Metabolic control in a nationally representative diabetic elderly sample in Costa Rica: patients at community health centers vs. patients at other health care settings

Table 6 Odds ratios for poor levels of metabolic control by place of last outpatient visit.

Metabolic control indicators	(n)	Community health centers	Public clinic		Public hospital		Private clinical setting
HbA_1C ≥ 7%	460	1.00	0.93		0.84		1.40
-People with insulin	134	1.00	0.32	*	0.34	*	0.25
-People with oral medication	321	1.00	0.75		1.14		2.03
SBP ≥ 130 mg/dl^b	479	1.00	0.82		1.28		1.22
-People with antihypertensive medication	321	1.00	0.51		0.80		0.43
DBP ≥ 80 mg/dl^b	479	1.00	1.21		1.11		1.65
-People with antihypertensive medication	321	1.00	0.83		1.02		1.47
SBP ≥ 130 & DBP ≥ 80 mmHg^b	479	1.00	1.34		1.33		1.30
-People with antihypertensive medication	321	1.00	0.86		1.01		1.02
Triglycerides≥ 150 mg/dl	452	1.00	0.51	**	0.63		0.40	**
-People with statin medication	99	1.00	0.38		0.32		0.17	*
LDL ≥ 100 mg/dl	423	1.00	0.72		0.40	**	0.27	***
-People with statin medication	76	1.00	0.15		0.20		0.01	***
HDL ≤ 40 mg/dl	472	1.00	1.63		1.17		0.85
Without aspirin intake	471	1.00	1.05		0.80		1.10
Without influenza vaccine last year	478	1.00	1.40		1.17		1.62
Without physician examination at least once a year	478	1.00	0.95		1.09		7.10	**

Notes: a/Odds ratios computed from logistic regressions that control for sex, age, income, schooling, region of residence, health insurance, history of stroke, history of heart attack, smoking, obesity, and years since diagnosis of DM. The odds ratios for biomarkers are also controlled for estimated caloric intake. Analyses exclude interviewees who had their last outpatient visit at home, because sample size for that category is too small.
b/Arithmetic mean of two measurements

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