Table 2:
Factors associated with utilization of HBMC, podiatry, other FFS home-based clinical care, and home health care among community-dwelling persons with dementia
| HBMC | Podiatry | Other FFS home-based clinical care | SHHC | |
|---|---|---|---|---|
| Race/Ethnicity | ||||
| Black, Non-Hispanic | 1.35 (0.78 – 2.34) |
1.36 (0.78 – 2.40) |
1.38 (0.83 – 2.29) |
1.16 (0.84 – 1.61) |
| Hispanic/Latino | 0.28 (0.10 – 0.80) |
0.27 (0.07 – 1.12) |
0.67 (0.28 – 1.59) |
0.97 (0.60 – 1.55) |
| Female | 1.52 (0.97 – 2.41) |
0.83 (0.53 – 1.30) |
1.24 (0.81 – 1.89) |
1.09 (0.83 – 1.43) |
| Age | ||||
| 75–79 | 0.64 (0.22 – 1.88) |
1.92 (0.72 – 5.11) |
1.12 (0.42 – 2.97) |
1.24 (0.74 – 2.09) |
| 80–84 | 0.81 (0.30 – 2.17) |
2.71 (1.06 – 6.93) |
1.31 (0.51 – 3.34) |
1.59 (0.96 – 2.61) |
| 85+ | 1.3 (0.52 – 3.24) |
3.35 (1.37 – 8.18) |
1.32 (0.55 – 3.17) |
1.36 (0.85 – 2.19) |
| Education: >=High school | 1.00 (0.57 – 1.76) |
1.74 (1.05 – 2.89) |
1.27 (0.75 – 2.17) |
1.22 (0.91 – 1.63) |
| Has Medicaid | 1.36 (0.76 – 2.44) |
1.70 (0.96 – 3.03) |
2.01 (1.16 – 3.47) |
1.43 (1.02 – 2.01) |
| Count of self-reported chronic conditions | 1.09 (0.96 – 1.23) |
1.03 (0.91 – 1.16) |
1.07 (0.95 – 1.20) |
1.08 (0.998 – 1.18) |
| Number of ADL impairments | ||||
| 1–2 | 1.31 (0.81 – 2.12) |
1.15 (0.68 – 1.93) |
2.19 (1.32 – 3.63) |
1.85 (1.37 – 2.51) |
| 3+ | 1.82 (1.15 – 2.87) |
2.11 (1.26 – 3.55) |
2.64 (1.59 – 4.39) |
2.43 (1.82 – 3.26) |
| Any hospital admission 12 months after survey | 1.46 (1.04 – 2.04) |
1.41 (0.97 – 2.04) |
1.93 (1.42 – 2.63) |
4.73 (3.78 – 5.91) |
| Residential care, excl. NH | 4.58 (2.81 – 7.49) |
8.12 (4.67 – 14.11) |
2.80 (1.69 – 4.64) |
1.13 (0.77 – 1.66) |
| Lives alone | 1.10 (0.69 – 1.75) |
0.88 (0.51 – 1.51) |
0.99 (0.63 – 1.54) |
0.81 (0.59 – 1.10) |
| Lives in metropolitan area | 2.48 (1.21 – 5.10) |
3.96 (1.92 – 8.15) |
2.07 (1.07 – 4.00) |
1.1 (0.78 – 1.56) |
| Region | ||||
| Midwest | 0.53 (0.26 – 1.07) |
0.95 (0.49 – 1.85) |
0.47 (0.24 – 0.94) |
0.99 (0.64 – 1.52) |
| South | 0.54 (0.29 – 1.00) |
0.41 (0.23 – 0.75) |
0.55 (0.31 – 0.96) |
1.12 (0.79 – 1.59) |
| West | 0.34 (0.16 – 0.75) |
0.52 (0.26 – 1.02) |
0.45 (0.21 – 0.94) |
0.63 (0.41 – 0.99) |
| Year of NHATS interview | 1.02 (0.93 – 1.12) |
1.04 (0.94 – 1.15) |
1.06 (0.96 – 1.16) |
1.04 (0.97 – 1.11) |
Referent category = white race, age <75, <HS education, no Medicaid, 0 ADLs, Northeast region; adjusted for survey year; due to very small cell size, other race category was set to missing; HBMC= Home based medical care; SHHC= Skilled home healthcare