International Journal of Family Medicine

Research Article

Type of Multimorbidity and Patient-Doctor Communication and Trust among Elderly Medicare Beneficiaries

Table 4

Adjusted Odds Ratios and 95% Confidence Intervals for patient-doctor communication and trust from logistic regression models. Medicare Current Beneficiary Survey, access to care module 2012.


	Effective communication			High trust
	AOR	95% CI	Sig.	AOR	95% CI	Sig.

Multimorbidity
No MM	1.48	1.21, 1.82		0.95	0.84, 1.07
MM-PI&MI	0.80	0.68, 0.96		0.98	0.84, 1.15
MM-PI	Ref.

Sociodemographic factors
Sex
Female	1.06	0.94, 1.18		1.15	1.04, 1.28
Male	Ref.
Age in years
70-74	0.98	0.81, 1.17		0.97	0.83, 1.12
75–79	0.94	0.79, 1.12		0.94	0.82, 1.07
>80	0.90	0.76, 1.06		0.82	0.71, 0.94
65–69	Ref.
Race/ethnicity
African American	0.93	0.74, 1.17		0.71	0.59, 0.84
Latino	1.01	0.79, 1.27		0.88	0.72, 1.07
Other race^†	0.82	0.62, 1.07		0.76	0.61, 0.95
White	Ref.
Marital status
Married	1.05	0.90, 1.22		1.01	0.91, 1.12
Widowed/divorced/separated/never married	Ref.
Education status
High school	1.17	1.00, 1.36		1.14	1.02, 1.28
≥College	1.35	1.11, 1.63		1.53	1.32, 1.77
<High school	Ref.
Annual personal income
20,000–30,000	0.97	0.80, 1.17		1.10	0.96, 1.27
30,000–50,000	1.12	0.90, 1.39		1.22	1.05, 1.42
50,000	1.22	0.96, 1.54		1.02	0.79, 1.32
20,000	Ref.
HMO enrollment
Yes	0.99	0.84, 1.17		0.96	0.85, 1.08
No	Ref.
Medicaid insurance
Yes	1.00	0.81, 1.24		0.95	0.79, 1.14
No	Ref.
Private insurance
Yes	1.01	0.87, 1.17		1.04	0.92, 1.17
No	Ref.
Metro status
Yes	0.89	0.74, 1.06		0.73	0.60, 0.88
No	Ref.
Region
Midwest	1.01	0.78, 1.31		1.10	0.92, 1.31
South	0.83	0.66, 1.06		0.89	0.74, 1.07
West	0.77	0.61, 0.97		0.92	0.73, 1.16
Northeast	Ref.

Health condition
Body mass index
Overweight	1.04	0.91, 1.19		1.03	0.92, 1.16
Obese/morbid obese	0.92	0.78, 1.08		0.99	0.89, 1.12
Underweight/normal	Ref.

Satisfaction with care
Satisfaction with care
Yes	3.38	2.63, 4.36		1.82	1.35, 2.47
No	Ref.

Note. Based on 9,867 Medicare beneficiaries with age above 65 years and at least one chronic physical health condition. Multimorbidity categories: (a) no MM: no multimorbidity; (b) MM-PI: two or more chronic physical conditions but no mental illness; and (c) MM-MI&PI: both chronic physical and mental conditions.
^†Asian, Native Hawaiian or Pacific Islander, American Indian or Alaska Native, more than one, or others.
AOR: Adjusted Odds Ratio; CI: Confidence Interval; HMO: Health Maintenance Organization; Ref.: reference; Sig.: significance level from logistic regression model.
⁢. . .