Table 3.
Factors Associated With Perceived Effect of EHRs on Privacy and Security
| Characteristic | Association With Belief EHRs Will Worsen Privacy/Security: OR (95% CI) | ||
|---|---|---|---|
| 2011 | 2012 | 2013 | |
| Age, years | |||
| <40 | Reference | Reference | Reference |
| 40–64 | 1.21 (0.90–1.62) | 1.22 (0.91–1.64) | 1.16 (0.87–1.54) |
| ≥65 | 1.26 (0.85–1.87) | 0.76 (0.51–1.14) | 0.82 (0.57–1.20) |
| Gender, female | 0.84 (0.65–1.08) | 0.83 (0.64–1.08) | 0.92 (0.70–1.19) |
| Married | 0.90 (0.69–1.17) | 1.12 (0.86–1.47) | 0.93 (0.71–1.22) |
| Child in house | 1.00 (0.77–1.31) | 1.35 (1.02–1.77) | 0.94 (0.72–1.24) |
| Education | |||
| ≤High school graduate | Reference | Reference | Reference |
| Some college | 1.14 (0.80–1.63) | 0.83 (0.58–1.20) | 1.43 (0.99–2.07) |
| ≥College graduate | 0.72 (0.52–0.99) | 0.66 (0.47–0.92) | 1.52 (1.10–2.11) |
| Hispanic/Latino | 1.78 (1.05–3.01) | 1.26 (0.76–2.10) | 1.32 (0.83–2.13) |
| Race, black | 1.29 (0.89–1.88) | 0.69 (0.45–1.05) | 0.65 (0.43–0.98) |
| Household income | |||
| <$50,000 | Reference | Reference | Reference |
| $50,000 to <$100,000 | 0.92 (0.68–1.25) | 0.76 (0.56–1.02) | 1.01 (0.74–1.36) |
| ≥$100,000 | 0.85 (0.61–1.17) | 0.61 (0.43–0.87) | 1.04 (0.75–1.42) |
| Employment | |||
| Employed | Reference | Reference | Reference |
| Unemployed | 0.79 (0.54–1.16) | 0.94 (0.65–1.34) | 1.03 (0.69–1.52) |
| Disabled | 0.94 (0.50–1.77) | 1.41 (0.81–2.46) | 0.75 (0.43–1.31) |
| Retired | 1.01 (0.72–1.41) | 0.86 (0.60–1.24) | 0.65 (0.44–0.97) |
| Political orientation | |||
| Moderate | Reference | Reference | Reference |
| Liberal | 0.78 (0.57–1.08) | 0.81 (0.58–1.13) | 0.95 (0.69–1.32) |
| Conservative | 1.34 (0.99–1.82) | 1.67 (1.21–2.30) | 1.61 (1.16–2.24) |
| Uses Internet daily | 0.55 (0.40–0.75) | 0.74 (0.54–1.02) | 1.03 (0.75–1.41) |
| Good/excellent health | 1.10 (0.75–1.61) | 0.98 (0.67–1.15) | 1.29 (0.87–1.91) |
| Doctor uses EHR | 0.70 (0.54–0.92) | 0.70 (0.53–0.92) | 0.69 (0.52–0.92) |
EHR indicates electronic health record; OR, odds ratio.
Bolding indicates statistically significant ORs (those in which the CI did not cross 1).