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Table 2 Multilevel Modeling Results for Three State Regulatory Models: Predictors of Late-Stage Diagnosis of CRC

From: United States Health Policies and Late-stage Breast and colorectal cancer diagnosis: Why such disparities by age?

State Policy Variable:

Direct Access to Specialist

Ban on Financial Incentives

Greater Practice Latitude NP

 

odds ratio

p-value

Lower 95 % CI

Upper 95 % CI

odds ratio

p-value

Lower 95 % CI

Upper 95 % CI

odds ratio

p-value

Lower 95 % CI

Upper 95 % CI

Person level

            

Age < 65

1.23

0.00

1.17

1.29

1.13

0.00

1.11

1.15

1.12

0.00

1.11

1.14

Female

1.05

0.00

1.04

1.06

1.05

0.00

1.04

1.06

1.05

0.00

1.04

1.06

Black

1.09

0.00

1.07

1.11

1.09

0.00

1.07

1.11

1.09

0.00

1.07

1.11

Race all other

1.01

0.31

0.99

1.03

1.01

0.44

0.99

1.03

1.01

0.37

0.99

1.03

County level

            

<65 Pop uninsured

1.00

0.00

1.00

1.01

1.01

0.00

1.00

1.01

1.01

0.00

1.00

1.01

Distance to provider

1.01

0.00

1.00

1.01

1.00

0.38

1.00

1.01

1.00

0.51

1.00

1.01

Squared Distance

1.00

0.16

1.00

1.00

1.00

0.87

1.00

1.00

1.00

0.93

1.00

1.00

Screening rate

0.97

0.00

0.96

0.97

0.97

0.00

0.96

0.97

0.97

0.00

0.96

0.97

Managed care

1.12

0.01

1.04

1.21

1.02

0.64

0.93

1.12

1.06

0.20

0.97

1.17

Isolation black

0.85

0.00

0.81

0.89

0.98

0.61

0.93

1.05

0.99

0.83

0.93

1.06

Isolation Asian

1.64

0.00

1.34

1.99

1.15

0.05

1.00

1.32

1.25

0.00

1.09

1.43

Isolation Hispanic

1.04

0.28

0.97

1.10

1.05

0.24

0.97

1.14

1.01

0.78

0.93

1.10

State level

            

State Policy

1.00

0.98

0.95

1.05

0.97

0.05

0.94

1.00

1.02

0.16

0.99

1.04

Cross level interaction

            

Age <65* state policy

0.93

0.00

0.88

0.97

1.03

0.03

1.00

1.05

1.06

0.00

1.03

1.08

Random Intercept Parameters

            

Level 1 variance*

3.2899

3.2899

3.2899

Level 2 variance

0.0208

0.0220

0.0219

Level 3 variance

0.0041

0.0068

0.0072

  1. *For logistic multilevel models, the variance for level one is assumed to be π2/3