Table 4.

Self-Reported Patient Information-Seeking Behaviors from a Multisite Study at 34 Community Health Centers (N = 974)

	Percent of Patients Reporting High Rates of Initiating Discussions with Providers about Diabetes Carea	Bivariate P Value	Adjusted Odds Ratiob
Race		0.01
Non-Hispanic white	37		Referent
African American	47		1.78 (1.10, 2.89)*
Age		0.61
18–39	44		Referent
40–65	40		0.67 (0.36, 1.25)
>65	38		0.69 (0.35, 1.34)
Gender		0.68
Male	42		1.01 (0.7, 1.45)
Female	40		0.99 (0.69, 1.43)
Marital status		0.91
Unmarried	41		0.82 (0.58, 1.17)
Married/living as married	40		1.22 (0.85, 1.72)
Education		0.05
High school graduate or less	38		Referent
Some college or higher	46		1.27 (0.87, 1.84)
How well known by doctor		<0.001
Not at all/somewhat/moderately	33		0.48 (0.33, 0.7)**
Very well	45		2.08 (1.43, 3.03)**
Self-reported health status		0.64
Fair/poor	40		1.15 (0.82, 1.61)
Good/very good/excellent	41		1.15 (0.82, 1.61)
Number of years at health center		0.23
≤3 years	37		Referent
>3 years	42		1.09 (0.75, 1.58)
Research Trial Statusc
Standard HDC Arm			1.00
High Intensity Arm			1.01 (0.41, 2.45)

^aBased on patient-initiated discussions with their provider about 6 diabetes-related care activities (testing for HbA1c, cholesterol, and microalbumin; measurement of blood pressure; examinations of feet and eyes); variable dichotomized as 0–2 v. 3–6 positive responses.

^bOdds ratios adjusted for all other covariates in the table.

^cStandard Health Disparities Collaborative (HDC) arm uses quality improvement to improve chronic care delivery. The high-intensity arm includes the standard intervention and additional organizational support and training for patients (empowerment) and physicians (communication and facilitating behavioral change).

^*P < 0.05.

^**P < 0.001.