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Table 3 Logistic Regression Results Estimating Rurality and Cancer Screening Utilization among Women with Early-onset ADRD/CI

From: Rural-urban disparities in preventive breast and cervical cancer screening among women with early-onset dementia

 

Mammogram, Odds ratio (95% CI)

Pap Smear, Odds ratio (95% CI)

Rural residence

0.91 (0.85, 0.97)

0.65 (0.61, 0.71)

Age 40–44

 N/A

1 [Reference]

Age 45–49

 N/A

0.80 (0.71, 0.90)

Age 50–54

1 [Reference]

0.62 (0.55, 0.69)

Age 55–59

0.93 (0.88, 0.99)

0.46 (0.41, 0.51)

Age 60–64

0.86 (0.81, 0.91)

0.35 (0.32, 0.39)

Charlson Comorbidity Index

0.92 (0.91, 0.93)

0.91 (0.90, 0.92)

Comprehensive Health Plan

1 [Reference]

1 [Reference]

EPO

1.78 (1.40, 2.25)

2.03 (1.56, 2.63)

HMO

2.48 (2.21, 2.77)

1.80 (1.58, 2.05)

POS

2.15 (1.91, 2.41)

1.78 (1.56, 2.04)

PPO

2.00 (1.82, 2.19)

1.67 (1.50, 1.86)

HDHP/CDHP

2.25 (2.03, 2.50)

1.91 (1.70, 2.16)

(Intercept)

1.14 (1.03, 1.26)

1.84 (1.60, 2.13)

  1. Abbreviations: ADRD, Alzheimer’s disease and related dementias; CI, cognitive impairment; EPO, exclusive provider organization; HMO, health maintenance organization; POS, point of service; PPO, preferred provider organization; HDHP, high deductible health plan; CDHP, consumer directed health plan