Table 3

ORs (95% CIs) for county economic levels in guideline-recommended preventive care receipt compared to competitive counties

UnadjustedAdjusted for demographic factors*
Preventive careEconomic levelOR (95% CI)p ValueOR (95% CI)p Value
Daily BG self-checkDistressed1.399 (1.100 to 1.779)0.0061.115 (0.848 to 1.464)0.436
At-risk1.015 (0.818 to 1.260)0.8930.932 (0.739 to 1.176)0.554
Transitional1.145 (0.952 to 1.376)0.1511.019 (0.836 to 1.241)0.855
Non-Appalachian0.994 (0.836 to 1.180)0.9410.908 (0.755 to 1.092)0.304
Daily foot checkDistressed1.145 (0.857 to 1.530)0.3601.105 (0.828 to 1.475)0.497
At-risk1.410 (1.111 to 1.791)0.0051.445 (1.129 to 1.849)0.003
Transitional1.072 (0.882 to 1.302)0.4861.061 (0.870 to 1.295)0.557
Non-Appalachian0.807 (0.673 to 0.968)0.0210.781 (0.649 to 0.939)0.009
≥2 A1c tests past yearDistressed0.707 (0.519 to 0.964)0.0290.660 (0.481 to 0.908)0.011
At-risk0.714 (0.542 to 0.940)0.0160.666 (0.503 to 0.881)0.004
Transitional0.803 (0.635 to 1.016)0.0670.760 (0.598 to 0.966)0.025
Non-Appalachian0.780 (0.626 to 0.971)0.0260.802 (0.641 to 1.003)0.053
Annual foot examinationDistressed0.608 (0.465 to 0.796)<0.0000.691 (0.521 to 0.918)0.011
At-risk0.502 (0.394 to 0.641)<0.0000.577 (0.449 to 0.741)<0.000
Transitional0.756 (0.609 to 0.939)0.0110.780 (0.626 to 0.973)0.028
Non-Appalachian0.764 (0.622 to 0.938)0.0100.783 (0.636 to 0.965)0.021
Annual eye examinationDistressed0.528 (0.408 to 0.684)<0.0000.689 (0.513 to 0.925)0.013
At-risk0.596 (0.472 to 0.753)<0.0000.726 (0.570 to 0.925)0.009
Transitional0.811 (0.659 to 0.999)0.0490.878 (0.709 to 1.085)0.228
Non-Appalachian0.837 (0.687 to 1.020)0.0780.863 (0.706 to 1.055)0.150
Annual doctor visitDistressed0.930 (0.614 to 1.407)0.7301.024 (0.648 to 1.617)0.920
At-risk0.646 (0.455 to 0.917)0.0150.732 (0.506 to 1.060)0.099
Transitional0.856 (0.633 to 1.157)0.3120.885 (0.645 to 1.215)0.450
Non-Appalachian0.823 (0.620 to 1.092)0.1770.808 (0.600 to 1.090)0.163
Annual influenza vaccinationDistressed0.738 (0.504 to 1.081)0.1191.001 (0.680 to 1.474)0.996
At-risk0.863 (0.618 to 1.205)0.3871.025 (0.727 to 1.445)0.890
Transitional1.009 (0.760 to 1.340)0.9511.056 (0.791 to 1.410)0.713
Non-Appalachian1.000 (0.768 to 1.302)0.9991.073 (0.821 to 1.403)0.606
Self-management educationDistressed0.708 (0.558 to 0.897)0.0040.797 (0.609 to 1.042)0.097
At-risk0.684 (0.558 to 0.839)<0.0000.814 (0.653 to 1.013)0.065
Transitional1.000 (0.840 to 1.191)0.9991.074 (0.893 to 1.292)0.449
Non-Appalachian1.093 (0.928 to 1.288)0.2881.105 (0.930 to 1.314)0.257
Pneumococcal vaccinationDistressed0.675 (0.532 to 0.857)0.0010.677 (0.503 to 0.911)0.010
At-risk0.685 (0.553 to 0.848)0.0010.652 (0.514 to 0.828)<0.000
Transitional0.858 (0.711 to 1.035)0.1090.800 (0.650 to 0.986)0.036
Non-Appalachian0.710 (0.595 to 0.848)<0.0000.777 (0.639 to 0.946)0.012
  • *Adjusted for age, sex, race/ethnicity and marital status.