TABLE 4.
Multivariate Ordinal Regressions Predicting Pain and Symptom Attitude
| Main effects
|
Religious affiliation x Medicaid
|
Religious affiliation x Uninsured
|
||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| b | SE | Significance | (95% CI) | b | SE | Significance | (95% CI) | b | SE | Significance | (95% CI) | |
| Sex | −.319 | .388 | .411 | (−1.07, 0.44) | −.260 | .401 | .516 | (−1.04, 0.52) | −.287 | .396 | .469 | (−1.06, 0.49) |
| African American | −.415 | .451 | .356 | (−1.29, 0.46) | −.421 | .464 | .365 | (−1.33, 0.49) | −.578 | .472 | .221 | (−1.50, 0.34) |
| Age | .027 | .018 | .124 | (−0.01, 0.06) | .027 | .018 | .131 | (−0.01, 0.06) | .032 | .018 | .076 | (−0.00, 0.06) |
| Religious affiliation | −.995 | .416 | .017 | (−1.81, −0.18) | −1.700 | .476 | <.001 | (−2.63, −0.76) | −.535 | .455 | .239 | (−1.42, 0.35) |
| Catholic | .277 | .594 | .641 | (−0.88, 1.44) | .304 | .593 | .609 | (−.085, 1.46) | .331 | .603 | .583 | (−.085, 1.51) |
| Medicaid only | .276 | .636 | .664 | (−0.97, 1.52) | −1.404 | .891 | .115 | (−3.15, 0.34) | .228 | .634 | .719 | (−1.01, 1.47) |
| Medicare only | −.223 | .676 | .742 | (−1.54, 1.10) | −.096 | .695 | .890 | (−1.45, 1.26) | −.320 | .680 | .638 | (−1.65, 1.01) |
| Uninsured | .539 | .622 | .386 | (−0.68, 1.75) | .516 | .644 | .423 | (−0.74, 1.77) | 1.636 | .813 | .044 | (0.04, 3.23) |
| Medicaid and Medicare | .515 | .657 | .432 | (−0.77, 1.80) | .836 | .675 | .215 | (−0.48, 2.15) | .315 | .662 | .635 | (−0.98, 1.61) |
| DNR | −.432 | .668 | .518 | (−1.74, 0.87) | −.442 | .701 | .528 | (−1.82, 0.93) | −.502 | .684 | .463 | (−1.84, 0.83) |
| Cancer | −.541 | .361 | .135 | (−1.24, 0.16) | −0.771 | .380 | .042 | (−1.51, −0.02) | −.486 | .370 | .189 | (−1.21, 0.23) |
| Patient unaware of prognosis | .660 | .275 | .017 | (−.012, 1.20) | .616 | .280 | .028 | (−1.51, 0.02) | .604 | .281 | .032 | (0.05, 1.15) |
| Pain medication stress | −.551 | .202 | .007 | (−0.94, −0.15) | −.612 | .212 | .004 | (−1.02, −0.19) | −.580 | .205 | .005 | (−0.98, −0.17) |
| Religious affiliation x Medicaid | 2.910 | .954 | .002 | (1.04, 4.77) | ||||||||
| Religious affiliation × Uninsured | −2.29 | .930 | .014 | −4.11, −0.47 | ||||||||
| 1. Model χ2 (df) | 35.34 | (13) | <.001 | 45.974 | (14) | <.001 | 41.668 | (14) | <.001 | |||
| 2. Goodness of Fit (Model to Data) | ||||||||||||
| Pearson (df) | 288.0 | (273) | .255 | 285.58 | (272) | .274 | 289.61 | (272) | .221 | |||
| Deviance (df) | 257.4 | (273) | .742 | 246.86 | (272) | .861 | 251.17 | (272) | .813 | |||
| Nagelkerke’s R-square | .249 | .312 | .287 | |||||||||
DNR indicates do not resuscitate.
When added as a predictor in all 3 regressions, Length of Stay (>3 months) was not statistically significant; the remaining parameters did not change appreciably.