TABLE 4

Adjusted OR of YSHCN, Ages 12 to 18, Not Meeting the Transition Core Outcome and Individual Measures, According to Selected Sociodemographic Factors: United States, 2009–2010

Components, Adjusted OR (CI)a
Did Not Discuss Shift to Adult ProviderDid Not Discuss Adult Health Care NeedsDid Not Discuss Health InsuranceYouth Not Usually/ Always Encouraged to Take ResponsibilityYouth Did Not Receive Services Necessary to Make Transition to Adult Life
Gender
 Female1.001.001.001.001.00
 Male1.18 (0.95–1.47)1.39 (1.20–1.60)b1.26 (1.08–1.48)b1.24 (1.06–1.45)b1.35 (1.19–1.53)b
Age, y
 12–141.001.001.001.001.00
 15–170.62 (0.50–0.77)b0.93 (0.81–1.08)0.85 (0.73–1.00)b0.81 (0.70–0.94)b1.15 (1.02–1.31)b
Race/Ethnicity
 Non-Hispanic white1.001.001.001.001.00
 Non-Hispanic black1.27 (0.92–1.77)1.32 (1.07–1.63)b0.83 (0.65–1.06)1.28 (1.03–1.60)b1.51 (1.23–1.84)b
 Hispanic1.44 (0.98–2.12)1.08 (0.82–1.41)1.25 (0.90–1.73)0.92 (0.68–1.24)1.56 (1.17–2.10)b
 All otherc0.70 (0.47–1.05)0.94 (0.72–1.22)0.96 (0.71–1.31)1.05 (0.82–1.35)1.07 (0.82–1.41)
Primary language in home
 English1.001.001.001.001.00
 Not English1.39 (0.72–2.67)1.74 (1.08–2.77)b1.16 (0.65–2.06)1.26 (0.77–2.04)1.67 (0.93–3.02)
Poverty status
 <100% FPLd1.05 (0.67–1.64)1.01 (0.77–1.33)1.20 (0.86–1.66)0.88 (0.66–1.17)1.19 (0.92–1.55)
 100%–199% FPL1.12 (0.75–1.66)1.14 (0.90–1.44)1.25 (0.96–1.63)0.88 (0.67–1.15)1.28 (1.03–1.58)b
 200%–399% FPL1.20 (0.90–1.60)1.05 (0.87–1.27)1.14 (0.92–1.41)0.96 (0.78–1.18)1.18 (1.01–1.38)b
 ≥400% FPL1.001.001.001.001.00
Impact on activities
 Always/usually/great deal affected1.08 (0.80–1.46)1.13 (0.93–1.38)1.24 (0.99–1.55)2.29 (1.85–2.83)b1.90 (1.59–2.26)b
 Somewhat/moderately affected0.95 (0.73–1.22)1.06 (0.90–1.25)1.27 (1.06–1.52)b1.16 (0.96–1.41)1.32 (1.15–1.51)b
 Never affected1.001.001.001.001.00
Emotional, behavioral, or developmental conditions
 No1.001.001.001.001.00
 Yes1.23 (0.96–1.56)1.36 (1.16–1.59)b1.34 (1.11–1.61)b1.52 (1.28–1.80)b1.40 (1.21–1.61)b
Medical home
 Yese1.001.001.001.001.00
 No1.44 (1.15–1.80)b1.88 (1.62–2.17)b1.76 (1.50–2.06)b2.48 (2.11–2.90)b2.13 (1.88–2.41)b
Insurance coverage
 Private1.001.001.001.001.00
 Public1.39 (0.97–2.00)1.26 (1.01–1.56)b1.35 (1.06–1.73)b1.33 (1.05–1.69)b1.75 (1.42–2.16)b
 Both0.94 (0.61–1.45)0.86 (0.64–1.15)0.61 (0.45–0.83)b1.52 (1.13–2.03)b1.21 (0.93–1.56)
 Uninsured2.21 (1.18–4.16)b2.16 (1.44–3.23)b1.68 (0.90–3.14)1.55 (0.99–2.41)2.33 (1.46–3.74)b
  • a Adjusted for all other covariates in the table.

  • b Significant at the P ≤ .05 level.

  • c All other includes respondents identified as Asian, Alaska Native, American Indian, Native Hawaiian, Pacific Islander, or Mixed Race.

  • d Based on the US Department of Health and Human Services poverty guidelines. For most households surveyed in 2009 and 2010, 100% of the poverty level was defined as $22 050 for a family of 4.

  • e Meets MCHB criteria for a medical home.