Table 4.
Fixed effects model for population health disparities.
| All-cause mortality | CVD mortality | UI mortality | ||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Crude | Adjusted* | Crude | Adjusted* | Crude | Adjusted* | |||||||||||||
| β | SE | p | β | SE | p | β | SE | p | β | SE | p | β | SE | p | β | SE | p | |
| Healthcare system | ||||||||||||||||||
| PCP density | − 0.72 | 0.13 | < .0001 | − 0.72 | 0.14 | < .0001 | − 0.41 | 0.05 | < .0001 | − 0.41 | 0.05 | < .0001 | − 0.16 | 0.12 | 0.17 | − 0.09 | 0.12 | 0.49 |
| AC bed density | 0.05 | 0.03 | 0.08 | 0.12 | 0.07 | 0.13 | 0.01 | 0.01 | 0.30 | − 0.01 | 0.03 | 0.62 | 0.005 | 0.01 | 0.43 | − 0.05 | 0.02 | 0.01 |
| LTC bed density | − 0.07 | 0.29 | 0.82 | − 0.20 | 0.26 | 0.44 | − 0.10 | 0.12 | 0.36 | − 0.13 | 0.09 | 0.16 | 0.04 | 0.07 | 0.52 | 0.06 | 0.07 | 0.33 |
| ICU bed density | 0.26 | 0.18 | 0.15 | − 0.52 | 0.50 | 0.30 | 0.09 | 0.07 | 0.21 | 0.15 | 0.18 | 0.38 | 0.07 | 0.04 | 0.08 | 0.36 | 0.13 | 0.005 |
| Socioeconomic structure | ||||||||||||||||||
| Education | 0.10 | 0.68 | 0.88 | − 0.02 | 0.62 | 0.98 | − 0.20 | 0.27 | 0.47 | − 0.30 | 0.22 | 0.18 | 0.21 | 0.16 | 0.18 | 0.14 | 0.16 | 0.35 |
| Economic development | ||||||||||||||||||
| Increase | 12.2 | 11.0 | 0.27 | 8.63 | 10.1 | 0.39 | 6.74 | 4.44 | 0.13 | 4.76 | 3.61 | 0.19 | 1.30 | 2.56 | 0.61 | 0.47 | 2.59 | 0.86 |
| Decrease | − 15.1 | 38.2 | 0.69 | − 26.9 | 34.9 | 0.44 | 23.0 | 15.3 | 0.13 | − 21.1 | 12.5 | 0.09 | − 6.95 | 8.79 | 0.43 | − 4.18 | 8.77 | 0.63 |
| No change | − 10.2 | 10.7 | 0.34 | 1.00 | – | – | − 8.11 | 4.27 | 0.06 | 1.00 | – | – | − 0.66 | 2.47 | 0.79 | 1.00 | – | – |
CVD cardiovascular disease; UI unintentional injury; PCP primary care physician; AC acute care; LTC long-term care; ICU intensive-care unit; SE standard error.
*Model adjusted for sex ratio and proportion of population aged 65 + and weighted by population density.