Table 4:
Preventive Health Services Receipt and Odds Ratios (ORs) for Preventive Health Services Receipt Comparing Attended Pap Screening to Completed the Kit only
| Preventive Health Services by Subgroups of Interventiona | Received preventive health serviceb n (%) | OR, Unadjusted (95% CI) | OR, Adjustedc (95% CI) |
|---|---|---|---|
| Mammography d | |||
| Completed the kit only (n=131) | 58 (44.3) | Ref | Ref |
| Attended Pap screening (n=193) | 153 (79.3) | 4.81 (2.95, 7.86) | 5.23 (3.18, 8.59) |
| CRC screening e | |||
| Completed the kit only (n=152) | 74 (48.7) | Ref | Ref |
| Attended Pap screening (n=297) | 176 (59.3) | 1.53 (1.03, 2.27) | 1.45 (0.97, 2.15) |
| Influenza vaccination f | |||
| Completed the kit only (n=651) | 265 (40.7) | Ref | - |
| Attended Pap screening (n=1435) | 657 (45.8) | 1.23 (1.02, 1.48) | - |
| Depression screening g | |||
| Completed the kit only (n=651) | 141 (21.7) | Ref | Ref |
| Attended Pap screening (n=1435) | 460 (32.1) | 1.71 (1.37, 2.12) | 1.64 (1.32, 2.04) |
| HbA1c testing h | |||
| Completed the kit only (n=41) | 32 (78.0) | Ref | - |
| Attended Pap screening (n=75) | 68 (90.7) | 2.73 (0.93, 7.99) | - |
Subgroups were defined by cervical cancer screening behavior in the 6 months after randomization.
Preventive health services uptake was assessed in the 12 months after randomization.
Models were adjusted for demographic, health, or health plan enrollment covariates that changed OR estimates by 10% or more. Adjusted ORs are not reported for outcomes where no covariate changed the OR by 10% or more.
Mammography analysis restricted to women ages 52 to 64 years and not considered up-to-date per HEDIS.23 Adjusted model adjusted for randomization year (2014, 2015 or 2016).
CRC screening analysis was restricted to women ages 51 to 64 years and not considered up-to-date per HEDIS.24 Adjusted model adjusted for time since last Pap screening (no recorded Pap test or attended Pap screening more than 3.4 years ago).
There was no age restriction for influenza vaccination uptake, as the service is recommended annually for all adults.
Depression screening uptake had no age restriction, as the service is recommended annually for all adults. Adjusted model adjust for time since last Pap screening (no recorded Pap test or attended Pap screening more than 3.4 years ago).
There was no age restriction for HbA1c testing uptake, but the analysis was restricted to women with diabetes.