TABLE 3.
Factors Associated With Being Uninsured Compared With Medicaid/Medicare and Commercial Insurance, Among Children Seen at a CHC in the OCHIN Network (January 1, 2010–December 31, 2011)
| Covariates | Medicaid/Medicare | Commercial | ||||||
|---|---|---|---|---|---|---|---|---|
| Unadjusted Odds of Being Uninsured |
P | Adjusted Odds of Being Uninsured |
P | Unadjusted Odds of Being Uninsured |
P | Adjusted Odds of Being Uninsured |
P | |
| Gender | ||||||||
| Boy | 1.00 | — | 1.00 | — | 1.00 | — | 1.00 | — |
| Girl | 1.07 (1.05–1.09) | <.001 | 0.98 (0.96–1.00) | .073 | 0.97 (0.94–1.00) | .088 | 0.98 (0.95–1.01) | .201 |
| Age, y | ||||||||
| 0–14 | 1.00 | — | 1.00 | — | 1.00 | — | 1.00 | — |
| 15–18 | 2.21 (2.16–2.26) | <.001 | 1.87 (1.82–1.92) | <.001 | 0.82 (0.79–0.84) | <.001 | 0.81 (0.78–0.84) | <.001 |
| Race/ethnicity | ||||||||
| White, Non-Hispanic | 1.00 | — | 1.00 | — | 1.00 | — | 1.00 | — |
| Nonwhite and/or Hispanic | 0.57 (0.55–0.58) | <.001 | 0.73 (0.71–0.75) | <.001 | 3.00 (2.90–3.09) | <.001 | 1.50 (1.44–1.56) | <.001 |
| Missing | 0.83 (0.79–0.87) | <.001 | 0.84 (0.80–0.89) | <.001 | 1.54 (1.44–1.65) | <.001 | 1.19 (1.11–1.28) | <.001 |
| Language | ||||||||
| English | 1.00 | — | 1.00 | — | 1.00 | — | 1.00 | — |
| Other than English | 0.66 (0.65–0.68) | <.001 | 0.96 (0.93–0.99) | .003 | 3.75 (3.61–3.90) | <.001 | 1.87 (1.78–1.96) | <.001 |
| Missing | 4.37 (4.20–4.55) | <.001 | 4.04 (3.86–4.22) | <.001 | 1.94 (1.85–2.04) | <.001 | 1.22 (1.16–1.28) | <.001 |
| Income | ||||||||
| >100% federal poverty level | 1.00 | — | 1.00 | — | 1.00 | — | 1.00 | — |
| At or below 100% federal poverty level | 0.94 (0.92–0.96) | <.001 | 0.87 (0.85–0.89) | <.001 | 1.60 (1.55–1.66) | <.001 | 1.62 (1.56–1.68) | <.001 |
| Missing | 0.69 (0.67–0.71) | <.001 | 0.84 (0.82–0.86) | <.001 | 1.06 (1.02–1.10) | .002 | 1.08 (1.04–1.12) | <.001 |
| Location | ||||||||
| Urban | 1.00 | — | 1.00 | — | 1.00 | — | 1.00 | — |
| Rural | 0.93 (0.90–0.95) | <.001 | 0.89 (0.87 –0.92) | <.001 | 0.16 (0.16–0.17) | <.001 | 0.22 (0.21–0.23) | <.001 |
| Clinic type | ||||||||
| Primary care clinic | 1.00 | — | 1.00 | — | 1.00 | — | 1.00 | — |
| School-based health center | 3.91 (3.80–4.04) | <.001 | 3.39 (3.28–3.50) | <.001 | 1.23 (1.19–1.29) | <.001 | 1.06 (1.01–1.10) | .011 |
Adjusted odds ratios are based on multivariable generalized estimating equation logistic regression models accounting for visits nested in children and children nested in clinics. Multivariable models were adjusted for gender, age, race, ethnicity, language, income, rural/urban health center location, and clinic type.