Table 3:
Association between Race/Ethnicity and Treatment Type among 2008–2009 Medicaid Beneficiaries with Depression in 28 States and District of Columbia Using Multinomial Logistic Regression
| Race/Ethnicity | Model # | OR | 95% CI | P-value |
|---|---|---|---|---|
| OR for Medication Alone vs. No Treatment | ||||
| African American | Unadjusted | 0.54 | 0.53–0.55 | <.001 |
| Model 1 | 0.53 | 0.52–0.54 | <.001 | |
| Model 2 | 0.48 | 0.47–0.49 | <.001 | |
| Model 3 | 0.52 | 0.51–0.53 | <.001 | |
| Hispanic | Unadjusted | 0.75 | 0.73–0.77 | <.001 |
| Model 1 | 0.75 | 0.73–0.77 | <.001 | |
| Model 2 | 0.77 | 0.75–0.79 | <.001 | |
| Model 3 | 0.71 | 0.69–0.73 | <.001 | |
| Other | Unadjusted | 0.87 | 0.85–0.89 | <.001 |
| Model 1 | 0.80 | 0.78–0.82 | <.001 | |
| Model 2 | 0.86 | 0.84–0.88 | <.001 | |
| Model 3 | 0.84 | 0.82–0.86 | <.001 | |
|
| ||||
| OR for Therapy Alone vs. No Treatment | ||||
| African American | Unadjusted | 2.03 | 1.79–2.31 | <.001 |
| Model 1 | 2.00 | 1.76–2.27 | <.001 | |
| Model 2 | 1.98 | 1.75–2.25 | <.001 | |
| Model 3 | 1.57 | 1.35–1.82 | <.001 | |
| Hispanic | Unadjusted | 0.84 | 0.65–1.07 | 0.154 |
| Model 1 | 0.85 | 0.66–1.08 | 0.178 | |
| Model 2 | 0.85 | 0.66–1.09 | 0.194 | |
| Model 3 | 1.07 | 0.82–1.39 | 0.619 | |
| Other | Unadjusted | 1.53 | 1.30–1.81 | <.001 |
| Model 1 | 1.40 | 1.19–1.66 | <.001 | |
| Model 2 | 1.41 | 1.19–1.67 | <.001 | |
| Model 3 | 1.45 | 1.20–1.75 | <.001 | |
|
| ||||
| OR for Medication & Therapy vs. No Treatment | ||||
| African American | Unadjusted | 1.11 | 1.05–1.17 | <.001 |
| Model 1 | 1.09 | 1.03–1.15 | 0.003 | |
| Model 2 | 0.95 | 0.89–0.99 | 0.044 | |
| Model 3 | 0.76 | 0.71–0.81 | <.001 | |
| Hispanic | Unadjusted | 0.67 | 0.60–0.74 | <.001 |
| Model 1 | 0.67 | 0.61–0.74 | <.001 | |
| Model 2 | 0.70 | 0.63–0.77 | <.001 | |
| Model 3 | 0.72 | 0.64–0.80 | <.001 | |
| Other | Unadjusted | 1.02 | 0.95–1.10 | 0.603 |
| Model 1 | 0.91 | 0.84–0.98 | 0.008 | |
| Model 2 | 1.00 | 0.93–1.08 | 0.995 | |
| Model 3 | 0.88 | 0.82–0.96 | 0.003 | |
OR: Odds ratio; CI: confidence interval.
White people were the reference group in logistic regression models.
Model 1: sex and age group were adjusted. Model 2: sex, age group, and Elixhauser comorbidity were adjusted. Model 3: sex, age group, Elixhauser comorbidity, and zip code level variables (median personal income, proportion of black residents, proportion of Hispanic residents, proportion with less than high school diploma, and Gini coefficient) were adjusted.