Table 2b.
Association between income and utilization of CVD risk preventive services among MEPS participants with CVD, based on level of income.
Preventive Service | High-incomea | Middle-incomeaORb,c (95% CI) | Low-incomeaORb,c (95% CI) | VL-incomeaORb,c (95% CI) |
---|---|---|---|---|
Advised to quit smoking (current smokers) | 1 (Ref) | 0.97 (0.74–1.27) | 0.64 (0.48–0.86)* | 0.78 (0.61–0.99)* |
Blood pressure checked within the last 2 years | 1 (Ref) | 0.45 (0.32–0.63)* | 0.34 (0.24–0.49)* | 0.32 (0.22–0.46)* |
Advised to exercise more | 1 (Ref) | 0.89 (0.82–0.97)* | 0.79 (0.71–0.87)* | 0.84 (0.76–0.93)* |
Advised by a healthcare professional toeat fewer high fat/cholesterol foods | 1 (Ref) | 0.87 (0.80–0.95)* | 0.84 (0.76–0.93)* | 0.95 (0.86–1.04) |
Cholesterol levels checked within last 5 years | 1 (Ref) | 0.50 (0.41–0.61)* | 0.34 (0.28–0.42)* | 0.33 (0.26–0.42)* |
Abbreviations: CVD, cardiovascular disease; MEPS, Medical Expenditure Panel Survey; VL, very low; OR, odds ratio; CI, confidence interval.
Income level is one's household income, given as proportion of federal poverty level (FPL): high-income (≥400% FPL), middle-income (200 to <400% FPL), low-income (125 to <200% FPL), very low-income (<125% FPL).
OR models adjust for age, race/ethnicity, sex, region, health insurance, educational status, Charlson Comorbidity Index; the high-income group serves as the reference group.
OR <1 indicates a group is less likely to receive a CVD risk preventive service.
Indicates statistically significant results (p<0.05).