Table 3.

Adjusted Risk Ratios (ARRs) for Nonadherence Labeling by Demographics in HbA1c and Care Site Strata with Adjustment by Zip Code Median Household Income*

VariablePhiladelphia County (N = 3591) (Labeled = 580)Subgroup HbA1c ≤7% (N = 1298) (Labeled = 169)Subgroup HbA1c >7% (N = 2293) (Labeled = 411)Subgroup Primary Care (N = 2016) (Labeled = 315)Subgroup Specialty Care (N = 1575) (Labeled = 265)
βadj [95% CI]βadj [95% CI]βadj [95% CI]βadj [95% CI]βadj [95% CI]
HbA1c0.085 [0.043, 0.126]−0.20 [−0.54, 0.14]−0.013 [−0.03, 0.004]0.082 [0.03, 0.14]0.09 [0.03, 0.15]
Zip code Median Income, $1000 units−0.027 [−0.041, −0.014]−0.031 [−0.056, −0.006]−0.026 [−0.042, −0.01]−0.019 [−0.038, −0.001]−0.041 [−0.061, −0.021]
ARR [95% CI]ARR [95% CI]ARR [95% CI]ARR [95% CI]ARR [95% CI]
Race
    WhiteRefRefRefRefRef
    Black1.70 [1.28, 2.30]2.01 [1.23, 3.72]1.55 [1.12, 2.21]2.78 [1.55, 5.14]1.37 [1.01, 1.97]
Insurance payor
    PrivateRefRefRefRefRef
    Medicaid1.71 [1.39, 2.07]1.44 [1.03, 2.03]1.81 [1.40, 2.30]2.08 [1.54, 2.76]1.36 [1.03, 1.79]
    Medicare1.61[1.29, 1.99]1.52 [1.06, 2.21]1.61 [1.21, 1.98]1.48 [1.02, 2.08]1.60 [1.22, 2.12]
  • BMI, body mass index; CI, confidence interval; HbA1c, hemoglobin A1C.

  • * In addition to zip-code median income, the logistic regression model also included the following potentially confounding variables: age, sex, race, BMI, ethnicity, insurance status, and HbA1c.