Table 1.
Sociodemographic characteristics and health care access of NHANES participants with hypothyroidism, stratified by treatment status and degree of hypothyroidism
| Treated Hypothyroidism | Untreated Subclinical Hypothyroidism | Untreated Clinical Hypothyroidism | |||
|---|---|---|---|---|---|
| Variables | (n = 536) | (n = 115) | P-value | (n = 47) | P-value |
| Reports thyroid disease | (%) | (%) | <0.0001 | (%) | <0.0001 |
| No | 0.0 | 85.1 | 70.0 | ||
| Yes | 100.0 | 14.9 | 30.0 | ||
| Gender | <0.0001 | 0.46 | |||
| Men | 18.1 | 45.4 | 25.6 | ||
| Women | 81.9 | 54.6 | 74.4 | ||
| Age, years | <0.0001 | <0.0001 | |||
| 20–44 | 6.7 | 29.0 | 45.6 | ||
| 45–69 | 60.9 | 53.4 | 39.7 | ||
| 70 and over | 32.4 | 17.7 | 14.7 | ||
| Race/ethnicity | 0.084 | 0.36 | |||
| Non-Hispanic white | 87.9 | 84.3 | 86.3 | ||
| Hispanic | 5.2 | 10.0 | 10.1 | ||
| Non-Hispanic black | 2.9 | 1.3 | 3.5 | ||
| Other | 4.0 | 4.5 | 0.0 | ||
| Education | 0.70 | 0.051 | |||
| Did not complete HS | 12.2 | 16.0 | 17.5 | ||
| Completed HS | 54.8 | 51.9 | 58.4 | ||
| Completed college | 33.0 | 32.2 | 21.6 | ||
| Don’t know | 0.0 | 0.0 | 2.4 | ||
| Household income ($) | 0.60 | 0.20 | |||
| 0–45 000 | 37.5 | 32.1 | 46.2 | ||
| 45 000–10 0000 | 28.8 | 32.0 | 43.5 | ||
| Above 100 000 | 26.2 | 23.7 | 7.6 | ||
| Don’t know | 7.5 | 12.2 | 2.7 | ||
| Access to routine care | 0.25 | <0.0001 | |||
| No | 0.9 | 9.2 | 22.8 | ||
| Yes | 99.1 | 90.8 | 77.2 | ||
Treated hypothyroidism was defined as taking thyroid hormone and reporting a history of thyroid disease. Untreated subclinical hypothyroidism was defined as a TSH level between 5.6 and 9.9 mIU/L with an FT4 ≥0.6 ng/dL. Untreated clinical hypothyroidism was defined as a TSH level >5.6 mIU/L and an FT4 <0.6 ng/mL, or TSH level ≥ 10.0mIU/L and any FT4 level. P-values refer to the comparisons between those with treated hypothyroidism and those with untreated subclinical or clinical hypothyroidism. Abbreviations: FT4, free thyroxine; HS, high school; NHANES: National Health and Nutrition Examination Survey; TSH: thyroid-stimulating hormone.