Table 2

Factors associated with adherence to USPSTF and ADA guidelines

Physician CharacteristicsUSPSTFADA
Multivariable association
Odds ratio (OR)95% CIp ValueOR95% CIp Value
Gender
 MaleRefRef
 Female0.930.54 to 1.580.78731.460.85 to 2.490.1678
Race/ethnicity
 WhiteRefRef
 Asian1.120.52 to 2.400.77741.920.90 to 4.110.0938
 Black0.450.13 to 1.590.21300.870.25 to 2.980.8214
 Hispanic0.940.24 to 3.680.92710.290.07 to 1.190.0863
 Other0.850.27 to 2.690.78291.810.51 to 6.470.3602
Age category (years)
 25–34RefRef
 35–440.250.09 to 0.680.0062*1.260.52 to 3.050.6085
 45–540.260.08 to 0.900.0334*0.950.30 to 3.020.9265
 55–640.380.09 to 1.680.20230.680.16 to 2.860.5989
 ≥650.340.04 to 2.940.32871.090.12 to 9.110.9389
Years in practice
 3 to <10RefRef
 10 to <151.110.51 to 2.410.79370.750.34 to 1.640.4698
 15 to <200.860.34 to 2.150.74471.070.42 to 2.710.8879
 ≥200.720.24 to 2.210.57011.700.55 to 5.220.3576
Practice characteristics
 Medical practice setting
 Multispecialty or group practiceRefRef
 Single specialty0.940.55 to 1.620.82960.980.57 to 1.690.9450
 Other0.600.15 to 2.410.47261.220.31 to 4.780.7764
Number of physicians in practice
 ≤25RefRef
 26–990.970.52 to 1.790.91530.820.45 to 1.520.5363
 ≥1000.900.48 to 1.690.73941.050.56 to 1.970.8891
Area of practice
 UrbanRefRef
 Suburban1.540.82 to 2.760.14621.330.74 to 2.390.3346
 Rural0.840.38 to 1.840.65741.610.73 to 3.520.2368
Region
 EastRefRef
 Midwest1.120.52 to 2.430.76510.950.44 to 2.060.9032
 South1.770.93 to 3.480.09741.000.51 to 1.960.9963
 West1.210.61 to 2.430.58211.410.70 to 2.840.3409
Main insurance type
 CommercialRefRef
 Medicaid1.330.65 to 2.700.43841.880.90 to 3.910.0913
 Medicare0.540.28 to 1.050.07020.650.34 to 1.230.1856
 Unknown0.600.20 to 1.790.36151.450.48 to 4.400.5147
Number of patients seen monthly in current practice1.001.00 to 1.000.57021.001.00 to 1.000.9473
Percent of patients with diabetes seen monthly1.010.99 to 1.020.58231.031.00 to 1.040.0017*
Importance of patient's out-of-pocket cost
 Not importantRefRef
 Slightly important1.190.55 to 2.570.65331.270.59 to 2.700.5436
 Somewhat important1.110.53 to 2.310.77550.760.36 to 1.580.4585
 Very important2.311.01 to 5.270.0462*0.780.34 to 1.760.5431
 Extremely important2.050.32 to 1.310.44650.860.16 to 4.620.8618
  • *Significant at p value <0.05. ADA, American Diabetes Association; USPSTF, US Preventive Services Task Force.