Table 2.
Random-Intercept Logistic Regression Models Evaluating Odds of Depression Screening Among Alaska Native and American Indian Male and Female Primary Care Patient by Patient and Provider Factors
Men (n = 6718a)
|
Women (n = 11 242a)
|
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---|---|---|---|---|---|---|
ORb | CIc | P | ORb | CIc | P | |
Patient factors | ||||||
Age (reference, 18-34), y | <.001 | <.001 | ||||
35-54 | 1.3 | 1.2-1.5 | 1.1 | 1.0-1.2 | ||
55-97 | 1.1 | 1.0-1.3 | 0.9 | 0.8-1.0 | ||
At least one of 6 chronic conditionsd | 1.4 | 1.2-1.6 | <.001 | 1.2 | 1.1-1.4 | <.001 |
No. of visits in year prior | 1.6 | 1.4-1.7 | <.001 | 1.8 | 1.7-1.9 | <.001 |
Depression diagnosis in year prior | 1.0 | 0.7-1.6 | .933 | 1.5 | 1.2-1.9 | .002 |
Substance abuse or dependence diagnosis in year prior | 0.9 | 0.7-1.1 | .238 | 1.0 | 0.8-1.2 | .893 |
Antidepressant dispensed in year prior | 1.3 | 0.8-1.9 | .243 | 0.9 | 0.7-1.2 | .513 |
Provider factors | ||||||
Male provider | 1.4 | 1.0-2.0 | .040 | 1.3 | 0.9-1.7 | .106 |
Provider tenure (reference less than 2), y | .014 | .004 | ||||
2-5 | 1.4 | 1.1-1.8 | 1.2 | 1.0-1.5 | ||
5-10 | 1.1 | 0.8-1.5 | 0.8 | 0.6-1.1 | ||
10-16 | 0.9 | 0.5-1.6 | 0.9 | 0.5-1.5 | ||
| ||||||
Variation | CIc | P | Variation | CIc | P | |
| ||||||
Provider-level variation | 0.20 | 0.11-0.37 | <.001 | 0.17 | 0.10-0.29 | <.001 |
There were 327 men and 338 women missing as no qualifying provider was seen over the study period.
Odds ratio (OR) comparing odds of being screened versus not being screened for depression.
The 95% confidence interval (CI).
Includes hypertension, heart disease, diabetes, liver disease, renal disease, and pulmonary disease.