TABLE 3.
Adjusted Associations Between Patient Variables and Opioid or Corticosteroid Prescription, 2016 Visits With a Primary Diagnosis of Pneumonia or Sinusitis
| Variable | Pneumonia, aOR (95% CI), P | Sinusitis, aOR (95% CI), P | ||
|---|---|---|---|---|
| Opioid Prescription | Steroid Prescriptiona | Opioid Prescription | Steroid Prescriptiona | |
| Age | 1.26 (1.18–1.34), <0.0001 | 1.01 (0.98–1.04), 0.7 | 1.17 (1.15–1.20), <0.0001 | 1.02 (1.01–1.03), <0.0001 |
| Race and/or ethnicity | ||||
| White | Reference | Reference | Reference | Reference |
| African American | 0.4 (0.2–0.8), 0.01 | 1.19 (0.90–1.57), 0.2 | 0.61 (0.52–0.72), <0.0001 | 0.89 (0.81–0.98), 0.02 |
| Hispanicb | 1.0 (0.41–2.59), 0.9 | 1.24 (0.81–1.89), 0.3 | 0.74 (0.53–1.02), 0.07 | 0.63 (0.52–0.77), <0.0001 |
| Otherc | 0.75 (0.21–0.26), 0.6 | 1.01 (0.59–1.75), 0.9 | 0.71 (0.48–1.05), 0.08 | 0.90 (0.73–1.10), 0.3 |
| Sex | ||||
| Boys | 0.93 (0.54–1.62), 0.8 | 1.07 (0.84–1.37), 0.6 | 1.07 (0.93–1.23), 0.35 | 1.15 (1.06–1.25), 0.001 |
| Girls | Reference | Reference | Reference | Reference |
| Clinical location | ||||
| ED | 4.69 (2.68–8.21), <0.0001 | 1.67 (1.28–2.18), 0.0002 | 4.02 (3.38–4.78), <0.0001 | 3.05 (2.74–3.41), <0.0001 |
| Ambulatory setting | Reference | Reference | Reference | Reference |
Multivariate logistic regression.
Only systemic corticosteroids were evaluated.
Hispanic is used as a racial category because in the South Carolina Medicaid database, ethnicity is not entered separately.
Other race is defined as any race other than white, African American, and Hispanic.