Table 3

Predictors of unmet health care needs among U.S. adults with diabetes

Unmet medical care needs*Unmet dental care needsUnmet prescription needsProblems with specialty referrals§Delayed urgent care
Health insurance/USC
Yes INS/Yes USC1.001.001.001.001.00
Yes INS/No USC1.35 (0.75–2.43)1.82 (0.90–3.72)1.43 (0.81–2.55)1.44 (0.85–2.45)1.15 (0.66–1.99)
No INS/Yes USC2.76 (2.02–3.78)2.55 (1.81–3.59)1.99 (1.48–2.69)1.66 (1.21–2.28)1.50 (1.12–2.00)
No INS/No USC5.51 (3.49–8.70)2.93 (1.86–4.61)3.67 (2.39–5.64)3.52 (1.61–7.68)3.13 (1.53–6.38)
Age-group
    ≥65 years1.001.001.001.001.00
    45–64 years2.33 (1.68–3.22)1.88 (1.42–2.51)1.59 (1.23–2.05)1.54 (1.24–1.92)1.52 (1.20–1.93)
    18–44 years2.59 (1.65–4.06)2.11 (1.44–3.08)1.63 (1.12–2.38)2.32 (1.58–3.42)1.58 (1.11–2.27)
Race/ethnicity
    White (not Hispanic)1.001.001.001.001.00
    Hispanic (any race)0.42 (0.28–0.62)0.62 (0.42–0.93)0.47 (0.31–0.71)1.47 (1.12–1.92)1.49 (1.14–1.95)
    Non-white (non- Hispanic)0.57 (0.41–0.78)0.95 (0.71–1.27)0.70 (0.52–0.96)1.46 (1.15–1.85)1.27 (0.99–1.63)
Employment
    Employed1.001.001.001.001.00
    Not employed1.11 (0.80–1.55)1.18 (0.86–1.62)0.90 (0.68–1.20)1.11 (0.87–1.42)1.27 (0.96–1.68)
Geographic residence
    Northeast1.001.001.001.001.00
    Midwest1.09 (0.66–1.81)1.49 (0.95–2.33)1.18 (0.76–1.83)0.69 (0.51–0.94)1.26 (0.89–1.80)
    South1.26 (0.83–1.93)1.37 (0.90–2.08)1.31 (0.89–1.93)0.66 (0.52–0.85)1.21 (0.89–1.64)
    West1.54 (0.97–2.47)1.21 (0.78–1.89)1.36 (0.87–2.11)0.89 (0.67–1.19)1.35 (0.97–1.88)
Residence location
    MSA1.001.001.001.001.00
    Non-MSA0.81 (0.61–1.08)0.84 (0.61–1.15)0.89 (0.67–1.17)0.91 (0.73–1.15)1.13 (0.91–1.40)
Education
    Not a high school  graduate1.001.001.001.001.00
    High school graduate0.99 (0.76–1.29)0.97 (0.73–1.30)1.03 (0.82–1.30)0.97 (0.77–1.23)0.92 (0.73–1.15)
Household income#
    High income1.001.001.001.001.00
    Middle income1.53 (1.04–2.25)1.72 (1.16–2.53)1.88 (1.39–2.54)0.93 (0.73–1.20)1.27 (0.96–1.69)
    Low income1.32 (0.86–2.02)1.98 (1.33–2.97)2.25 (1.64–3.10)0.86 (0.63–1.18)1.06 (0.77–1.46)
    Near poor2.03 (1.21–3.39)1.75 (1.05–2.92)2.49 (1.63–3.81)1.05 (0.71–1.57)1.07 (0.72–1.58)
    Poor1.96 (1.25–3.08)2.15 (1.41–3.28)2.70 (1.86–3.93)1.11 (0.80–1.54)1.03 (0.76–1.41)
Health status
    Excellent/very good1.001.001.001.001.00
    Good1.42 (1.01–2.01)0.96 (0.66–1.39)1.63 (1.11–2.39)0.91 (0.66–1.25)1.42 (1.01–2.01)
    Fair/poor1.83 (1.34–2.50)1.80 (1.30–2.48)2.70 (1.88–3.88)1.43 (1.07–1.92)1.83 (1.34–2.50)
  • Data are adjusted ORs (95% CI).

  • *Respondent reported being unable to get medical care when needed within the past year.

  • †Respondent reported being unable to get dental care when needed within the past year.

  • ‡Respondent reported being unable to get prescription medications when needed within the past year.

  • §Respondent reported a problem in getting a specialty referral when needed within the past year (only among those who were referred to a specialist in the past year, n = 3,353).

  • ‖Respondent reported not always getting timely urgent care when needed within the past year (only among those who reported having an urgent need for care in the past year, n = 2,766).

  • ¶Statistically significant (P < 0.05) OR. ORs are adjusted for all other variables in the table.

  • #As a percentage of the FPL. MSA-Metropolitan Statistical Area.