Table 3.

Multivariate Analyses of Self-reported Receipt of Preventive Services in Each Racial/ethnic Group Adjusted for Gender, Age, Household Income, Education, and Self-perceived health status^*

	Hispanics			African Americans			Non-Hispanic Whites
	MCO, %	FFS, %	Odds Ratio (95% CI)	MCO, %	FFS, %	Odds Ratio (95% CI)	MCO, %	FFS, %	Odds Ratio (95% CI)
Physical examination	54	46	1.41 (1.02 to 1.92)	61	56	1.20 (0.84 to 1.72)	46	40†	1.28 (1.14 to 1.45)
Blood pressure measurement	81	72	1.69 (1.20 to 2.38)	80	77	1.18 (0.78 to 1.79)	83	77†	1.43 (1.22 to 1.64)
Cholesterol assessment	77	72	1.41 (0.97 to 2.04)	87	84	1.14 (0.75 to 1.72)	85	81†	1.33 (1.15 to 1.54)
Pap smear examination	85	75	1.82 (1.08 to 3.13)	88	85	1.23 (0.63 to 2.44)	85	81	1.30 (1.04 to 1.64)
Breast examination	84	67	2.78 (1.15 to 6.67)	91	90	1.04 (0.47 to 2.33)	87	86	1.10 (0.83 to 1.47)
Screening mammography	72	55	2.22 (0.97 to 5.00)	75	72†	1.08 (0.57 to 2.04)	78	76	1.14 (0.89 to 1.45)
Prostate examination	59	40	2.17 (0.76 to 6.25)	81	75†	1.72 (0.52 to 5.56)	74	71	1.16 (0.81 to 1.67)

^*We present the adjusted odds ratio (OR) and 95% confidence intervals (CI) for MCO enrollees in each racial/ethnic group having that preventive service using FFS as the referent group. We also present the percentage of persons in MCOs and FFS plans who would have received each preventive service if the distribution of covariates in FFS and MCO had been similar in that racial/ethnic group. As a separate model was computed for Hispanics, African Americans and non-Hispanic whites, such percentages cannot be used to compare rates of preventive service utilization across racial/ethnic groups.

^†Preventive services for which the Hosmer-Lemeshow goodness-of-fit test in that racial/ethnic group was P > .05 (poor model fit).

MCO, managed care organization; FFS, fee-for-service.