Table 3. Adjusted analysis of association between patterns of chronic diseases and use of health services in individuals (n = 2,919) following COVID-19 infection, Rio Grande, Rio Grande do Sul, Brazil, 2021.
| Health services | Pattern 1 | Pattern 2 | Pattern 3 | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Crude PRa (95%CIb) | p-value | Adjusted PRa (95%CIb) | p-value | Crude PRa (95%CIb) | p-value | Adjusted PRa (95%CIb) | p-value | Crude PRa (95%CIb) | p-value | Adjusted PRa (95%CIb) | p-value | |
| Primary healthcare center | 1,43 (1,27; 1,61) | <0,001 | 1,36 (1,18; 1,58) | <0,001 | 1,48 (1,28; 1,71) | <0,001 | 1,44 (1,20; 1,73) | <0,001 | 1,29 (1,15; 1,46) | <0,001 | 1,13 (0,97; 1,32 | 0.140 |
| Private medical service | 1,23 (1,08; 1,40) | <0,001 | 1.29 (1,08; 1,48) | 0,010 | 1,43 (1,23; 1,66) | <0,001 | 1,24 (1,02; 1,53) | 0,070 | 1,37 (1,21; 1,55) | <0,001 | 1,45 (1,24; 1,70) | <0.001 |
| Emergency care unit | 1,49 (1,19; 1,87) | <0,001 | 1,17 (0.87; 1.56) | 0,650 | 1,19 (0,88; 1,62) | 0,260 | - | 0,490 | 1,61 (1,29; 2,00) | <0,001 | 1,37 (1,04; 1,81) | 0.030 |
| Private emergency room | 1,60 (1,10; 2,35) | 0,020 | 2,02 (1,26; 3,23) | <0,001 | 2,27 (1,48; 3,47) | <0,001 | 2,74 (1,63; 4,62) | <0,001 | 1,52 (1,04; 2,21) | 0,030 | 1,82 (1,13; 2,93) | 0.040 |
| Emergency room | 1,55 (0,99; 2,43) | 0,050 | 1,22 (0,64; 2,30) | 0,620 | 1,97 (1,18; 3,31) | 0,010 | 1,30 (0,61; 2,82) | 0,480 | 2,14 (1,38; 3,33) | <0,001 | 1,69 (0,92; 3,13) | 0.070 |
| Emergency servicesc | 1,56 (1,30; 1,87) | <0,001 | 1,37 (1,09; 1,73) | 0,020 | 1,56 (1,25; 1,95) | <0,001 | 1,22 (0,90; 1,64) | 0,280 | 1,64 (1,38; 1,96) | <0,001 | 1,42 (1,14; 1,79) | <0.001 |
| Specialist physiciansd | 2,77 (2,40; 3,20) | <0,001 | 2,76 (2,27; 3,36) | <0,001 | 1,99 (1,69; 2,34) | <0,001 | 1,80 (1,44; 2,24) | <0,001 | 1,81 (1,57; 2,09) | <0,001 | 1,89 (1,55; 2,30) | <0.001 |
| Specialized servicese | 1,32 (1,05; 1,67) | 0,020 | 1,08 (0,78; 1,48) | 0,640 | 1,77 (1,34; 2,32) | <0,001 | 1,41 (0,97; 2,05) | 0,090 | 3,20 (2,53; 4,04) | <0,001 | 2,95 (2,18; 4,00) | <0.001 |
| Pulmonologist | 1,63 (1,25; 2,12) | <0,001 | 1,09 (0,72; 1,63) | 0,860 | 1,85 (1,36; 2,52) | <0,001 | 1,67 (1,6; 2,62) | 0,150 | 1,16 (0,89; 1,53) | 0,270 | - | - |
| Neurologist | 3,09 (2,06; 4,66) | <0,001 | 1,64 (0,89; 3,05) | 0,250 | 2,65 (1,72; 4,09) | <0,001 | 1,34 (0,68; 2,66) | 0,650 | 2,40 (1,61; 3,58) | <0,001 | 2,25 (1,25; 4,06) | <0.001 |
| Cardiologist | 4,98 (4,07; 6,09) | <0,001 | 5,38 (4,10; 7,05) | <0,001 | 2,40 (1,97; 2,92) | <0,001 | 2,07 (1,57; 2,73) | <0,001 | 1,53 (1,27; 1,84) | <0,001 | 1,55 (1,21; 1,99) | <0.001 |
| Psychiatrist | 1,18 (0,81; 1,73) | 0,390 | 1,07 (0,65; 1,75) | 0,840 | 1,46 (0,90; 2,30) | 0,130 | 1,33 (0,76; 2,25) | 0,650 | 11,17 (6,70; 18,59) | <0,001 | 9,27 (5,23; 16,40) | <0.001 |
| Physiotherapist | 2,37 (1,60; 3,52) | <0,001 | 1,85 (1,05; 3,26) | 0,150 | 3,33 (2,22; 5,00) | <0,001 | 2,50 (1,41; 4,42) | 0,010 | 1,48 (1,00; 2,20) | 0,050 | - | - |
| Psychologist | 1,17 (0,88; 1,58) | 0,280 | 0,94 (0,63; 1,39) | 0,930 | 1,15 (0,77; 1,70) | 0,500 | 0,77 (0,43; 1,36) | 0,720 | 6,16 (4,43; 8,58) | <0,001 | 5,80 (3,86; 8,70) | <0.001 |
a) PR: Prevalence ratio; b) 95%CI: 95% Confidence interval; c) Emergency services: emergency care unit, private emergency room and emergency room; d) Specialist physicians: pulmonologist, neurologist, cardiologist and psychiatrist; e) Specialized services: physiotherapist and psychologist.
Notes: Pattern 1: hypertension, diabetes mellitus and cardiovascular diseases; Pattern 2: osteoporosis and rheumatism; Pattern 3: depression and anxiety.
Adjusted for sex, age (in years), marital status, income, hospitalization, body mass index (BMI) and smoking.