Table 2. Adjusted odd ratios for associations of appointment non-adherence among 185 African-Americans admitted to an urban hospital with severe, poorly controlled hypertension.
Variable | Adjusted odds ratio (95% CI) | P - value |
Age (per 10 yrs) | 1.01 (0.97–1.05) | 0.70 |
Men (Women are reference) | 0.91 (0.39–2.11) | 0.83 |
Not Finishing high school | 3.23 (1.33–7.69) | <0.01 |
Employed full or part-time | 1.06 (0.38–2.86) | 0.91 |
Heroin and/or Cocaine use | 1.05 (0.43–2.57) | 0.92 |
Depression | 0.99 (0.10–9.82) | 0.99 |
Mortality risk category | ||
Level 1 “Minor” | Reference | |
Level 2 “Moderate” | 0.61 (0.20–1.83) | 0.38 |
Level 3/4 “Major” and “Extreme” | 0.54 (0.12–2.34) | 0.41 |
Disease complexity category | ||
Level 1 “Minor” | Reference | |
Level 2 “Moderate” | 1.16 (0.26–5.17) | 0.81 |
Level 3/4 “Major” and “Extreme” | 3.14 (0.53–18.46) | 0.20 |
Access to care | ||
Cost of discharge medications (per $10) | 1.20 (1.01–1.42) | 0.04 |
Insurance Status | ||
Full Medication coverage | Reference | |
Medication Coverage with copay | 0.72 (0.16–3.25) | 0.67 |
No Medication Coverage | 5.08 (1.05–24.63) | 0.04 |
No Insurance | 6.03 (1.83–19.88) | <0.01 |
Knowledge, Attitudes & Beliefs | ||
Hypertension knowledge(<80% correct) | 2.39 (1.01–5.78) | 0.05 |
Experience side effects | 3.63(1.24–10.62) | 0.03 |
Belief that medications don't work | 3.67 (1.16–11.67) | 0.03 |
Medication non-adherence | ||
Medication non-adherence (Pill taking behavior) | 11.31 (3.87–33.10) | <0.01 |
Medication non-adherence (Prescription refill behavior) | 3.50 (1.45–8.44) | <0.01 |
Model adjusted for age, gender, education, employment status, disease complexity, mortality risk, depression, substance abuse (heroin and/or cocaine use), and insurance Status, bold indicates P<0.05.