Table 2. Logistic Regression Analysis for SDoH Cases (2012-2014 and 2016-2017).
*Reference.
SDoH: Social Determinants of Health.
| 2012-2014 | 2016-2017 | P value (Sig) | ||||
| Variables | OR | 95 CI | OR | 95 CI | 2012-2014 | 2016-2017 |
| Disposition | ||||||
| Routine Discharge | 0.88 | 0.81-0.95 | 1.57 | 1.23-2.01 | 0.002 | <0.001 |
| Transfer to Short-term Hosp | 0.79 | 0.73-0.85 | 1.44 | 1.13-1.84 | 0.003 | 0.003 |
| Transfer Other: Includes Skilled Nursing Facility | 1.07 | 0.99-1.15 | 1.76 | 1.38-2.25 | 0.070 | 0.001 |
| Home Health Care (HHC) | 0.57 | 0.53-0.62 | 0.92 | 0.72-1.18 | <0.001 | 0.535 |
| Against Medical Advice | 1.17 | 1.08-1.26 | 2.8 | 2.21-3.61 | <0.001 | <0.001 |
| *Discharged Alive | <0.001 | |||||
| Most Common Diagnoses (Major Diagnostic Category) | ||||||
| Mental Disease and Disorders | 18.80 | 18.2-19.4 | 4.11 | 3.99-4.23 | <0.001 | <0.001 |
| Alcohol and Drug Use | 5.02 | 4.86-5.19 | 2.04 | 2.04-2.16 | <0.001 | <0.001 |
| Injuries, Poisonings, and Toxic Effects of Drugs | 1.68 | 1.62-1.73 | 0.79 | 0.76-0.81 | <0.001 | <0.001 |
| Sex | ||||||
| *Female | ||||||
| Male | 1.17 | 1.7-1.18 | 1.30 | 1.29-1.30 | <0.001 | <0.001 |
| Race | ||||||
| *Other | <0.001 | |||||
| White | 1.19 | 1.18-1.20 | 1.30 | 1.28-1.32 | <0.001 | <0.001 |
| Black | 1.04 | 1.03-1.05 | 1.26 | 1.25-1.28 | <0.001 | <0.001 |
| Hispanic | 0.93 | 0.92-0.94 | 0.86 | 0.85-0.87 | <0.001 | <0.001 |
| Asian or Pacific Islander | 0.72 | 0.70-0.72 | 0.71 | 0.70-0.73 | <0.001 | <0.001 |
| Native American | 1.19 | 1.12-1.21 | 1.75 | 1.70-1.79 | <0.001 | <0.001 |
| Census Region | ||||||
| New England | 0.94 | 0.93-1.94 | 1.02 | 1.01-1.03 | <0.001 | <0.001 |
| Middle Atlantic | 0.59 | 0.59-0.60 | 0.64 | 0.63-0.64 | <0.001 | <0.001 |
| East North Central | 0.69 | 0.68-0.69 | 0.66 | 0.66-0.67 | <0.001 | <0.001 |
| West North Central | 0.78 | 0.77-0.79 | 0.65 | 0.65-0.66 | 0.126 | <0.001 |
| South Atlantic | 0.73 | 0.72-0.74 | 0.68 | 0.68-0.69 | <0.001 | <0.001 |
| East South Central | 0.63 | 0.62-0.64 | 0.57 | 0.57-0.58 | <0.001 | <0.001 |
| West South Central | 0.65 | 0.65-0.66 | 0.59 | 0.59-0.60 | <0.001 | <0.001 |
| Mountain | 0.80 | 0.80-0.81 | 0.95 | 0.94-0.96 | <0.001 | <0.001 |
| *Pacific | <0.001 | <0.001 | ||||
| Primary Payer | ||||||
| Medicare | 0.53 | 0.53-0.54 | 0.52 | 0.51-0.52 | <0.001 | <0.001 |
| Medicaid | 1.13 | 1.12-1.14 | 1.34 | 1.30-1.32 | <0.001 | <0.001 |
| Private Insurance | 0.70 | 0.69-0.71 | 0.51 | 0.50-0.51 | <0.001 | <0.001 |
| Self-Pay | 1.37 | 1.36-1.39 | 1.47 | 1.46-1.49 | <0.001 | <0.001 |
| No Charge | 1.16 | 1.58-1.64 | 1.79 | 1.75-1.83 | <0.001 | <0.001 |
| *Other | <0.001 | <0.001 | ||||
| Rural-Urban Code | ||||||
| "Central" Counties of Metro Areas of ≥1 Million Population | 1.30 | 1.29-1.31 | 1.41 | 1.40-1.42 | <0.001 | <0.001 |
| "Fringe" Counties of Metro Areas of ≥1 Million Population | 1.19 | 1.18-1.20 | 1.21 | 1.20-1.23 | <0.001 | <0.001 |
| Counties in Metro Areas of 250,000-999,999 Population | 1.32 | 1.30-1.33 | 1.35 | 1.33-1.36 | <0.001 | <0.001 |
| Counties in Metro Areas of 50,000-249,999 Population | 1.31 | 1.30-1.33 | 1.37 | 1.35-1.38 | <0.001 | <0.001 |
| Micropolitan Counties | 1.20 | 1.95-1.21 | 1.11 | 1.09-1.12 | <0.001 | <0.001 |
| *Not Metropolitan or Micropolitan Counties | <0.001 | 0.005 | ||||
| Median Household Income | ||||||
| < $43,000 | 1.15 | 1.15-1.16 | 1.26 | 1.28-1.32 | <0.001 | |
| < $54,000 | 1.07 | 1.06-1.08 | 1.10 | 1.10-1.11 | <0.001 | 0.001 |
| < $71,000 | 1.02 | 1.02-1.03 | 1.06 | 1.05-1.06 | <0.001 | <0.001 |
| *$71,000+ | <0.001 | <0.001 | ||||
| Severity Risk | ||||||
| Minor Loss of Function (Includes Cases With No Comorbidity or Complications) | 0.64 | 0.63-0.65 | 0.54 | 0.54-0.55 | 0.001 | <0.001 |
| Moderate Loss of Function | 0.86 | 0.85-0.87 | 0.90 | 0.89-0.92 | <0.001 | <0.001 |
| Major Loss of Function | 1.00 | 0.98-1.01 | 1.15 | 1.13-1.16 | 0.867 | <0.001 |
| *Extreme Loss of Function | <0.001 | <0.001 | ||||
| Mortality Risk (%) | ||||||
| *Did Not Die | ||||||
| Died | 1.75 | 1.61-1.89 | 1.09 | 0.85-1.39 | <0.001 | 0.500 |
| No Class Specified | 0.69 | 0.55-0.88 | 1.67 | 1.41-1.99 | <0.003 | <0.001 |
| Minor Likelihood of Dying | 1.53 | 1.50-1.55 | 1.80 | 1.77-1.83 | <0.001 | <0.001 |
| Moderate Likelihood of Dying | 1.53 | 1.51-1.56 | 1.49 | 1.46-1.53 | <0.001 | <0.001 |
| Major Likelihood of Dying | 1.14 | 1.12-1.15 | 1.13 | 1.11-1.15 | <0.001 | <0.001 |
| *Extreme Likelihood of Dying | <0.001 | <0.001 | ||||