Table 3.

Logistic regression results for cervical cancer screening and acute care visits among women continuously enrolled in Maryland Medicaid between July 2004 and June 2005

	Cervical cancer screening (N=104,157)a		Acute care visits (N=105,681)b		Cervical cancer screening with acute care visits as a covariate (N=104,157)c
Variable	AOR	CI	AOR	CI	AOR	CI
Diagnosis (reference: control group)
Psychosis	1.46	1.36–1.57	1.45	1.36–1.54	1.24	1.15–1.35
Substance use disorder	.80	.75–.85	1.04	.98–1.09	.74	.68–.78
Bipolar disorder or mania	1.59	1.43–1.76	2.05	1.87–2.25	1.08	.96–1.21
Depression	1.78	1.61–1.96	2.15	1.97–2.35	1.21	1.08–1.35
Region (reference: Baltimore City)d
Baltimore suburbs	.91	.87–.96	.94	.90–.98	.92	.87–.97
Eastern Shore	1.21	1.14–1.29	.96	.91–1.01	1.34	1.24–1.44
Southern Maryland	.87	.80–.94	.85	.79–.92	.93	.85–1.03
Washington, D.C., suburbs	.71	.68–.75	.68	.65–.71	.84	.79–.89
Western Maryland	1.24	1.15–1.34	1.10	1.03–1.18	1.21	1.11–1.33
Comorbidity
HIV-AIDS	1.46	1.32–1.61	.82	.75–.90	2.05	1.82–2.31
Other sexually transmitted disease	2.36	2.24–2.49	2.33	2.21–2.45	1.67	1.57–1.78
Human papilloma virus	17.04	11.91–24.40	4.35	3.26–5.89	17.55	11.72–26.81
Age
Age÷10	.64	.58–.70	.64	.59–.69	.76	.69–.85
Age÷102	1.03	1.02–1.04	1.05	1.04–1.06	1.01	1.00–1.02
Race (reference: white)
Black	1.19	1.14–1.24	1.07	1.03–1.10	1.19	1.14–1.25
Other	1.26	1.17–1.35	1.14	1.08–1.22	1.24	1.14–1.34
Medicaid eligibility (reference: families and children)
Disabled	.74	.71–.78	.87	.83–.91	.76	.72–.80
Dual (with Medicare)	.44	.41–.47	.58	.55–.61	.52	.48–.55
Family planning	.22	.21–.23	.13	.12–.13	.64	.61–.68
Long-term care	.34	.27–.42	.31	.26–.38	.58	.44–.76
Other	1.30	1.01–1.67	1.25	.99–1.56	1.28	.96–1.73
Acute care visit					20.00	19.23–20.83

^aWomen with hysterectomies or cancer were excluded. R²=.14; χ²=92, df=23, p<.001; receiver operator curve (ROC) area=.71

^bIncludes primary care and gynecological visits. R²=.24; χ²=197, df=23, p<.001; ROC area=.75

^cWomen with hysterectomies or cancer were excluded. R²=.43; χ²=668, df=24, p<.001; ROC area=.86

^dThe Eastern Shore, Southern Maryland, and Western Maryland are more rural than the other regions.