Table 1:
Mammography (n=3500)a | CRC screening (n=4482)b | Influenza vaccination (n=14,218)c | Depression screening (n=14,218)c | HbA1c testing (n=1036)d | ||||||
---|---|---|---|---|---|---|---|---|---|---|
|
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Characteristice | Control (n=1752)% | Intervention (n=1748)% | Control (n=2293)% | Interve ntion (n=218 9)% | Control (n=7135)% | Intervention (n=7083)% | Control (n=7135)% | Intervention (n=7083)% | Control (n=522)% | Intervention (n=514)% |
Age at randomization, y | ||||||||||
30–39 | - | - | - | - | 17.2 | 17.6 | 17.2 | 17.6 | 7.3 | 4.7 |
40–49 | - | - | - | - | 25.8 | 26.4 | 25.8 | 26.4 | 16.3 | 18.3 |
50–59 | 63.4 | 65.6 | 66.8 | 68.7 | 37.3 | 37.0 | 37.3 | 37.0 | 43.3 | 45.1 |
60–64 | 36.6 | 34.4 | 33.2 | 31.3 | 19.7 | 19.0 | 19.7 | 19.0 | 33.1 | 31.9 |
Race | ||||||||||
White | 72.4 | 72.2 | 74.1 | 74.5 | 72.6 | 72.1 | 72.6 | 72.1 | 66.1 | 67.7 |
Asian or Native Hawaiian or other Pacific Islander | 9.4 | 8.3 | 9.3 | 7.9 | 10.5 | 10.5 | 10.5 | 10.5 | 13.0 | 11.7 |
Black or African | ||||||||||
American | 4.6 | 4.3 | 4.2 | 3.7 | 4.3 | 4.6 | 4.3 | 4.6 | 5.0 | 6.6 |
Other | 5.6 | 6.5 | 5.7 | 6.8 | 6.6 | 7.3 | 6.6 | 7.3 | 11.5 | 10.3 |
Unknown | 8.0 | 8.7 | 6.7 | 7.1 | 6.0 | 5.5 | 6.0 | 5.5 | 4.4 | 3.7 |
Ethnicity | ||||||||||
Non-Hispanic | 87.8 | 87.6 | 89.3 | 88.8 | 89.2 | 89.6 | 89.2 | 89.6 | 86.8 | 91.2 |
Hispanic | 4.6 | 4.3 | 4.6 | 4.6 | 5.0 | 5.0 | 5.0 | 5.0 | 8.8 | 5.3 |
Unknown | 7.6 | 8.1 | 6.1 | 6.6 | 5.8 | 5.4 | 5.8 | 5.4 | 4.4 | 3.5 |
Length of health plan enrollment before randomization, y f | ||||||||||
3.4 to < 5 | 20.6 | 22.6 | 21.4 | 23.6 | 23.9 | 23.9 | 23.9 | 23.9 | 27.2 | 19.8 |
5 to < 10 | 23.7 | 25.2 | 23.1 | 24.4 | 28.5 | 30.4 | 28.5 | 30.4 | 20.9 | 25.3 |
≥ 10 | 55.7 | 52.2 | 55.5 | 52.0 | 47.6 | 45.7 | 47.6 | 45.7 | 51.9 | 54.9 |
Time since last Pap test (by length of enrollment), y | ||||||||||
Enrolled 3.4 to < 5 | ||||||||||
No Pap test | 79.7 | 76.0 | 76.0 | 72.3 | 67.5 | 65.8 | 67.5 | 65.8 | 68.3 | 70.6 |
> 3.4 to < 5 | 20.3 | 24.1 | 24.0 | 27.7 | 32.5 | 34.2 | 32.5 | 34.2 | 31.7 | 29.4 |
Enrolled 5 to < 10 | ||||||||||
No Pap test | 47.1 | 46.0 | 45.7 | 42.7 | 28.7 | 29.7 | 28.7 | 29.7 | 28.4 | 30.8 |
> 3.4 to < 5 | 37.0 | 39.2 | 40.4 | 45.9 | 58.1 | 57.0 | 58.1 | 57.0 | 56.0 | 53.1 |
5 to < 10 | 15.9 | 14.7 | 14.0 | 11.4 | 13.1 | 13.3 | 13.1 | 13.3 | 15.6 | 16.2 |
Enrolled ≥ 10 | ||||||||||
No Pap test | 20.7 | 20.6 | 18.2 | 19.1 | 12.3 | 12.6 | 12.3 | 12.6 | 11.4 | 12.8 |
> 3.4 to < 5 | 37.9 | 39.8 | 43.8 | 45.8 | 58.2 | 59.2 | 58.2 | 59.2 | 57.2 | 56.0 |
5 to < 10 | 26.1 | 24.5 | 23.9 | 22.4 | 20.5 | 19.9 | 20.5 | 19.9 | 18.8 | 20.9 |
≥ 10 | 15.3 | 15.1 | 14.2 | 12.7 | 9.0 | 8.3 | 9.0 | 8.3 | 12.6 | 10.3 |
Women’s census block: Median Household Income, $ | ||||||||||
< 49,999 | 22.4 | 22.8 | 22.6 | 22.8 | 22.2 | 22.5 | 22.2 | 22.5 | 27.0 | 29.0 |
50,000–74,999 | 35.0 | 33.8 | 33.8 | 33.3 | 34.7 | 34.9 | 34.7 | 34.9 | 39.8 | 39.1 |
75,000–99,999 | 23.7 | 23.6 | 23.7 | 23.7 | 25.3 | 24.7 | 25.3 | 24.7 | 18.2 | 18.1 |
