Table 3. Association Between Insurance Status and Prehospital Delays.
The effect of sequential adjustments for demographic, clinical, and psychosocial variables on the relationship between (1) insurance with financial concerns and (2) no insurance, with prehospital delays is depicted. The odds ratio (OR) reflects the cumulative probabilities of hospital presentation times of >6 hours vs. ≤6 hours and >2 hours vs. ≤2 hours.
| Adjusted for a | OR (95% CI) |
P Value |
|---|---|---|
| Unadjusted except for site | ||
| Insured With Financial Concerns | 1.22 (1.06, 1.40) | .005 |
| No insurance | 1.30 (1.12, 1.51) | <.001 |
| Adjusted for site, age, gender, race, and residential area | ||
| Insured With Financial Concerns | 1.27 (1.10, 1.47) | <.001 |
| No insurance | 1.44 (1.23, 1.68) | <.001 |
| Adjusted for site, age, gender, race, residential area, comorbidities, and clinical characteristics | ||
| Insured With Financial Concerns | 1.25 (1.08, 1.45) | .003 |
| No insurance | 1.41 (1.20, 1.66) | <.001 |
| Adjusted for site, age, gender, race, residential area, comorbidities, clinical characteristics, baseline CAD health status, social and psychological factors | ||
| Insured With Financial Concerns | 1.21 (1.05, 1.41) | .01 |
| No insurance | 1.38 (1.17, 1.63) | <.001 |
a
Reference group = insured without financial concerns.
Abbreviations: CAD, coronary artery disease; CI, confidence interval; OR, odds ratio.