Table 4. Unadjusted and Adjusted Odds Ratios for Up-to-Date Cervical Cancer Screening Status According to US Preventive Services Task Force Guidelines by Number of Chronic Conditions

Number of Conditions	Up-to-Date for Cervical Cancer Screening
	All Chronic Conditions						Excluding Patients with Digestive Disorders
	Bivariate OR (95% CI)	P Value	Model 1,^* Adjusted OR (95% CI)	P Value	Model 2,^{^†} Adjusted OR (95% CI)	P Value	Model 3,^{^‡} Adjusted OR (95% CI)	P Value
0	1.00 (Referent)		1.00 (Referent)		1.00 (Referent)		1.00 (Referent)
1	1.05 (0.68–1.63)	.81	0.79 (0.49–1.26)	.32	0.75 (0.44–1.27)	.28	0.79 (0.46–1.36)	.40
2	0.89 (0.57–1.40)	.62	0.58 (0.36–0.95)	.03	0.55 (0.31–0.95)	.03	0.56 (0.30–1.03)	.06
≥3	0.94 (0.63–1.40)	.75	0.42 (0.26–0.68)	<.001	0.38 (0.21–0.68)	.001	0.36 (0.19–0.69)	.002

Analysis limited to women <65 years old with no history of hysterectomy (n = 740). All models included clinic as a random effect.
↵* Adjusted for total visit count in past 5 years only.
↵† Adjusted for age, marital status, ethnicity, body mass index (BMI) class, occupation, history of alcohol use, history of smoking, insurance status, length of contact with clinic, total number of visits in past 5 years.
↵‡ Adjusted for age, marital status, ethnicity, BMI class, occupation, history of alcohol use, history of smoking, insurance status, length of contact with clinic, total number of visits in past 5 years; limited to women with no digestive disease (n = 582).