Table 1.
National Patterns in Teach-Back Experience by Demographic and Health-Related Characteristics of ACSC Patients, MEPS 2011–2015
| Characteristics | Teach-back/total*, unweighted | Teach-back/totala, weighted | Prevalence % (95% CI)† | P value |
|---|---|---|---|---|
| Age group (years) | 0.16 | |||
| 18–34 | 469/1680 | 2,069,158/8,446,339 | 24.5 (21.6–27.4) | |
| 35–44 | 476/1721 | 1,973,279/8,402,815 | 23.5 (20.9–26.1) | |
| 45–54 | 907/2903 | 4,149,342/14,928,010 | 27.8 (25.8–29.8) | |
| 55–64 | 993/3381 | 4,777,220/18,401,672 | 26.0 (24.0–27.9) | |
| 65–74 | 759/2553 | 3,773,172/14,653,576 | 25.7 (23.4–28.1) | |
| 75+ | 559/1872 | 3,065,563/11,831,947 | 25.9 (23.3–28.5) | |
| Sex | < .001 | |||
| Male | 1805/5965 | 9,443,342/34,460,428 | 27.4 (25.8–29.0) | |
| Female | 2358/8145 | 10,364,391/42,203,931 | 24.6 (23.3–25.8) | |
| Race/ethnicity | < .001 | |||
| Non-Hispanic White | 1678/7233 | 12,945,134/56,617,713 | 22.9 (21.6–24.2) | |
| Non-Hispanic Black | 1173/3076 | 3,078,090/8,311,346 | 37.0 (34.7–39.4) | |
| Hispanic | 967/2660 | 2,520,969/7,172,852 | 35.1 (32.6–37.7) | |
| Non-Hispanic Asian | 244/784 | 785,226/2,655,026 | 29.6 (25.2–34.0) | |
| Other/multiple group | 95/337 | 454,456/1,825,044 | 24.9 (18.9–30.9) | |
| Education | < .001 | |||
| Less than high school | 1048/2641 | 3,285,579/9,152,502 | 35.9 (33.2–38.5) | |
| High school/GED | 1248/4049 | 5,959,342/21,025,358 | 28.3 (26.4–30.3) | |
| Some college | 1105/3995 | 5,668,660/23,160,109 | 24.5 (22.8–26.2) | |
| 4-year college or higher | 762/3425 | 4,894,152/23,326,390 | 21.0 (19.3–22.6) | |
| Family income | < .001 | |||
| Poor | 1130/3392 | 3,834,831/13,045,232 | 29.4 (27.2–31.5) | |
| Low income | 739/2162 | 2,835,991/9,698,936 | 29.2 (26.5–32.0) | |
| Middle income | 1168/4023 | 5,639,736/21,905,460 | 25.7 (23.9–27.6) | |
| High income | 1126/4533 | 7,497,176/32,014,731 | 23.4 (21.7–25.1) | |
| Marital status | 0.03 | |||
| Not married | 2065/6535 | 8,524,767/31,605,423 | 27.0 (25.7–28.3) | |
| Married | 2098/7575 | 11,282,966/45,058,936 | 25.0 (23.6–26.5) | |
| Employment | 0.21 | |||
| Not employed | 2111/6807 | 9,288,217/34,999,491 | 26.5 (25.0–28.1) | |
| Employed | 2052/7303 | 10,519,516/41,664,868 | 25.2 (23.8–26.7) | |
| Census region | 0.84 | |||
| Northeast | 711/2366 | 3,618,853/14,014,888 | 25.8 (22.7–28.9) | |
| Midwest | 809/2889 | 4,566,881/17,702,912 | 25.8 (23.7–27.9) | |
| South | 1636/5432 | 7,359,999/29,003,477 | 25.4 (23.7–27.0) | |
| West | 1007/3423 | 4,262,000/15,943,083 | 26.7 (24.4–29.1) | |
| Health insurance | < .001 | |||
| Private | 2235/8395 | 12,675,117/52,250,159 | 24.3 (23.0–25.5) | |
| Public | 1567/4562 | 5,931,438/19,793,824 | 30.0 (27.9–32.0) | |
| Uninsured | 361/1153 | 1,201,179/4,620,376 | 26.0 (22.7–29.3) | |
| Having usual source of care provider | 0.34 | |||
| No | 345/1248 | 1,473,368/6,057,910 | 24.3 (20.9–27.7) | |
| Yes | 3775/12,708 | 18,167,606/69,892,325 | 26.0 (24.9–27.1) | |
| General health status | 0.78 | |||
| Fair to poor | 1253/4101 | 4,647,346/18,133,117 | 25.6 (23.9–27.3) | |
| Excellent to good | 2909/9999 | 15,156,413/58,483,793 | 25.9 (24.6–27.2) | |
| Smoking | 0.25 | |||
| No | 3386/11,648 | 16,445,488/64,249,233 | 25.6 (24.4–26.8) | |
| Yes | 698/2242 | 3,088,467/11,451,180 | 27.0 (24.9–29.1) | |
| Obesity | < .001 | |||
| No | 2375/8341 | 11,593,887/46,887,361 | 24.7 (23.4–26.0) | |
| Yes | 1788/5769 | 8,213,846/29,776,998 | 27.6 (25.9–29.3) | |
| High blood pressure | < .001 | |||
| No | 1232/4737 | 6,387,541/27,641,918 | 23.1 (21.5–24.7) | |
| Yes | 2930/9370 | 13,418,381/49,001,532 | 27.4 (26.0–28.8) | |
| Diabetes | < .001 | |||
| No | 3005/10,622 | 15,214,812/60,525,788 | 25.1 (23.9–26.4) | |
| Yes | 1158/3486 | 5,492,921/16,130,741 | 28.5 (26.5–30.4) | |
| Heart disease | 0.08 | |||
| No | 3064/10,252 | 14,264,819/54,012,404 | 26.4 (25.1–27.7) | |
| Yes | 1099/3858 | 55,542,914/22,651,955 | 24.5 (22.6–26.3) | |
| Asthma | 0.16 | |||
| No | 3337/11,318 | 16,208,111/61,953,245 | 26.2 (25.0–27.4) | |
| Yes | 825/2790 | 3,590,869/14,699,507 | 24.4 (22.2–26.7) | |
| COPD | 0.88 | |||
| No | 3825/12,984 | 18,216,705/70,452,239 | 25.9 (24.7–27.0) | |
| Yes | 338/1125 | 1,591,028/6,209,266 | 25.6 (22.6–28.6) | |
GED, general educational development; COPD, chronic obstructive pulmonary disease
*Teach-back includes patients with ambulatory care sensitive conditions (ACSCs) with teach-back experience; total includes total number of ACSC patients with the demographic or health-related characteristics
†Percentages represent US population estimates accounting for MEPS sampling weights and the complex survey design