Table 4. Adjusted Associations of Patient and Usual Source of Care (USOC) Characteristics in Year 1 With Total Expenditures in Year 2 (N = 21,365)
Adjusted PE* (95% CI)P
Patient characteristics
    Age, per 10 years16.43 (13.58–19.36)<.001
    Female1.57 (−5.22 to 8.86).66
    Race/ethnicity
        Non-Hispanic whiteReference
        Hispanic (any race)−11.55 (−21.13 to −0.80).04
        Non-Hispanic black6.48 (−6.05 to 20.68).32
        Non-Hispanic other−21.81 (−31.24 to −11.08)<.001
    Education level
        <High schoolReference
        Some high school5.44 (−6.81 to 19.29).40
        High school graduate10.14 (−1.79 to 23.53).10
        Some college23.33 (8.60–40.06).001
        College graduate39.51 (22.04–59.49)<.001
    Household income level, % FPL
        <100Reference
        100–124−5.72 (−19.98 to 11.08).48
        125–199−1.85 (−15.05 to 13.40).80
        200–399−5.99 (−15.68 to 4.81).26
        ≥400−1.19 (−11.82 to 10.72).84
    Census region
        NortheastReference
        Midwest5.48 (−5.41 to 17.62).34
        South−9.27 (−18.28 to 0.72).07
        West8.45 (−4.52 to 23.19).21
    Urbanicity (residence in MSA)−0.92 (−9.07 to 7.95).83
    Health insurance
        PrivateReference
        Public−9.23 (−16.47 to −1.37).02
        None−45.18 (−52.66 to −36.52)<.001
    Health status (SF-12)
        Physical Component Summary score−2.06 (−2.54 to −1.58)<.001
        Mental Component Summary score−0.70 (−1.06 to −0.34)<.001
    Self-rated health
        ExcellentReference
        Very good12.98 (3.49–23.34).006
        Good27.68 (15.53–41.10)<.001
        Fair60.99 (33.36–94.33)<.001
        Poor94.10 (60.45–134.82)<.001
    Chronic health conditions15.73 (11.65–19.96)<.001
    Body mass index (kg/m2)
        <20Reference
        20–<257.17 (−9.91 to 27.49).43
        25–<302.23 (−15.01 to 22.98).82
        ≥308.40 (−8.82 to 28.87).36
    Smoker1.59 (−7.51 to 11.57).74
    Skepticism toward medical care−11.26 (−15.28 to −7.06)<.001
    Survey panel year3.46 (1.62–5.34)<.001
USOC characteristics
    Specialty
        Family medicine/general practiceReference
        General internal medicine15.25 (5.94–25.38).001
        Subspecialty11.77 (−1.46 to 26.76).08
    Non-Hispanic white3.93 (−4.13 to 12.66).35
    Female4.56 (−3.04 to 12.76).25
  • * Adjusted parameter estimate (PE) is from a Poisson regression and represents the percent change in outcome per unit change in predictor variable.

  • From a count of 8 conditions: diabetes, hypertension, coronary heart disease, myocardial infarction, cerebrovascular disease, asthma, emphysema, and arthritis.

  • CI, confidence interval; FPL, Federal Poverty Level; MSA, metropolitan statistical area; SF-12, 12-item Short Form.