Table 3:
Multivariate Regression Analyses—HIV Status and Receipt of Antipsychotic Medications for Long-Stay Nursing Home Residents with Dementiaa (but without Schizophrenia or Bipolar Disorder)
| age<65, N=48,268 | Age>=65, N=1,334,366 | |||||||
|---|---|---|---|---|---|---|---|---|
| AOR | p-value | 95% Confidence Interval | AOR | p-value | 95% Confidence Interval | |||
| HIV | 1.24 | <.001 | 1.15 | 1.34 | 0.82 | <.001 | 0.77 | 0.87 |
| Age | 0.99 | <.001 | 0.99 | 0.99 | 0.97 | <.001 | 0.97 | 0.97 |
| Female | 0.83 | <.001 | 0.80 | 0.86 | 0.83 | <.001 | 0.82 | 0.83 |
| Race (Ref: White) | ||||||||
| Black, non-Hispanic | 0.79 | <.001 | 0.75 | 0.82 | 0.88 | <.001 | 0.87 | 0.89 |
| Hispanic | 1.01 | 0.81 | 0.94 | 1.08 | 1.09 | <.001 | 1.07 | 1.11 |
| Other | 0.93 | 0.32 | 0.81 | 1.07 | 0.73 | <.001 | 0.70 | 0.75 |
| AD (versus other dementia) | 1.21 | <.001 | 1.14 | 1.28 | 1.19 | <.001 | 1.18 | 1.20 |
| Depression | 1.21 | <.001 | 1.17 | 1.26 | 1.30 | <.001 | 1.29 | 1.31 |
| Anxiety disorder | 1.52 | <.001 | 1.44 | 1.60 | 1.62 | <.001 | 1.61 | 1.64 |
| ABS (Ref: 0) | ||||||||
| Mild (1–2) | 1.95 | <.001 | 1.86 | 2.05 | 2.04 | <.001 | 2.02 | 2.06 |
| Moderate (3–5) | 2.81 | <.001 | 2.64 | 3.00 | 2.88 | <.001 | 2.84 | 2.92 |
| Severe (≥ 6) | 5.03 | <.001 | 4.49 | 5.62 | 3.79 | <.001 | 3.71 | 3.87 |
| CPS (Ref: none to mild, 0–2) | ||||||||
| Moderate to moderately severe (3–4) | 1.57 | <.001 | 1.50 | 1.64 | 1.73 | <.001 | 1.72 | 1.75 |
| Severe to very severe (5–6) | 1.19 | <.001 | 1.12 | 1.25 | 1.44 | <.001 | 1.42 | 1.46 |
| Years (Ref: 2001–2005) | ||||||||
| 2006–2008 | 1.01 | 0.73 | 0.96 | 1.05 | 0.92 | <.001 | 0.92 | 0.93 |
| 2009–2010 | 0.94 | 0.01 | 0.89 | 0.98 | 0.82 | <.001 | 0.81 | 0.83 |
| Metropolitan-area nursing home | 0.92 | 0.01 | 0.87 | 0.98 | 1.00 | 0.62 | 0.99 | 1.01 |
| Nursing Home’s State (Ref: California) | ||||||||
| Florida | 0.93 | 0.07 | 0.85 | 1.01 | 1.02 | 0.01 | 1.01 | 1.04 |
| Georgia | 1.06 | 0.24 | 0.96 | 1.18 | 1.14 | <.001 | 1.11 | 1.16 |
| Illinois | 0.86 | 0.00 | 0.78 | 0.94 | 0.91 | <.001 | 0.90 | 0.93 |
| Louisiana | 1.20 | 0.00 | 1.07 | 1.34 | 1.40 | <.001 | 1.37 | 1.44 |
| Massachusetts | 1.05 | 0.41 | 0.94 | 1.16 | 1.16 | <.001 | 1.13 | 1.18 |
| Maryland | 0.92 | 0.15 | 0.81 | 1.03 | 1.05 | <.001 | 1.02 | 1.08 |
| North Carolina | 0.86 | 0.01 | 0.78 | 0.96 | 1.04 | <.001 | 1.02 | 1.06 |
| New Jersey | 0.90 | 0.05 | 0.80 | 1.00 | 0.99 | 0.27 | 0.97 | 1.01 |
| New York | 1.05 | 0.21 | 0.97 | 1.13 | 1.06 | <.001 | 1.04 | 1.08 |
| Ohio | 0.84 | <.001 | 0.77 | 0.91 | 0.78 | <.001 | 0.77 | 0.80 |
| Pennsylvania | 0.90 | 0.02 | 0.82 | 0.99 | 0.99 | 0.25 | 0.97 | 1.01 |
| Texas | 1.14 | <.001 | 1.05 | 1.23 | 1.30 | <.001 | 1.27 | 1.32 |
| Virginia | 0.88 | 0.03 | 0.78 | 0.99 | 1.04 | 0.00 | 1.01 | 1.06 |
| Constant | 0.82 | 0.02 | 0.68 | 0.97 | 2.35 | <.001 | 2.24 | 2.47 |
Note: the numbers in regression analysis are slightly different from those in Table 2, because some variables have missing values
HIV= human immunodeficiency virus; AOR = adjusted odds ratio; ref = Reference group; AD=Alzheimer’s disease; ABS = Aggressive Behavior Scale; CPS = Cognitive Performance Scale
Dementia was identified by using the resident assessment (MDS) diagnosis checkboxes of “Alzheimer’s Disease” and “Dementia other than Alzheimer’s disease.”