Table 2.
GEE Models of Patient-Reported Discrimination and Medication Treatment Intensification
| Hyperglycemia cohort RR (95% CI) | Hyperlipidemia cohort RR (95% CI) | Hypertension cohort RR (95% CI) | Composite cohort RR (95% CI) | |
|---|---|---|---|---|
| Unadjusted | ||||
| Discrimination | ||||
| No (ref) | 1.0 | 1.0 | 1.0 | 1.0 |
| Yes | 0.91 (0.71, 1.16) | 1.22 (0.91, 1.66) | 1.23 (0.80, 1.88) | 1.10 (0.88, 1.39) |
| Adjusted | ||||
| Discrimination | ||||
| No (ref) | 1.0 | 1.0 | 1.0 | 1.0 |
| Yes | 0.96 (0.74, 1.24) | 1.23 (0.93, 1.63) | 1.06 (0.69, 1.61) | 1.08 (0.88, 1.33) |
| Race/ethnicity | ||||
| White (ref) | 1.0 | 1.0 | 1.0 | 1.0 |
| Black | 0.97 (0.84, 1.12) | 0.91 (0.73, 1.14) | 1.19 (0.96, 1.48) | 1.09 (0.96, 1.24) |
| Latino | 0.86 (0.74, 1.01) | 0.97 (0.74, 1.27) | 0.99 (0.76, 1.29) | 1.05 (0.91, 1.22) |
| Asian | 0.89 (0.71, 1.12) | 0.81 (0.56, 1.17) | 1.19 (0.88, 1.61) | 1.09 (0.91, 1.31) |
| Filipino | 1.06 (0.88, 1.28) | 0.96 (0.64, 1.43) | 1.59 (1.19, 2,12)** | 1.39 (1.17, 1.65)** |
| Other | 1.10 (0.87, 1.40) | 0.74 (0.46, 1.19) | 1.44 (0.89, 2.31) | 1.26 (1.00, 1.59)* |
| Age | ||||
| <50 | 0.96 (0.75, 1.22) | 1.12 (0.81, 1.54) | 1.12 (0.81, 1.55) | 1.23 (1.02, 1.48)* |
| 50–64 | 1.05 (0.83, 1.32) | 1.11 (0.84, 1.46) | 1.26 (0.97, 1.64) | 1.31 (1.12, 1.55)* |
| ≥65 (ref) | 1.0 | 1.0 | 1.0 | 1.0 |
| Gender | ||||
| Male | 0.96 (0.83, 1.10) | 1.08 (0.87, 1.34) | 1.25 (1.01, 1.54)* | 1.17 (1.04, 1.33)* |
| Female (ref) | 1.0 | 1.0 | 1.0 | 1.0 |
| Education | ||||
| ≤High school (ref) | 1.0 | 1.0 | 1.0 | 1.0 |
| Some college | 1.00 (0.86, 1.18) | 0.96 (0.74, 1.24) | 0.98 (0.74, 1.28) | 0.89 (0.76, 1.04) |
| ≥College | 1.00 (0.84, 1.20) | 1.01 (0.77, 1.33) | 1.06 (0.82, 1.37) | 0.93 (0.79, 1.10) |
| Mean DxCG score (1-point change) | 0.96 (0.94, 0.99)** | 0.96 (0.94, 0.99)** | 0.98 (0.96, 1.01) | 0.96 (0.94, 0.98)** |
| Duration diabetes | ||||
| 0–4 years | 1.0 | 1.0 | 1.0 | 1.0 |
| 5–10 years | 0.92 (0.79, 1.06) | 0.91 (0.69, 1.19) | 1.16 (0.90, 1.50) | 0.99 (0.86, 1.15) |
| >10 years | 0.87 (0.74, 1.03) | 1.24 (0.95, 1.62) | 1.12 (0.86, 1.46) | 1.02 (0.87, 1.19) |
*Indicates p < 0.05
**Indicates p < 0.01
“Ref” indicates the referent group when examining a categorical covariate. RR = Relative risk