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Appendix A. Descriptive statistics by race/ethnicity from the Medical Expenditure Panel Study 2010-2012 (weighted)

Race/Ethnicity P Value

Variable Full sample

Non- Hispanic

White

Non-Hispanic

Black Hispanic Asian Other race

Received an opioid prescription (%) 35.8 35.4 46.9 31.2 19.4 49.7 0.000

Had physical therapy (%) 31.9 32.4 29.2 32.1 29.5 23.6 0.471

Education (%)

Less than high school 26.7 25.7 29.8 28.7 30.2 41.6 0.006

High school 22.5 22.4 27.6 25.9 9.9 17.0 0.003

Some college 22.6 22.3 26.1 27.7 13.6 21.3 0.117

College and beyond 28.3 29.6 16.5 17.7 46.3 20.0 0.000

Female (%) 56.5 55.2 62.1 60.3 65.5 64.5 0.031

Income to poverty ratio (%)

Less than 100% 11.3 9.5 24.0 17.3 12.1 21.2 0.000

100-125% 3.2 2.9 5.2 4.9 1.2 5.5 0.013

125-200% 11.8 10.9 18.1 18.9 8.1 11.0 0.000

200-400% 29.3 29.6 26.8 28.6 32.2 25.6 0.651

More than 400% 44.5 47.1 25.9 30.4 46.4 36.7 0.000

Marital status (%)

Married 61.0 63.1 39.8 57.7 62.9 56.2 0.000

Never married 16.2 14.7 30.9 20.7 16.5 15.5 0.000

Widowed 6.3 6.7 6.4 3.6 5.9 - 0.029

Divorced 14.4 14.0 17.8 14.1 11.6 21.9 0.174

Separated 2.1 1.6 5.1 3.9 3.0 6.4 0.000

Insurance status (%)

Uninsured 7.1 6.0 10.8 18.4 10.3 5.7 0.000

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Public insurance 19.5 17.9 30.2 22.2 21.9 33.6 0.000

Private insurance 73.4 76.1 59.0 59.4 67.9 60.7 0.000

Self-rated health (%)

Excellent 14.2 14.7 11.0 9.1 18.1 13.0 0.049

Very good 29.1 30.2 21.2 26.2 25.7 24.9 0.017

Good 32.3 31.8 33.2 34.4 38.5 34.0 0.527

Fair 16.5 15.6 24.3 21.3 14.1 13.6 0.000

Poor 7.7 7.5 10.1 8.8 3.6 14.5 0.038

Live in MSA (%) 81.1 79.2 88.4 89.9 99.0 82.2 0.000

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Appendix B. Risk-adjusted odds ratios of predictors of opioid prescription receipt for back pain, 2010-2012 (weighted).

Model 1 Model 2 Model 3

Had physical therapy 0.61** 0.73** 0.78**

(0.512 - 0.734) (0.604 - 0.877) (0.640 - 0.940) Race/ethnicity (ref: Non-

Hispanic White)

Non-Hispanic Black 1.60** 1.35** 1.25*

(1.291 - 1.982) (1.077 - 1.704) (1.011 - 1.492)

Hispanic 0.82 0.71* 0.65*

(0.611 – 1.090) (0.513 - 0.982) (0.460 - 0.929)

Asian 0.43** 0.44** 0.44**

(0.279 - 0.666) (0.283 - 0.682) (0.275 - 0.696)

Other race 1.74* 1.43 1.44

(1.100 - 2.747) (0.924 - 2.220) (0.907 - 2.277) Education (ref: College and

beyond)

Less than high school 1.63** 1.43**

(1.263 – 2.116) (1.090 - 1.877)

High school 1.50** 1.42**

(1.167 - 1.931) (1.094 - 1.846)

Some college 1.54** 1.47**

(1.195 – 1.992) (1.129 - 1.925)

Female 0.92 0.94

(0.774 - 1.084) (0.784 - 1.117) Income to poverty ratio (ref:

More than 400%)

<100% 2.35** 1.54**

(1.767 - 3.137) (1.126 – 2.118)

100-125% 2.10** 1.57*

(1.402 - 3.150) (1.021 - 2.401)

125-200% 1.79** 1.46**

(1.373 - 2.333) (1.123 - 1.907)

200-400% 1.51** 1.36**

(1.221 - 1.863) (1.087 - 1.696) Insurance status (ref: Private

insurance)

Uninsured 0.87 0.79

(0.638 - 1.190) (0.576 - 1.092)

Public insurance 1.43** 1.17

(1.152 - 1.776) (0.923 - 1.475) Marital status (ref: Married)

Never married 0.63** 0.71*

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(0.490 - 0.821) (0.541 - 0.926)

Widowed 0.74 0.74

(0.533 - 1.021) (0.532 - 1.032)

Divorced 1.10 1.11

(0.884 - 1.375) (0.873 - 1.401)

Separated 1.09 1.10

0.63** 0.71*

Self-rated health (ref: Excellent)

Good 1.69**

(1.370 – 2.081)

Fair 4.17**

(3.261 – 5.336)

Poor 7.33**

(5.261 – 10.20)

** p<0.01, * p<0.05. Model 3 includes census region, MSA, year dummies

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