Table 4:
Effect of language preference, insurance status, and race/ethnicity on responsiveness of PF10a to changes in clinical disease activity
| Clinical Improvement (A 12-point decrease in CDAI) |
Clinical Deterioration (A 12-point increase in CDAI) |
||||||
|---|---|---|---|---|---|---|---|
| Change in PF10a score (β) | 95% CI | P* | Change in PF10a score (β) | 95% CI | P* | ||
| Model 2 | Language | ||||||
| English (Ref) | 3.08 | 2.31, 3.86 | NA | −2.92 | −3.93, −1.92 | NA | |
| Spanish | 0.67 | −1.37, 2.70 | 0.029 | −0.83 | −3.10, 1.44 | 0.098 | |
| Chinese | 1.84 | −0.73, 4.42 | 0.363 | −5.96 | −8.61, −3.31 | 0.036 | |
| Model 3 | Insurance | ||||||
| Private (Ref) | 3.63 | 2.59, 4.66 | NA | −5.33 | −6.74, −3.92 | NA | |
| Medicare | 2.21 | 1.17, 3.25 | 0.055 | −1.62 | −2.91, −0.34 | <0.001 | |
| Medicaid | 0.70 | −1.27, 2.67 | 0.005 | −1.79 | −3.80, 0.22 | 0.005 | |
| Model 4 | Race/Ethnicity | ||||||
| White (Ref) | 3.41 | 2.37, 4.44 | NA | −2.96 | −4.41, −1.51 | NA | |
| African American | 2.47 | −0.17, 5.12 | 0.520 | −0.77 | −4.36, 2.82 | 0.268 | |
| Hispanic/Latino | 2.79 | −0.24, 5.82 | 0.708 | −2.81 | −5.99, 0.37 | 0.934 | |
| Asian | 1.50 | −0.12, 3.14 | 0.052 | −3.49 | −5.15, −1.82 | 0.636 | |
| Other | 2.36 | 0.95, 3.78 | 0.241 | −2.92 | −4.74, −1.09 | 0.974 | |
Data source: Longitudinal cohort (N=341, Encounters=1546)
CDAI: Clinical disease activity index; CI: Confidence interval; Ref: Reference category
Results are from the linear mixed effects regression and adjusted for baseline PF10a, and time; Model 2 incorporates an interaction term between changes in CDAI score (from previous visit) and preferred language; Model 3 incorporates an interaction term between changes in CDAI score and insurance status; Model 4 incorporates an interaction term between changes in CDAI score and race/ethnicity; β represents magnitude of change in PF10a score; P* is the p-value for statistical significance of effect modification by non-English language, non-Private insurance or non-white race.