Table 1.
Health Care Use and Perceptions of Need and Activity Limitation, by Epilepsy Status, California Health Interview Survey, 2005a
| Variable | Active Epilepsy With Current Seizures (n = 130) | Active Epilepsy Without Current Seizures (n = 202) | Inactive Epilepsy (n = 272) | No History of Epilepsy (n = 42,416) |
|---|---|---|---|---|
| Epilepsy interference with normal activities? | ||||
| Yes | 68.6 (55.3-79.4) | 21.2 (14.9-29.2) | 3.6 (1.5-8.3) | NA |
| No | 31.4 (20.6-44.7) | 78.8 (70.8-85.0) | 96.4 (91.7-98.4) | |
| Odds ratiob | 60.8 (21.4-173.0)c | 7.6 (3.1-18.6)c | 1 [Reference] | |
| Neurologist or epilepsy specialist visit in past 12 months? | ||||
| Yes | 72.8 (59.7-83.0) | 40.9 (32.2-50.2) | 6.0 (2.4-14.1) | NA |
| No | 27.2 (17.1-40.2) | 59.1 (49.8-67.8) | 94.0 (85.9-97.6) | |
| Odds ratiob | 41.3 (11.2-152.2)c | 10.6 (3.1-35.6)c | 1 [Reference] | |
| Visits with a medical doctor in past 12 months? | ||||
| Yes | 93.4 (81.6-97.9) | 95.6 (89.4-98.3) | 85.0 (76.4-90.8) | 81.6 (81.0-82.2) |
| No | 6.6 (2.1-18.4) | 4.4 (1.7-10.6) | 15.0 (9.2-23.5) | 18.4 (17.8-19.0) |
| Odds ratiob | 2.7 (0.6-11.5) | 4.3 (1.4-13.4)c | 1.2 (0.6-2.3) | 1 [Reference] |
| Health insurance currently? | ||||
| Yes | 81.7 (61.0-93.0) | 89.6 (82.5-94.1) | 79.0 (69.5-86.1) | 83.9 (83.3-84.5) |
| No | 18.3 (7.2-39.0) | 10.4 (5.9-17.5) | 21.1 (13.9-30.6) | 16.1 (15.5-16.7) |
| Odds ratiob | 0.8 (0.3-2.0) | 1.4 (0.7-2.7) | 0.7 (0.4-1.2) | 1 [Reference] |
| Health insurance past year? | ||||
| Insured all year | 76.5 (56.8-89.0) | 85.3 (77.4-90.8) | 75.9 (66.5-83.4) | 78.6 (78.0-79.2) |
| Uninsured all or part of year | 23.5 (11.0-43.2) | 14.7 (9.2-22.6) | 24.1 (16.6-33.5) | 21.4 (20.8-22.0) |
| Odds ratiob | 0.9 (0.3-2.0) | 1.4 (0.7-2.4) | 0.9 (0.5-1.4) | 1 [Reference] |
| Usual source of care? | ||||
| Yes | 96.1 (90.6-98.5) | 92.6 (84.2-96.7) | 79.3 (69.9-86.3) | 85.7 (85.2-86.2) |
| No | 3.9 (1.5-9.4) | 7.4 (3.3-15.7) | 20.7 (13.7-30.1) | 14.3 (13.8-14.9) |
| Odds ratiob | 3.9 (1.2-11.7)c | 1.7 (0.7-4.0) | 0.6 (0.3-1.1) | 1 [Reference] |
| During the past 12 months, did you think you needed mental health care? | ||||
| Yes | 54.5 (39.2-69.0) | 32.1 (24.2-41.2) | 24.4 (17.4-33.1) | 18.4 (17.8-19.0) |
| No | 45.5 (31.0-60.8) | 67.9 (58.8-75.8) | 75.6 (66.9-82.6) | 81.6 (81.0-82.2) |
| Odds ratiob | 4.7 (2.2-9.5)c | 2.1 (1.4-3.2)c | 1.4 (0.9-2.1) | 1 [Reference] |
| Seen a mental health provider in the past 12 months? | ||||
| Yes | 28.6 (18.2-41.8) | 22.4 (15.0-32.1) | 17.3 (12.2-23.9) | 8.2 (7.8-8.6) |
| No | 71.4 (58.2-81.8) | 77.6 (67.9-85.0) | 82.7 (76.1-87.9) | 91.8 (91.4-92.2) |
| Odds ratiob | 3.9 (2.2-7.2)c | 3.2 (1.9-5.3)c | 2.3 (1.5-5.4)c | 1 [Reference] |
| Been to an emergency room for mental health care in the past 12 months? | ||||
| Yes | 5.3 (1.5-16.5) | 1.5 (0.3-6.8) | 1.5 (0.6-3.8) | 0.4 (0.3-0.5) |
| No | 94.7 (83.5-98.5) | 98.5 (93.2-99.7) | 98.5 (96.2-99.4) | 99.6 (99.5-99.7) |
| Odds ratiob | 10.6 (2.3-48.8)c | 3.5 (0.2-50.1) | 3.2 (1.1-9.3)c | 1 [Reference] |
Abbreviation: NA, not applicable.
Values presented are % (95% confidence interval) unless otherwise indicated.
Adjusted for age, sex, self-reported doctor-diagnosed asthma, diabetes, high blood pressure, heart disease, stroke, and cancer; the comparison looks at the response to the survey question across epilepsy status. For example, with the first question, the adjusted odds ratio for active epilepsy with current seizures is the odds a respondent with active epilepsy with current seizures reports epilepsy interferes with normal activities compared with a respondent with inactive epilepsy.
Significant at P <.05; 95% confidence intervals calculated using logistic regression modeling.