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) | |||||
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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.
Community-level characteristic.