Table 7.

Multivariable Analyses of Adherence to SGA Monitoring Guidelines (“Routinely” Monitored^a), Part 2

	Waist circumference		Lipid and glucose		ECG
	OR (95% CI)	p value	OR (95% CI)	p value	OR (95% CI)	p value
Psychiatrist characteristics
Male	1.88 (0.85, 4.19)	0.04
White, non-Hispanic
Board certified in child and adolescent psychiatry			3.15 (1.17, 8.48)	0.003
Years in practice			0.92 (0.88, 0.96)	<0.001
Psychiatrist attitudes and use of SGAs
Off-label SGA use	1.84 (0.84, 4.07)	0.05
Feel the risk of metabolic syndrome is low enough to warrant the use of SGAs	0.29 (0.11, 0.76)	<0.001
Are comfortable performing a physical examination on patients					2.45 (0.93, 6.41)	0.02
Feel patients are noncompliant with blood work.			0.41 (0.16, 1.05)	0.01
Practice characteristics
Practice settingb
Private	1.80 (0.67, 4.82)	0.13	1.07 (0.32, 3.54)	0.89	0.56 (0.18, 1.71)	0.18
Community mental health center	1.73 (0.61, 4.90)	0.18	1.47 (0.42, 5.14)	0.43	0.72 (0.22, 2.35)	0.47
More than 50% of patients have private insurance
Electronic health records
Can measure vital signs, height, and weight on site			3.60 (1.12, 11.59)	0.005
Can get blood drawn on site
Visits per week
Population densityc
Suburban
Rural

Bolding indicates p<0.01.

^aRoutinely indicates 1–3x/year or every visit.

^bReference is inpatient/outpatient facility

^cReference is urban

SGA, second generation antipsychotic; ECG, electrocardiogram.