, 87.9) | 4.1 (−0.1, 8.3) |
| Multi‐Race | 0.36 | 72.8 (59.5, 86.2) | −5.0 (−18.4, 8.4) | 82.4 (74.0, 90.8) | 2.6 (−5.9, 11.1) |
| NHOPI | 0.23 | 82.2 (72.8, 91.6) | 4.4 (−5.2, 13.9) | 75.1 (64.5, 85.7) | −4.7 (−15.3, 6.0) |
| White | Ref | 77.8 (76.6, 79.1) | ‐ | 79.8 (78.6, 80.9) | ‐ |
| DM Control | |||||
| AIAN | 0.11 | 71.9 (48.5, 95.2) | −13.2 (−36.6, 10.2) | 91.5 (84.7, 98.4) | 4.9 (−2.1, 11.8) |
| Asian | 0.28 | 83.9 (68.0, 99.8) | −1.2 (−17.1, 14.8) | 93.6 (87.4, 99.9) | 7.0 (0.5, 13.4) |
| Black | 0.64 | 80.2 (76.6, 83.8) | −4.8 (−8.7, −1.0) | 83.4 (80.7, 86.1) | −3.3 (−6.3, −0.3) |
| Hispanic | 0.82 | 78.9 (72.7, 85.0) | −6.2 (−12.4, 0.1) | 81.9 (76.8, 87.1) | −4.7 (−10.0, 0.5) |
| Multi‐Race | 0.98 | 87.3 (78.7, 95.8) | 2.2 (−6.4, 10.9) | 88.5 (79.1, 97.8) | 1.8 (−7.6, 11.3) |
| NHOPI | 0.31 | 85.4 (74.4, 96.4) | 0.4 (−10.7, 11.5) | 77.6 (63.3, 91.8) | −9.1 (−23.4, 5.2) |
| White | Ref | 85.0 (83.7, 86.3) | ‐ | 86.7 (85.5, 87.8) | ‐ |
Note: Models adjusted for age, sex, socioeconomic status, urban/rural status, education, self‐rated physical and mental health, Gagne comorbidity score, and access.
Abbreviations: AIAN, American Indian or Alaska Native; DM, diabetes mellitus; HTN, hypertension, NHOPI, Native Hawaiian or Other Pacific Islander; pp, percentage points.