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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 3–2.

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

Cohort with Hypertension (Years 2013 & 2014) Cohort with Hypertension (Years 2016 & 2017) Cohort with Hyperlipidemia (Years 2013 & 2014) Cohort with Hyperlipidemia (Years 2016 & 2017)




Characteristics 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 0.81 0.77–0.85 0.87 0.82–0.92 0.87 0.83–0.93 0.93 0.88–0.99
  Hispanics 1.33 1.10–1.61 1.27 1.13–1.42 1.35 1.11–1.63 1.29 1.15–1.44
  Asians/Pacific Islanders 1.27 1.14–1.42 1.37 1.25–1.51 1.26 1.11–1.43 1.34 1.21–1.48
  Other 1.02 0.93–1.13 1.18 1.06–1.32 1.07 0.98–1.17 1.22 1.10–1.35
 Age 0.959 0.958–0.961 0.957 0.956–0.958 0.966 0.965–0.968 0.962 0.961–0.963
 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 1.11 0.70–1.74 1.08 0.72–1.63 0.95 0.60–1.52 0.93 0.61–1.41
 Proportion with Education ≥ High Schoola 0.61 0.26–1.40 0.23 0.12–0.44 0.61 0.26–1.41 0.27 0.14–0.53
 Per Capita Income (in $1,000) a 0.9983 0.9967–0.9999 0.998 0.997–0.999 0.998 0.996–0.999 0.998 0.996–0.999
 Proportion with No Health Insurancea 1.04 0.38–2.84 0.41 0.25–0.68 0.78 0.29–2.11 0.39 0.24–0.65
Enabling Factors
 Metropolitan Statistical Areaa 1.002 0.963–1.044 1.02 0.98–1.06 0.97 0.93–1.01 0.98 0.94–1.02
 Health Professional Shortage Areaa 0.953 0.912–0.996 0.96 0.91–1.01 0.94 0.90–0.98 0.96 0.91–1.01
 Census Regionsa
  Midwest  1.16 1.07–1.27 1.11 1.03–1.21 1.19 1.08–1.30 1.13 1.04–1.23
  South 1.12 1.05–1.19 1.04 0.97–1.12 1.16 1.08–1.24 1.06 0.99–1.14
  West 0.96 0.85–1.08 0.84 0.74–0.94 0.996 0.883–1.124 0.87 0.77–0.98
Need Factor
 Risk Adjustment Summary Score 1.29 1.28–1.30 1.32 1.31–1.34 1.30 1.29–1.31 1.34 1.32–1.35
Year 2014 (compared to 2013) 1.26 1.22–1.30 1.23 1.19–1.28
Year 2017 (compared to 2016) 0.89 0.87–0.91 0.88 0.86–0.91

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

a

Community-level characteristic.