Table 2.
Relative risks of select chronic conditions among African-American high-utilizing patients receiving VA care in fiscal year 2010
| Unadjusted RR (95% CI) |
Partially Adjusted RR* (95%) CI |
Fully Adjusted RR** (95% CI) |
Overall Prevalence | |
|---|---|---|---|---|
| Medical Conditions | ||||
| ≥1 Medical Condition | 1.00 (1.00, 1.00) | 1.01 (1.00, 1.01) | 1.01 (1.01, 1.01) | 93% |
| Acid-Related Disorder | 0.81 (0.79, 0.83) | 0.80 (0.78, 0.82) | 0.80 (0.78, 0.82) | 18% |
| Cancer | 0.88 (0.87, 0.90) | 0.97 (0.95, 0.99) | 1.05 (1.03, 1.07) | 25% |
| Chronic Obstructive Pulmonary Disease | 0.55 (0.53, 0.56) | 0.57 (0.56, 0.59) | 0.59 (0.57, 0.60) | 20% |
| Chronic Renal Failure | 1.53 (1.50, 1.56) | 1.83 (1.79, 1.87) | 1.92 (1.89, 1.96) | 14% |
| Diabetes | 1.06 (1.04, 1.07) | 1.11 (1.09, 1.12) | 1.18 (1.17, 1.20) | 34% |
| Heart Failure | 0.86 (0.84, 0.89) | 1.01 (0.98, 1.04) | 1.09 (1.06, 1.12) | 13% |
| Hepatitis C | 2.38 (2.32, 2.44) | 1.89 (1.85, 1.94) | 1.72 (1.67, 1.77) | 8% |
| HIV/AIDS | 5.17 (4.86, 5.50) | 4.22 (3.98, 4.47) | 4.07 (3.82, 4.33) | 2% |
| Hypertension | 1.10 (1.09, 1.11) | 1.16 (1.15, 1.17) | 1.15 (1.15, 1.16) | 64% |
| Ischemic Heart Disease | 0.58 (0.57, 0.59) | 0.61 (0.59, 0.62) | 0.69 (0.68, 0.71) | 27% |
| Low Back Pain | 1.00 (0.98, 1.02) | 0.92 (0.90, 0.94) | 0.88 (0.86, 0.89) | 21% |
| Peripheral Vascular Disease | 0.66 (0.64, 0.68) | 0.73 (0.71, 0.76) | 0.79 (0.77, 0.82) | 10% |
| Stroke | 1.14 (1.10, 1.17) | 1.29 (1.24, 1.33) | 1.37 (1.32, 1.41) | 8% |
| Thyroid disorder | 0.51 (0.49, 0.53) | 0.53 (0.51, 0.55) | 0.56 (0.53, 0.58) | 8% |
| Vision Disorder | 1.14 (1.11, 1.18) | 1.16 (1.13, 1.20) | 1.14 (1.11, 1.17) | 9% |
| Mental Health Conditions | ||||
| ≥1 Mental Health Condition | 1.21 (1.19, 1.22) | 1.06 (1.05, 1.06) | 0.95 (0.93, 0.96) | 47% |
| Alcohol/Drug Disorder | 1.92 (1.89, 1.95) | 1.51 (1.49, 1.52) | 1.33 (1.30, 1.36) | 20% |
| Bipolar Disorder | 0.82 (0.78, 0.85) | 0.67 (0.65, 0.70) | 0.51 (0.48, 0.53) | 6% |
| Depression | 1.05 (1.03, 1.06) | 0.93 (0.91, 0.94) | 0.79 (0.77, 0.80) | 29% |
| Post-Traumatic Stress Disorder | 1.13 (1.10, 1.15) | 0.96 (0.94, 0.98) | 0.92 (0.90, 0.94) | 17% |
| Schizophrenia | 2.01 (1.94, 2.07) | 1.71 (1.66, 1.77) | 1.57 (1.52, 1.63) | 6% |
| ≥ 1 Medical and ≥1 Mental Health Condition | 1.20 (1.19, 1.21) | 1.06 (1.05, 1.07) | 0.98 (0.96, 0.99) | 44% |
*
Partially Adjusted RR represents the relative risk for African-American high-utilizing patients in reference to Caucasian high-utilizing patients adjusted for age and sex.
**
Fully Adjusted RR represents the relative risk for African-American high-utilizing patients in reference to Caucasian high-utilizing patients adjusted for homelessness, age, marital support, insurance status and sex.
RR = relative risk; CI = confidence interval