Table 3:
Odds of initiation of and engagement with addictions treatment for black and Hispanic, relative to white, VA patients with alcohol use disorders.
| Total N | Black | Hispanic | |
|---|---|---|---|
| OR [95% CI] | OR [95% CI] | ||
| INITIATION AND ENGAGEMENT WITH SPECIALTY ADDICTIONS TREATMENT | |||
| Initiation of Specialty Addictions Care* | 302,406 | 79,585 | 21,476 |
| Unadjusted | 1.80 (1.77, 1.84) | 1.41 (1.36, 1.46) | |
| Adjusted for facility-level characteristics | 1.80 (1.77, 1.84) | 1.41 (1.36, 1.46) | |
| Adjusted for facility and predisposing | 1.75 (1.71, 1.78) | 1.25 (1.20, 1.29) | |
| Adjusted for facility, predisposing, and enabling | 1.70 (1.67, 1.74) | 1.26 (1.22, 1.31) | |
| Adjusted for facility, predisposing, enabling, and need | 1.38 (1.35, 1.41) | 1.21 (1.16, 1.25) | |
| Engagement with Specialty Addictions Treatment (Among all Patients) | 302,406 | 79,585 | 21,476 |
| ≥ 3 visits within 1st month* | |||
| Unadjusted | 1.85 (1.81, 1.89) | 1.34 (1.29, 1.39) | |
| Adjusted for facility-level characteristics | 1.85 (1.82, 1.89) | 1.34 (1.29, 1.39) | |
| Adjusted for facility and predisposing | 1.77 (1.73, 1.81) | 1.21(1.17, 1.26) | |
| Adjusted for facility, predisposing, and enabling | 1.72 (1.68, 1.75) | 1.23 (1.18, 1.28) | |
| Adjusted for facility, predisposing, enabling, and need | 1.36 (1.33, 1.40) | 1.17 (1.12, 1.21) | |
| ≥2 visits in each of the 1st 3 months (6 total visits in 3 months)* | |||
| Unadjusted | 1.94 (1.89, 1.98) | 1.28 (1.22, 1.34) | |
| Adjusted for facility-level characteristics | 1.94 (1.90, 1.99) | 1.28 (1.23, 1.34) | |
| Adjusted for facility and predisposing | 1.82 (1.78, 1.86) | 1.19 (1.14, 1.25) | |
| Adjusted for facility, predisposing, and enabling | 1.76 (1.72, 1.80) | 1.20 (1.15, 1.26) | |
| Adjusted for facility, predisposing, enabling, and need | 1.39 (1.36, 1.43) | 1.13 (1.08, 1.19) | |
| Engagement With Specialty Addictions Treatment (Among only Patients who Initiated Specialty Treatment) | 90,789 | 30,303 | 6,816 |
| ≥ 3 visits in 1st month ** | |||
| Unadjusted | 1.33 (1.28, 1.38) | 0.93 (0.87, 0.99) | |
| Adjusted for facility-level characteristics | 1.33 (1.28, 1.39) | 0.93 (0.87, 0.99) | |
| Adjusted for facility and predisposing | 1.25 (1.20, 1.30) | 0.96 (0.90, 1.03) | |
| Adjusted for facility, predisposing, and enabling | 1.23 (1.19, 1.29) | 0.97 (0.91, 1.04) | |
| Adjusted for facility, predisposing, enabling, and need | 1.09 (1.05, 1.14) | 0.95 (0.89, 1.02) | |
| ≥2 visits in the 1st 3 months of treatment (6 total visits in 3 months)** | |||
| Unadjusted | 1.38 (1.33, 1.42) | 0.93 (0.88, 0.99) | |
| Adjusted for facility-level characteristics | 1.38 (1.34, 1.43) | 0.94 (0.88, 0.99) | |
| Adjusted for facility and predisposing | 1.29 (1.25, 1.33) | 0.97 (0.92, 1.03) | |
| Adjusted for facility, predisposing, and enabling | 1.27 (1.22, 1.31) | 0.98 (0.92, 1.04) | |
| Adjusted for facility, predisposing, enabling, and need | 1.16 (1.12, 1.20) | 0.95 (0.90, 1.01) | |
| HEDIS INITIATION AND ENGAGEMENT WITH SPECIALTY TREATMENT OR AUD CARE IN GENERAL HOSPITAL SETTING | |||
| HEDIS Initiation (access in first 14 days after index visit)* | 302,406 | 79,585 | 21,476 |
| Unadjusted | 1.38 (1.34, 1.41) | 1.10 (1.06, 1.15) | |
| Adjusted for facility-level characteristics | 1.38 (1.34, 1.41) | 1.11 (1.06, 1.16) | |
| Adjusted for facility and predisposing | 1.34 (1.31, 1.37) | 1.03 (0.99, 1.08) | |
| Adjusted for facility, predisposing, and enabling | 1.30 (1.27, 1.33) | 1.05 (1.00, 1.09) | |
| Adjusted for facility, predisposing, enabling, and need | 1.10 (1.07, 1.12) | 0.98 (0.94, 1.02) | |
| HEDIS Engagement (Among all Patients)* | 302,406 | 79,585 | 21,476 |
| Unadjusted | 1.46 (1.41, 1.52) | 1.13 (1.05, 1.22) | |
| Adjusted for facility-level characteristics | 1.47 (1.41, 1.53) | 1.14 (1.06, 1.24) | |
| Adjusted for facility and predisposing | 1.40 (1.35, 1.46) | 1.03 (0.95, 1.12) | |
| Adjusted for facility, predisposing, and enabling | 1.36 (1.31, 1.42) | 1.05 (0.97, 1.14) | |
| Adjusted for facility, predisposing, enabling, and need | 1.14 (1.09, 1.19) | 1.00 (0.92, 1.08) | |
| HEDIS Engagement (Among those who met criteria for HEDIS initiation)*** | 52,666 | 16,501 | 3, 649 |
| Unadjusted | 1.15 (1.10, 1.21) | 1.03 (0.94, 1.13) | |
| Adjusted for facility-level characteristics | 1.16 (1.10, 1.21) | 1.04 (0.95, 1.14) | |
| Adjusted for facility and predisposing | 1.14 (1.09, 1.20) | 1.00 (0.91, 1.09) | |
| Adjusted for facility, predisposing, and enabling | 1.14 (1.09, 1.20) | 1.01 (0.93, 1.11) | |
| Adjusted for facility, predisposing, enabling, and need | 1.08 (1.03, 1.13) | 1.00 (0.92, 1.10) | |
Relative to white patients
*
(n=201345)
**
(n=53760)
***
(n=32516)
Bolded results indicate significance at a p < 0.05 level