≥ 100,000 | 9.6 | 11.0 | 11.1 | 11.3 | 10.4 | 10.5 | 10.4 | 10.5 | 6.9 | 6.8 |
Unknown | 9.2 | 8.9 | 8.7 | 9.0 | 7.4 | 7.3 | 7.4 | 7.3 | 8.0 | 7.0 |
Travel time from women’s home to primary Journal Pre-proof care clinic, min g | ||||||||||
< 10 | 33.7 | 32.4 | 33.5 | 32.7 | 32.5 | 32.9 | 32.5 | 32.9 | 34.5 | NA |
10 – < 20 | 40.1 | 43.5 | 39.5 | 41.9 | 41.3 | 41.9 | 41.3 | 41.9 | 38.9 | NA |
20 – < 30 | 14.4 | 13.8 | 15.0 | 13.9 | 14.4 | 14.3 | 14.4 | 14.3 | 13.4 | NA |
≥ 30 | 10.2 | 9.3 | 10.5 | 10.5 | 10.8 | 10.0 | 10.8 | 10.0 | 11.7 | NA |
Unknown | 1.7 | 0.9 | 1.5 | 1.0 | 1.1 | 0.8 | 1.1 | 0.8 | 1.5 | NA |
BMI, kg/m 2 h | ||||||||||
< 24.9 | 19.9 | 22.2 | 21.0 | 22.8 | 24.3 | 24.8 | 24.3 | 24.8 | 7.7 | 10.3 |
25 – 29.9 | 21.9 | 20.3 | 23.0 | 20.6 | 22.9 | 22.6 | 22.9 | 22.6 | 16.7 | 15.8 |
30 – 34.9 | 15.4 | 16.3 | 15.8 | 16.4 | 16.7 | 16.2 | 16.7 | 16.2 | 22.6 | 17.7 |
35 – 39.9 | 10.5 | 9.8 | 10.5 | 11.2 | 10.9 | 11.4 | 10.9 | 11.4 | 21.1 | 19.3 |
≥ 40 | 10.1 | 10.3 | 10.6 | 11.6 | 11.9 | 12.9 | 11.9 | 12.9 | 29.9 | 33.3 |
Unknown | 22.2 | 21.1 | 19.1 | 17.4 | 13.3 | 12.1 | 13.3 | 12.1 | 2.1 | 3.7 |
Tobacco use | ||||||||||
Never | 45.8 | 43.2 | 49.2 | 46.5 | 54.0 | 54.2 | 54.0 | 54.2 | 55.7 | 50.2 |
Current | 14.6 | 17.0 | 13.9 | 15.6 | 12.6 | 12.6 | 12.6 | 12.6 | 13.6 | 15.4 |
Former | 19.1 | 20.1 | 19.3 | 20.7 | 20.8 | 21.4 | 20.8 | 21.4 | 28.5 | 31.1 |
Unknown | 20.4 | 19.6 | 17.6 | 17.2 | 12.7 | 11.8 | 12.7 | 11.8 | 2.1 | 3.3 |
Charlson Comorbidity Index score 27 | ||||||||||
0 | 82.8 | 80.7 | 81.3 | 81.0 | 81.1 | 81.0 | 81.1 | 81.0 | 5.9 | 7.2 |
1 | 9.1 | 11.4 | 10.4 | 11.3 | 11.6 | 11.1 | 11.6 | 11.1 | 39.5 | 36.2 |
2 | 4.3 | 4.4 | 4.7 | 4.5 | 4.0 | 4.4 | 4.0 | 4.4 | 26.8 | 30.2 |
3+ | 3.8 | 3.5 | 3.6 | 3.2 | 3.3 | 3.5 | 3.3 | 3.5 | 27.8 | 26.5 |
Randomization year | ||||||||||
2014 | 63.4 | 62.0 | 58.6 | 58.2 | 52.3 | 52.5 | 52.3 | 52.5 | 57.1 | 55.8 |
2015 | 24.9 | 25.6 | 28.7 | 28.1 | 31.0 | 30.7 | 31.0 | 30.7 | 27.2 | 26.5 |
2016 | 11.8 | 12.4 | 12.7 | 13.8 | 16.6 | 16.8 | 16.6 | 16.8 | 15.7 | 17.7 |
Abbreviation: BMI, Body Mass Index.
Mammography analyses were restricted to women who were between the ages of 52 and 64 years and not considered up-to-date per HEDIS.23
CRC screening analyses were restricted women who were between the ages of 51 and 64 years and not considered up-to-date per HEDIS.24
There were no restrictions for influenza vaccination uptake or depression screening, as these services are recommended annually for all adults.
Uptake of HbA1c testing was restricted to women with diabetes.
Based on electronic medical record data.
Chi-square tests indicated significant differences (p-value < 0.05) in length of health plan enrollment between the intervention group and control group for influenza vaccination, depression screening, and HbA1c testing.
Distributions of travel time to from women’s home to primary care clinic are not available for participants in the intervention group of HbA1c testing due to cell sizes less than 5.
Calculated as weight in kilograms divided by height in meters squared.