Table 2.
Hierarchical Logistic Regression Analysis of Receipt of ART, Cancer Screening, and Health Care Use
| Variable | Receipt of ART AOR (95% CI)a | Colorectal Cancer Screening AOR (95% CI)a | Cervical Cancer Screening AOR (95% CI)a | Breast Cancer Screening AOR (95% CI)a | Any ED Visit AOR (95% CI)a | Any Hospital Admission |
|---|---|---|---|---|---|---|
| Model of care delivery | ||||||
| FP-dominant comanagement | 2.04 (1.63–2.25) | 1.25 (0.88–1.76) | 0.77 (0.47–1.27) | 3.90 (1.16–13.09) | 1.11 (0.96–1.29) | 2.16 (1.75–2.67) |
| Specialist-dominant comanagement | 2.23 (1.71–2.91) | 0.88 (0.59–1.31) | 0.72 (0.44–1.18 | 0.49 (0.13–1.79) | 1.11 (0.94–1.31) | 1.57 (1.22–2.02) |
| Exclusively primary care (ref) | 1.00b | 1.00b | 1.00 | 1.00 | 1.00 | 1.00b |
| Family physician HIV experienceb | ||||||
| ≤5 HIV patients | 0.16 (0.12–0.21) | 0.85 (0.56–1.29) | 1.09 (0.70–1.69) | 2.10 (0.84–5.27) | 1.16 (0.98–1.37) | 1.17 (0.89–1.53) |
| 6–49 HIV patients | 0.20 (0.15–0.27) | 0.67 (0.42–1.08) | 0.59 (0.35–0.99) | 1.69 (0.58–4.91) | 1.12 (0.92–1.37) | 1.40 (1.02–1.91) |
| ≥50 HIV patients (ref) | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 |
| Interaction modelc FP HIV experience | ||||||
| FP-dominant comanagementc ≤5 HIV patients | 6.27 (2.40–16.34)b | 0.98 (0.26–3.63) | 1.45 (0.34–6.15) | 0.08 (0.01–1.05) | 0.65 (0.33–1.29) | 1.24 (0.58–2.66) |
| FP-dominant comanagementc 6–49 HIV patients | 6.33 (2.92–13.71)b | 1.17 (0.44–3.07) | 0.67 (0.18–2.51) | 0.09 (0.01–1.08) | 0.85 (0.53–1.36) | 0.70 (0.38–1.30) |
| SP-dominant comanagementc ≤5 HIV patients | 5.92 (4.10–8.57)b | 0.76 (0.44–1.30) | 0.96 (0.54–1.71) | 0.87 (0.21–3.67) | 0.90 (0.72–1.14) | 0.87 (0.61–1.24) |
| SP dominant comanagementc 6–49 HIV patients | 4.54 (3.01–6.86)b | 0.73 (0.39–1.38) | 1.30 (0.67–2.53) | 2.06 (0.41–10.36) | 1.01 (0.77–1.32) | 0.65 (0.43–0.98) |
| Age, years | 1.01 (1.00–1.01) | 1.02 (1.00–1.04)b | 0.98 (0.97–0.99)b | 1.07 (1.01–1.12)b | 0.99 (0.98–0.99)b | 1.02 (1.02–1.03)b |
| Sex, female | 0.88 (0.74–1.04) | 1.05 (0.79–1.39) | – | – | 1.07 (0.95–1.20) | 0.97 (0.82–1.16) |
| Neighborhood income quintile | ||||||
| Quintile 1 (lowest) | 1.42 (1.12–1.73) | 0.95 (0.71–1.27) | 0.95 (0.66–1.36) | 0.45 (0.20–1.00) | 1.15 (1.01–1.30) | 1.12 (0.92–1.36) |
| Quintile 2 | 1.05 (0.85–1.28) | 0.88 (0.64–1.21) | 0.98 (0.66–1.44) | 0.32 (0.14–0.76) | 1.00 (0.87–1.15) | 1.02 (0.83–1.27) |
| Quintile 3 | 0.96 (0.81–1.25) | 1.15 (0.83–1.59) | 1.18 (0.78–1.77) | 0.79 (0.33–1.90) | 0.95 (0.82–1.10) | 0.96 (0.77–1.20) |
| Quintile 4 | 1.09 (0.88–1.34) | 0.86 (0.62–1.21) | 1.09 (0.71–1.66) | 0.68 (0.27–1.76) | 0.90 (0.77–1.04) | 0.88 (0.69–1.11) |
| Quintile 5 (highest) (ref) | 1.00b | 1.00 | 1.00 | 1.00d | 1.00b | 1.00 |
| Rurality indexd | ||||||
| Non–major urban | 1.35 (1.04–1.69) | 0.95 (0.68–1.32) | 0.91 (0.61–1.35) | 0.54 (0.25–1.15) | 1.49 (1.28–1.73) | 1.41 (1.13–1.75) |
| Rural | 1.18 (0.75–1.88) | 0.66 (0.34–1.30) | 0.70 (0.31–1.58) | 0.38 (0.10–1.54) | 1.79 (1.31–2.44) | 1.82 (1.22–2.70) |
| Urban (ref) | 1.00 | 1.00 | 1.00 | 1.00 | 1.00b | 1.00b |
| Immigrant statusb | ||||||
| Immigrant from Africa or Caribbean | 1.58 (1.24–1.99) | 0.90 (0.60–1.34) | 1.04 (0.81–1.33) | 1.66 (0.90–3.09) | 0.77 (0.67–0.90)b | 0.80 (0.63–1.02)b |
| Immigrant from Europe or western nations | 0.78 (0.50–1.24) | 1.69 (0.78–3.64) | 0.57 (0.23–1.38) | 0.40 (0.06–2.82) | 0.61 (0.44–0.85) | 0.67 (0.38–1.20) |
| Immigrant from other country | 1.29 (1.00–1.68) | 0.97 (0.60–1.57) | 0.69 (0.46–1.03) | 0.68 (0.28–1.69) | 0.71 (0.59–0.84) | 0.66 (0.49–0.90) |
| Canadian born (ref) | 1.00b | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 |
| Mental health diagnosis | 0.81 (0.71–0.93)b | 0.71 (0.58–0.87)b | 0.93 (0.75–1.15) | 1.23 (0.77–1.99) | 1.37 (1.26–1.50)b | 1.28 (1.12–1.46)b |
| Comorbidity: ADG category | ||||||
| High | 0.69 (0.59–0.82) | 1.55 (1.19–2.03) | 1.33 (1.01–1.73) | 1.84 (0.97–2.48) | 3.31 (2.95–3.71)b | 3.45 (2.90–4.11) |
| Medium | 0.88 (0.75–1.02) | 1.54 (1.23–1.92) | 1.62 (1.27–2.08) | 2.31 (1.27–4.21) | 1.59 (1.43–1.76) | 1.60 (1.35–1.91) |
| Low (ref) | 1.00b | 1.00b | 1.00b | 1.00b | 1.00 | 1.00b |
ADG = aggregated diagnosis group; AOR = adjusted odds ratio; ART = antiretroviral therapy; ED = emergency department; FP = family physician; ref = reference group.
a
Adjusted for all listed patient covariates and interaction term of model of care delivery.
b
Statistically significant (P for overall test of effect <.05).
c
Family physician experience.
d
P = .06.
Note: Analyses account for family physician cluster.