Table 2.
Year 2 Affordable Care Act QHP Enrollment of Virginia ADAP Clients who Were Eligible for ADAP-Funded QHPs (Cohort A): Frequencies and Results of Univariable and Multivariable Binary Logistic Regression
| Characteristic/Factor | Enrollment, No. (Row %) | Unadjusted OR (95% CI) | P Value | Adjusted OR (95% CI) | P Value |
|---|---|---|---|---|---|
| All | 2916 (63.0) | NA | NA | NA | NA |
| Age, y | <.001 | <.001 | |||
| 18–24 | 197 (64.2) | 1.46 (1.11–1.92) | 1.70 (1.12–2.58) | ||
| 25–34 | 600 (63.1) | 1.40 (1.15–1.69) | 1.75 (1.28–2.38) | ||
| 35–44 | 677 (66.8) | 1.65 (1.36–2.00) | 1.97 (1.46–2.65) | ||
| 45–54 | 1010 (64.1) | 1.46 (1.23–1.74) | 1.66 (1.26–2.19) | ||
| 55–64 | 432 (55.0) | Reference | Reference | ||
| Race/ethnicity | .01 | .03 | |||
| American Indian/Alaska Native/Native Hawaiian | 26 (78.8) | 2.48 (1.07–5.77) | 2.34 (0.73–7.47) | ||
| Asian | 58 (73.4) | 1.85 (1.11–3.08) | 2.43 (1.22–4.83) | ||
| Black/African American | 1896 (63.9) | 1.09 (0.85–1.40) | 1.28 (1.02–1.61) | ||
| Hispanic/Latino | 197 (61.9) | 1.18 (1.03–1.36) | 1.04 (0.71–1.54) | ||
| White | 739 (59.9) | Reference | Reference | ||
| Gender | .001 | .1 | |||
| Female | 821 (67.3) | 1.29 (1.13–1.49) | 1.25 (1.02–1.53) | ||
| Transgender | 30 (62.5) | 1.05 (0.58–1.89) | 1.22 (0.55–2.70) | ||
| Male | 2065 (61.4) | Reference | Reference | ||
| HIV/AIDS diagnosis | <.001 | .1 | |||
| HIV diagnosis | 1989 (65.0) | 1.29 (1.14–1.46) | 1.17 (0.97–1.42) | ||
| AIDS diagnosis | 927 (59.0) | Reference | Reference | ||
| Engaged in care in 2014 | <.001 | <.001 | |||
| Viral load present | 2510 (64.5) | 1.48 (1.27–1.74) | 2.16 (1.65–2.82) | ||
| Viral load absent | 406 (55.0) | Reference | Reference | ||
| 2014 ADAP program | <.001 | <.001 | |||
| ADAP-funded QHP | 2270 (97.4) | 96.93 (73.84–127.22) | 111.11 (90.91–166.67) | ||
| Direct ADAP | 646 (28.1) | Reference | Reference | ||
| Financial status | <.001 | <.001 | |||
| 251%–400% FPL (tax credit) | 189 (54.2) | 0.61 (0.49–0.77) | 0.58 (0.41–0.82) | ||
| 139%–250% FPL (tax credit) | 589 (57.0) | 0.69 (0.59–0.80) | 0.64 (0.51–0.81) | ||
| 101%–138% FPL (Medicaid gap with tax credit) | 376 (65.8) | 1.00 (0.82–1.21) | 0.94 (0.70–1.25) | ||
| <100% FPL (Medicaid gap, no tax credit) | 1762 (65.8) | Reference | Reference | ||
| Region of residence | <.001 | <.001 | |||
| Northwest | 305 (64.5) | 0.83 (0.66–1.04) | 0.36 (0.25–0.54) | ||
| Eastern | 1005 (64.3) | 0.82 (0.70–0.98) | 0.61 (0.48–0.79) | ||
| Central | 651 (60.6) | 0.70 (0.59–0.84) | 0.51 (0.37–0.70) | ||
| Southwest | 261 (51.1) | 0.48 (0.38–0.59) | 0.58 (0.42–0.79) | ||
| Northern | 694 (68.6) | Reference | Reference | ||
| Clinic-located CAC | .001 | .8 | |||
| Present | 1695 (65.1) | 1.24 (1.10–1.39) | 1.02 (0.82–1.28) | ||
| Absent | 1221 (60.2) | Reference | Reference |
Abbreviations: ADAP, AIDS Drug Assistance Program; CAC, Certified Application Counselor; CI, confidence interval; FPL, Federal Poverty Level; QHP, Qualified Health Plan.