Table 4.
Univariate Analyses of Self-Reported SGA Monitoring (“Routinely” Monitoreda), Part 1
| Patient history | Height and weight | Blood pressure | ||||
|---|---|---|---|---|---|---|
| OR (99% CI) | p value | OR (99% CI) | p value | OR (99% CI) | p-value | |
| Psychiatrist characteristics | ||||||
| Male | 0.85 (0.45, 1.61) | 0.50 | 0.31 (0.08, 1.15) | 0.02 | 0.41 (0.19, 0.88) | 0.003 |
| White, non-Hispanic | 1.36 (0.68, 2.70) | 0.26 | 1.53 (0.49, 4.78) | 0.34 | 1.26 (0.59, 2.67) | 0.44 |
| Board certified in child and adolescent psychiatry | 1.70 (0.82, 3.49) | 0.06 | 0.76 (0.20, 2.90) | 0.59 | 1.38 (0.63, 3.01) | 0.30 |
| Years in practice | 0.99 (0.96, 1.02) | 0.29 | 0.94 (0.89, 0.98) | <0.001 | 0.97 (0.94, 1.00) | 0.005 |
| Psychiatrist attitudes and use of SGAs | ||||||
| Off-label SGA use | 0.58 (0.30, 1.14) | 0.04 | 0.52 (0.17, 1.57) | 0.13 | 0.99 (0.47, 2.07) | 0.96 |
| Feel the risk of metabolic syndrome is low enough to warrant the use of SGAs | 0.89 (0.46, 1.74) | 0.66 | 0.46 (0.15, 1.40) | 0.07 | 0.35 (0.17, 0.72) | <0.001 |
| Are comfortable performing a physical examination on patients | 1.33 (0.68, 2.63) | 0.27 | 2.91 (0.68, 12.42) | 0.06 | 2.86 (1.23, 6.64) | 0.001 |
| Feel patients are noncompliant with blood work. | 1.18 (0.63, 2.24) | 0.50 | 1.05 (0.34, 3.23) | 0.90 | 1.05 (0.52, 2.12) | 0.86 |
| Practice characteristics | ||||||
| Practice settingb | ||||||
| Private | 0.92 (0.43, 1.95) | 0.77 | 0.14 (0.02, 0.97) | 0.009 | 0.18 (0.06, 0.53) | <0.001 |
| Community mental health center | 0.93 (0.40, 2.17) | 0.82 | 0.60 (0.06, 6.49) | 0.58 | 0.36 (0.11, 1.18) | 0.03 |
| More than 50% of patients have private insurance | 0.86 (0.44, 1.69) | 0.57 | 0.24 (0.06, 0.94) | 0.007 | 0.46 (0.22, 0.97) | 0.007 |
| Electronic health records | 1.11 (0.58, 2.12) | 0.68 | 8.55 (1.24, 58.81) | 0.004 | 2.56 (1.17, 5.58) | 0.002 |
| Can measure vital signs, height, and weight on site | 1.32 (0.55, 3.17) | 0.41 | 13.61 (4.12, 44.96) | <0.001 | 4.14 (1.72, 9.94) | <0.001 |
| Can get blood drawn on site | 1.00 (0.48, 2.08) | 1.00 | 2.52 (0.49, 12.84) | 0.14 | 2.43 (0.94, 6.33) | 0.02 |
| Visits per week | 0.99 (0.98, 1.00) | 0.12 | 1.00 (0.98, 1.02) | 0.91 | 0.99 (0.98, 1.00) | 0.009 |
| Population densityc | ||||||
| Suburban | 1.25 (0.63, 2.48) | 0.40 | 1.05 (0.32, 3.51) | 0.91 | 0.74 (0.34, 1.59) | 0.31 |
| Rural | 0.82 (0.28, 2.40) | 0.64 | 0.77 (0.13, 4.48) | 0.70 | 0.49 (0.16, 1.53) | 0.11 |
Bolding indicates p<0.01.
a
Routinely indicates 1–3x/year or every visit.
b
Reference is inpatient/outpatient facility.
c
Reference is urban.
SGA, second generation antipsychotic.