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. Author manuscript; available in PMC: 2023 Oct 1.
Published in final edited form as: Curr Med Res Opin. 2022 Aug 9;38(10):1715–1725. doi: 10.1080/03007995.2022.2103962

Table 3–1.

Racial/Ethnic Disparity Patterns in Medication Therapy Management Enrollment among Medicare Beneficiaries with Alzheimer’s Disease and Related Dementias.

Characteristics Total Study Sample (Years 2013 & 2014) Total Study Sample (Years 2016 & 2017) Cohort with Diabetes (Years 2013 & 2014) Cohort with Diabetes (Years 2016 & 2017)




Odds Ratio 95% Confidence Interval Odds Ratio 95% Confidence Interval Odds Ratio 95% Confidence Interval Odds Ratio 95% Confidence Interval
Predisposing Factors
 Race/Ethnicity
  Blacks 0.85 0.80–0.89 0.91 0.86–0.97 0.72 0.68–0.77 0.75 0.71–0.80
  Hispanics 1.35 1.11–1.64 1.29 1.15–1.45 1.11 0.92–1.33 1.02 0.91–1.14
  Asians/Pacific Islanders 1.31 1.17–1.47 1.40 1.27–1.54 1.05 0.94–1.18 1.099 1.003–1.206
  Other 1.02 0.92–1.13 1.17 1.04–1.32 0.90 0.81–1.01 1.05 0.94–1.17
 Age 0.962 0.961–0.964 0.960 0.959–0.962 0.966 0.964–0.968 0.963 0.962–0.965
 Male 0.83 0.81–0.85 0.88 0.86–0.90 0.82 0.80–0.84 0.87 0.85–0.89
 Proportion of Married-Couple Familiesa 1.05 0.66–1.67 1.07 0.70–1.63 1.15 0.70–1.88 1.08 0.72–1.62
 Proportion with Education ≥ High Schoola 0.50 0.21–1.19 0.18 0.09–0.37 1.12 0.46–2.75 0.51 0.28–0.94
 Per Capita Income (in $1,000) a 0.9980 0.9964–0.9996 0.998 0.996–0.999 0.9981 0.9965–0.9997 0.9984 0.9970–0.9998
 Proportion with No Health Insurancea 1.04 0.38–2.88 0.39 0.23–0.64 0.98 0.32–2.98 0.48 0.28–0.84
Enabling Factors
 Metropolitan Statistical Areaa 1.01 0.97–1.06 1.03 0.99–1.07 0.98 0.94–1.03 0.98 0.94–1.03
 Health Professional Shortage Areaa 0.95 0.91–0.99 0.96 0.91–1.01 0.9499 0.9026–0.9998 0.95 0.89–1.01
 Census Regionsa
  Midwest  1.17 1.07–1.27 1.12 1.03–1.21 1.20 1.08–1.33 1.18 1.08–1.29
  South 1.13 1.06–1.21 1.05 0.98–1.13 1.16 1.08–1.25 1.12 1.04–1.20
  West 0.93 0.82–1.05 0.81 0.72–0.92 1.01 0.90–1.14 0.95 0.85–1.06
Need Factor
 Risk Adjustment Summary Score 1.32 1.31–1.34 1.36 1.35–1.37 1.18 1.17–1.19 1.21 1.20–1.22
Year 2014 (compared to 2013) 1.26 1.22–1.30 1.23 1.18–1.28
Year 2017 (compared to 2016) 0.89 0.87–0.91 0.95 0.92–0.97

Reference groups: non-Hispanic Whites, female, non-metropolitan statistical area, non-Health Professional Shortage Area, Northeast Census Region.

a

Community-level characteristic.