Table 2.
Weighted Multivariable Logistic Regression Model of Unmet Healthcare Needs Among Adult Respondents to the 2015 Ohio Medicaid Assessment Survey (N=37,140)
| Variable | OR | 95% CIa | pa |
|---|---|---|---|
| County income inequality quartileb | |||
| 1 (most equal) | Ref. | ||
| 2 | 1.03 | (0.91–1.17) | 0.621 |
| 3 | 1.16 | (1.04–1.30) | 0.010 |
| 4 (most unequal) | 1.13 | (1.01–1.26) | 0.030 |
| Age (years) | 0.98 | (0.98–0.98) | <0.001 |
| Female | 1.44 | (1.35–1.54) | <0.001 |
| Race/ethnicity | |||
| Non-Hispanic white | Ref. | ||
| Non-Hispanic black | 1.23 | (1.12–1.36) | <0.001 |
| Hispanic | 0.88 | (0.72–1.08) | 0.224 |
| Other | 1.16 | (0.91–1.48) | 0.230 |
| Educational attainment | |||
| High school or less | Ref. | ||
| Some college or 2-year degree | 1.32 | (1.23–1.42) | <0.001 |
| Four-year college degree | 1.26 | (1.16–1.38) | <0.001 |
| Marital status | |||
| Never married | Ref. | ||
| Married | 1.23 | (1.11–1.35) | <0.001 |
| Separated/divorced/widowed | 1.39 | (1.25–1.55) | <0.001 |
| Unmarried couple | 1.37 | (1.16–1.61) | <0.001 |
| Children in family | |||
| 0 | Ref. | ||
| 1 | 1.01 | (0.91–1.12) | 0.825 |
| 2 | 1.00 | (0.89–1.12) | 0.984 |
| 3 or more | 0.87 | (0.76–0.99) | 0.038 |
| Currently working | 0.93 | (0.86–1.01) | 0.076 |
| Health insurance coverage | |||
| Private | Ref. | ||
| Medicaid | 0.87 | (0.79–0.97) | 0.013 |
| Medicarec | 0.92 | (0.83–1.02) | 0.129 |
| None | 2.47 | (2.17–2.82) | <0.001 |
| Other | 1.03 | (0.86–1.24) | 0.756 |
| Household income (% FPL) | |||
| <100% | Ref. | ||
| 100 to <200% | 1.00 | (0.91–1.11) | 0.935 |
| 200 to <300% | 0.73 | (0.65–0.82) | <0.001 |
| 300 to <400% | 0.59 | (0.52–0.68) | <0.001 |
| 400% or greater | 0.47 | (0.42–0.53) | <0.001 |
| Self-rated general health | |||
| Excellent | Ref. | ||
| Very good | 1.61 | (1.45–1.80) | <0.001 |
| Good | 2.58 | (2.31–2.89) | <0.001 |
| Fair | 4.24 | (3.73–4.83) | <0.001 |
| Poor | 6.62 | (5.58–7.87) | <0.001 |
| History of cardiovascular chronic diseased | 1.16 | (1.07–1.25) | <0.001 |
| History of diabetes | 1.16 | (1.06–1.26) | 0.002 |
| History of cancer | 1.08 | (0.98–1.20) | 0.119 |
| Smoking status | |||
| Never smoked | Ref. | ||
| Former smoker | 1.25 | (1.16–1.35) | <0.001 |
| Current smoker | 1.45 | (1.34–1.58) | <0.001 |
a
Model variance adjusted for complex sampling design.
b
Calculated as Gini coefficient from 2010 to 2014 American Community Survey data.
c
Not including respondents who also have Medicaid coverage.
d
Ever diagnosed with hypertension, heart attack, coronary heart disease, or congestive heart failure.
OR, odds ratio.