Table 3.
Adjusted Odds Ratio of Youth with Special Health Care Needs, Ages 12 to 18, Not Meeting the Transition Preparation Outcome, According to Selected Individual and Condition-Related Factors: United States, 2009–2010
| Components, adjusted OR (CI)a | |||||
|---|---|---|---|---|---|
| Did not discuss shift to adult provider | Did not discuss adult health care needs | Did not discuss health insurance | Youth not usually/always encouraged to take responsibility | Youth did not receive adequate transition preparation | |
| Sex | |||||
| Female | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 |
| Male | 1.16 (0.97–1.38) | 1.40 (1.25–1.58)*** | 1.13 (0.99–1.30) | 1.24 (1.06–1.46)** | 1.14 (1.01–1.30)* |
| Age, years | |||||
| 12–14 | 2.51 (2.10–3.01)*** | 1.41 (1.25–1.58)*** | 1.61 (1.39–1.85)*** | 1.29 (1.09–1.51)** | 1.66 (1.47–1.89)*** |
| 15–17 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 |
| Race/ethnicity | |||||
| Non-Hispanic white | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 |
| Non-Hispanic black | 0.84 (0.63–1.12) | 0.92 (0.76–1.12) | 0.63 (0.50–0.79)*** | 1.24 (0.97–1.58) | 1.13 (0.92–1.39) |
| Hispanic | 0.99 (0.69–1.40) | 0.87 (0.68–1.10) | 1.09 (0.81–1.45) | 0.90 (0.66–1.22) | 1.27 (0.97–1.65) |
| All otherb | 0.64 (0.45–0.89)** | 0.81 (0.65–1.01) | 0.84 (0.64–1.09) | 1.01 (0.78–1.32) | 0.94 (0.74–1.19) |
| Primary language in home | |||||
| English | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 |
| Not English | 1.18 (0.67–2.10) | 1.26 (0.81–1.96) | 1.13 (0.67–1.92) | 1.19 (0.72–1.96) | 1.14 (0.73–1.19) |
| Highest parental educational attainment | |||||
| Less than high school degree | 0.99 (0.61–1.62) | 0.99 (0.76–1.01) | 0.70 (0.52–0.96)* | 0.86 (0.62–1.18) | 0.81 (0.61–1.07) |
| High school degree | 1.03 (0.78–1.34) | 0.97 (0.82–1.15) | 0.86 (0.71–1.04) | 1.02 (0.81–1.30) | 0.83 (0.70–0.98)* |
| Some college/college degree | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 |
| Poverty level | |||||
| 0%–99% FPLc | 0.85 (0.56–1.28) | 0.65 (0.50–0.83)*** | 0.93 (0.70–1.23) | 0.82 (0.61–1.11) | 0.47 (0.36–0.61)*** |
| 100%–199% FPL | 0.88 (0.64–1.20) | 0.84 (0.69–1.02) | 0.92 (0.73–1.16) | 0.83 (0.64–1.07) | 0.50 (0.41–0.61)*** |
| 200%–399% FPL | 1.05 (0.84–1.31) | 0.87 (0.76–1.01) | 0.91 (0.77–1.07) | 0.92 (0.75–1.12) | 0.72 (0.62–0.84)*** |
| ≥400% FPL | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 |
| Insurance status | |||||
| Private | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 |
| Public | 1.13 (0.82–1.56) | 1.19 (0.98–1.43) | 1.10 (0.88–1.38) | 1.28 (1.00–1.63) | 1.15 (0.94–1.42) |
| Both private and public | 0.91 (0.64–1.29) | 0.89 (0.70–1.13) | 0.54 (0.41–0.71)*** | 1.57 (1.16–2.11)** | 1.31 (0.99–1.72) |
| Uninsured | 1.60 (0.88–2.89) | 1.75 (1.20–2.56)** | 1.27 (0.70–2.29) | 1.28 (0.81–2.02) | 1.01 (0.68–1.50) |
| Impact on activities | |||||
| Always/usually/a great deal affected | 0.82 (0.63–1.06) | 0.85 (0.71–1.01) | 0.85 (0.69–1.04) | 1.83 (1.45–2.31)*** | 1.17 (0.97–1.40) |
| Somewhat/moderately affected | 0.86 (0.69–1.06) | 0.89 (0.77–1.02) | 1.01 (0.86–1.19) | 1.00 (0.82–1.23) | 0.93 (0.80–1.07) |
| Never affected | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 |
| Emotional, behavioral, or developmental conditions | |||||
| Yes | 1.15 (0.94–1.42) | 1.17 (1.02–1.35)* | 1.13 (0.95–1.34) | 1.31 (1.09–1.58)** | 1.10 (0.95–1.28) |
| No | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 |
| Medically complex | |||||
| Yes | 0.67 (0.47–0.95)* | 0.72 (0.54–0.96)* | 0.87 (0.63–1.20) | 1.71 (1.27–2.30)*** | 1.69 (1.22–2.35)** |
| No | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 |
b
All other includes identification as Asian, Alaska Native, American Indian, Native Hawaiian, Pacific Islander, or mixed race.
c
Federal poverty level (FPL) for a family of 4 in 2009 was $22,050.
CI, confidence interval; OR, odds ratio.