Table 3. Multivariable Logistic Regression Models With Dependent Variable of Clinician Willingness to Prescribe MOUD to Adolescentsa.
Variable | Standard model | SLX model | ||
---|---|---|---|---|
Estimate | Probability χ2 | Estimate | Probability χ2 | |
Sociodemographic characteristics of clinician location and neighboring locations | ||||
Total population (every 10 000 people increase) | 0.68 (0.50-0.91) | 0.01 | 0.65 (0.49-0.87) | 0.004 |
Total population (W)b | NA | NA | 0.79 (0.47-1.35) | 0.40 |
% Black or African American (every percentage increase) | 0.99 (0.97-1.01) | 0.42 | 1.01 (0.97-1.06) | 0.52 |
% Black or African American (W) | NA | NA | 0.97 (0.92-1.03) | 0.38 |
% With incomes below the federal poverty line (every percentage increase) | 1.02 (0.97-1.07) | 0.44 | 1.04 (0.98-1.09) | 0.18 |
% With incomes below the federal poverty line (W) | NA | NA | 0.92 (0.84-1.01) | 0.09 |
Rurality (every 1 point increase [1-10])c | 1.15 (0.99-1.33) | 0.07 | 1.27 (1.02-1.58) | 0.03 |
Rurality (W) | NA | NA | 0.75 (0.54-1.04) | 0.09 |
Clinician characteristics | ||||
Clinician credentials | ||||
MD/DO | 1 [Reference] | NA | 1 [Reference] | NA |
APC | 0.62 (0.38-0.99) | 0.04 | 0.58 (0.35-0.97) | 0.04 |
Clinician training | ||||
Family medicine | 1 [Reference] | NA | 1 [Reference] | NA |
Addiction medicine or psychiatry | 1.07 (0.62-1.86) | 0.81 | 1.13 (0.60-2.10) | 0.71 |
Otherd | 0.41 (0.20-0.83) | 0.01 | 0.40 (0.18-0.89) | 0.03 |
Abbreviations: APC, advanced practice clinician (ie, nurse practitioner, physician’s assistant); DO, doctor of osteopathic medicine; MD, medical doctor; NA, not applicable.
Both the standard model (QIC statistic, 470) and the SLX model (QIC statistic, 450) account for clustering of clinicians within zip code tabulation areas.
W, spatially lagged variable, generated by spatial weight matrices.
Rurality is described with Rural Urban Commuting Area, version 2 (RUCA2) codes, an index from 1-10 in which higher scores indicate a location is more rural.29
Other, clinician had training in any category other than addiction medicine, psychiatry, or family medicine.