Table 3.
Multivariate Logistic Regressions of Factors associated with Digital Health Device Use (N = 841)
| All | Lifestyle Monitoring | Self-Management | |||||||
|---|---|---|---|---|---|---|---|---|---|
| AOR | [95% CI] | P | AOR | [95% CI] | P | AOR | [95% CI] | P | |
| Age 65 and older | 1.22 | [0.73, 2.03] | 0.457 | 0.57 | [0.39, 0.81] | 0.002 | 1.69 | [1.10, 2.59] | 0.016 |
| Gender (ref = Female) | |||||||||
| Male | 1.62 | [0.88, 3.00] | 0.121 | 0.90 | [0.56, 1.46] | 0.680 | 2.50 | [1.49, 4.19] | 0.001 |
| Race (ref = White) | |||||||||
| Black | 0.63 | [0.28, 1.41] | 0.262 | 1.73 | [0.92, 3.25] | 0.090 | 0.76 | [0.38, 1.53] | 0.449 |
| Other | 1.88 | [0.51, 6.86] | 0.339 | 1.98 | [0.84, 4.67] | 0.120 | 1.20 | [0.43, 3.36] | 0.726 |
|
Hispanic (ref = Not Hispanic) |
0.22 | [0.06, 0.76] | 0.017 | 0.39 | [0.14, 1.09] | 0.073 | 0.44 | [0.14, 1.35] | 0.152 |
|
Marital status (ref = Not married) | |||||||||
| Married | 0.77 | [0.47, 1.25] | 0.293 | 1.03 | [0.72, 1.46] | 0.881 | 0.67 | [0.44, 1.03] | 0.069 |
| Unknown | 2.40 | [0.47, 12.18] | 0.290 | 1.15 | [0.46, 2.87] | 0.770 | 2.41 | [0.60, 9.72] | 0.217 |
|
Rural residence (ref = not rural) | |||||||||
| Rural | 1.03 | [0.57, 1.87] | 0.913 | 0.82 | [0.54, 1.27] | 0.377 | 1.01 | [0.61, 1.69] | 0.965 |
| Difficulty paying for basic necessities (ref = Somewhat/Hard/Very Hard) | |||||||||
| Not very hard | 0.63 | [0.35, 1.14] | 0.125 | 1.30 | [0.89, 1.91] | 0.178 | 0.81 | [0.50, 1.32] | 0.396 |
| Don't know | 0.58 | [0.23, 1.45] | 0.247 | 1.50 | [0.79, 2.85] | 0.211 | 0.62 | [0.28, 1.35] | 0.224 |
|
Educational level (ref = ≤ High school) | |||||||||
|
Some college /Bachelor's degree |
1.38 | [0.71, 2.66] | 0.338 | 1.14 | [0.68, 1.91] | 0.625 | 1.48 | [0.81, 2.69] | 0.198 |
|
Master’s/Professional/ Doctoral |
2.07 | [1.06, 4.03] | 0.033 | 1.76 | [1.06, 2.94] | 0.030 | 1.64 | [0.91, 2.97] | 0.102 |
| Declined to answer | 0.21 | [0.03, 1.44] | 0.113 | 1.28 | [0.21, 7.63] | 0.790 | 0.36 | [0.05, 2.38] | 0.288 |
| Location of care (ref = Mostly at the VHA) | |||||||||
| Mostly outside VHA | 1.18 | [0.49, 2.82] | 0.713 | 0.69 | [0.38, 1.27] | 0.231 | 1.11 | [0.54, 2.31] | 0.774 |
|
About half in VHA, half outside VHA |
1.88 | [1.03, 3.44] | 0.040 | 1.22 | [0.85, 1.77] | 0.283 | 1.26 | [0.79, 2.00] | 0.331 |
| Self-reported health (ref = Excellent/very good) | |||||||||
| Good | 1.41 | [0.87, 2.28] | 0.168 | 1.40 | [0.96, 2.03] | 0.077 | 1.76 | [1.15, 2.68] | 0.009 |
| Fair/poor | 2.58 | [1.33, 5.00] | 0.005 | 1.22 | [0.79, 1.88] | 0.364 | 2.06 | [1.21, 3.52] | 0.008 |
| Computer access | 2.10 | [1.00, 4.44] | 0.051 | 1.06 | [0.58, 1.95] | 0.849 | 1.57 | [0.79, 3.13] | 0.196 |
| Tablet access | 1.81 | [1.16, 2.84] | 0.009 | 2.34 | [1.72, 3.19] | 0.000 | 1.22 | [0.83, 1.78] | 0.307 |
| Smartphone access | 2.13 | [1.17, 3.89] | 0.014 | 2.60 | [1.42, 4.75] | 0.002 | 1.83 | [1.04, 3.23] | 0.037 |
| HCC Score, 5 year | 1.42 | [1.11, 1.82] | 0.005 | 0.97 | [0.85, 1.11] | 0.671 | 1.67 | [1.33, 2.10] | 0.000 |
VHA, Veterans Affairs; AOR, Adjusted Odds Ratio (adjusted for other predictor variables in the model); CI; Confidence Interval; HCC, Hierarchical Condition Category