Adjusted Risk Ratios (ARRs) for Nonadherence Labeling by Demographics in HbA1c and Care Site Strata*
Variable | Overall (N = 6072) (Labeled = 759) | Subgroup HbA1c ≤7% (N = 2349) (Labeled = 222) | Subgroup HbA1c >7% (N = 3723) (Labeled = 537) | Subgroup Primary Care (N = 2657) (Labeled = 376) | Subgroup Specialty Care(N = 3415) (Labeled = 383) |
---|---|---|---|---|---|
βadj [95% CI] | βadj [95% CI] | βadj [95% CI] | βadj [95% CI] | βadj [95% CI] | |
Age | −0.006 [−0.014, 0.002] | −0.014 [−0.029, 0.001] | −0.025 [−0.012, 0.007] | 0.009 [−0.0035, 0.020] | −0.019 [−0.030, −0.008] |
HbA1c | 0.11 [0.08, 0.15] | −0.14 [−0.43, 0.17] | 0.11 [0.05, 0.16] | 0.09 [0.04, 0.14] | 0.14 [0.087, 0.19] |
BMI | −0.0027 [−0.0126, 0.007] | 0.074 [−0.010, 0.024] | −0.008 [−0.02, 0.003] | −0.002 [−0.016, 0.011] | −0.002 [−0.016, 0.012] |
ARR [95% CI] | ARR [95% CI] | ARR [95% CI] | ARR [95% CI] | ARR [95% CI] | |
Biological sex | |||||
Male | Ref | Ref | Ref | Ref | Ref |
Female | 1.02 [0.87, 1.18] | 0.93 [0.73, 1.19] | 1.06 [0.88, 1.28] | 1.05 [0.83, 1.30] | 0.98 [0.78, 1.20] |
Race | |||||
White | Ref | Ref | Ref | Ref | Ref |
Black | 2.48 [2.01, 3.04] | 2.87 [1.94, 4.27] | 2.16 [1.72, 2.76] | 2.56 [1.66, 3.97] | 2.45 [1.90, 3.16] |
Asian | 0.75 [0.33, 1.26] | 1.39 [0.31, 2.85] | 0.53 [0.11, 1.05] | 0.23 [0.00, 0.84] | 1.07 [0.42, 1.84] |
Ethnicity | |||||
Non-Hispanic | Ref | Ref | Ref | Ref | Ref |
Hispanic | 1.22 [0.71, 1.83] | 1.14 [0.25, 2.19] | 1.24 [0.62, 1.99] | 1.21 [0.31, 2.55] | 1.27 [0.64, 2.03] |
Insurance payor | |||||
Private | Ref | Ref | Ref | Ref | Ref |
Medicaid | 1.82 [1.50, 2.18] | 1.75 [1.23, 2.40] | 1.83 [1.46 2.26] | 2.16 [1.66, 2.76] | 1.50 [1.11, 1.97] |
Medicare | 1.61[1.32, 1.93] | 1.68 [1.19, 2.31] | 1.55 [1.21, 1.95] | 1.41 [1.02, 1.90] | 1.74 [1.34, 2.21] |
Care site | |||||
Primary care | Ref | Ref | Ref | Not applicable | Not applicable |
Specialty care | 1.00 [0.85, 1.16] | 0.91 [0.69, 1.17] | 1.04 [0.86, 1.24] | Not applicable | Not applicable |
BMI, body mass index; CI, confidence interval; HbA1c, hemoglobin A1C.
↵* ARRs for categorical variables, and beta coefficients for continuous variables, were calculated with a logistic regression model using all the following potentially confounding variables: age, sex, race, BMI, ethnicity, insurance status, and HbA1c. Additional calculations using the adjusted odd ratio are presented in the supplementary document (S1.5); no changes in significance were observed across the 2 model choices.