Table 3.
Adjusted odds ratios and 95% confidence intervals of multilevel random intercept logit models predicting having a RSOC and receiving a check-up in the last 2 years; L.A. FANS 2000–2001 (Adults aged 18–64 years old)a
| Has a RSOC (n = 2041)
|
Received a check-up in the last 2 years (n = 2080)
|
|||
|---|---|---|---|---|
| AORb | 95% CI | AOR | 95% CI | |
| Individual characteristics | ||||
| Predisposing factors | ||||
| Male (ref = female) | 0.28c | (0.17, 0.47) | 0.36c | (0.23, 0.57) |
| Race (ref = Latino) | ||||
| White | 0.82 | (0.43,1.58) | 0.86 | (0.49, 1.50) |
| Black | 1.00 | (0.44, 2.24) | 2.13 | (0.84, 5.39) |
| Asian/Pacific Islander or Other | 0.42d | (0.18, 1.00) | 0.59d | (0.34, 1.02) |
| Marital status (ref = never married) | ||||
| Married | 1.45d | (0.94, 2.24) | 0.96 | (0.65, 1.43) |
| Divorced or widowed | 1.42 | (0.70, 2.89) | 1.46d | (0.96, 2.21) |
| Employment status (ref = unemployed) | ||||
| Working full time in high-status occupation | 0.88 | (0.50, 1.55) | 0.45c | (0.25, 0.79) |
| Working full time in low-status occupation | 1.60d | (0.93, 2.74) | 0.74 | (0.46, 1.19) |
| Working part time | 0.91 | (0.39, 2.14) | 0.58d | (0.32, 1.05) |
| Enabling factors | ||||
| Education (ref = less than high school) | ||||
| High school graduate | 1.42 | (0.88, 2.29) | 1.15 | (0.68, 1.95) |
| Some college | 1.26 | (0.69, 2.27) | 1.49 | (0.80, 2.81) |
| College graduate or post graduate | 2.73c | (1.19, 6.24) | 2.58c | (1.31, 5.09) |
| Interviewed in English (ref = Spanish) | 1.72c | (1.00, 2.96) | 0.84 | (0.50, 1.40) |
| Log of family income | 1.35c | (1.06, 1.71) | 0.98 | (0.77, 1.23) |
| Has health insurance (ref = uninsured) | 5.64c | (3.42, 9.28) | 1.52c | (1.04, 2.23) |
| Reports having a RSOC (ref = no RSOC) | — | — | 6.61c | (4.40, 9.95) |
| Need factors | ||||
| Has chronic condition (ref = no chronic condition) | 2.20c | (1.39, 3.49) | 1.87c | (1.18, 2.95) |
| Neighborhood characteristics | ||||
| Information networks | ||||
| Percent of tract with high school or greater education (ref = tract in Q1-lowest)e | ||||
| Q2 | 0.98 | (0.59, 1.65) | 0.70 | (0.42, 1.15) |
| Q3 | 1.23 | (0.65, 2.33) | 0.52c | (0.29, 0.91) |
| Q4-highest | 1.07 | (0.36, 3.19) | 0.44d | (0.17, 1.16) |
| Neighbors ask advice more often (ref = neighbors ask advice less often) | 0.83 | (0.50, 1.38) | 0.95 | (0.63, 1.43) |
| Number of neighbors talked to in last 30 days; linear ranging from 1 (none) to 4 (6 or more) | 0.62 | (0.20, 1.86) | 0.31c | (0.12, 0.79) |
| Health behavior norms | ||||
| Adult smoking; linear ranging from 1 (do not disapprove) to 3 (strongly disapprove) | 3.62d | (0.96, 13.68) | 1.95 | (0.75, 5.07) |
| Social capital | ||||
| Percent of tract in same house 5 years ago (ref = tract in Q1-lowest)e | ||||
| Q2 | 1.92c | (1.15, 3.21) | 0.68d | (0.44, 1.07) |
| Q3 | 2.20c | (1.30, 3.73) | 0.74 | (0.50, 1.11) |
| Q4-highest | 1.84d | (0.98, 3.46) | 0.73 | (0.45, 1.17) |
| Dominant ethnic group (ref = no) | ||||
| Yes | 0.65d | (0.41, 1.05) | 0.92 | (0.63, 1.33) |
| Neighborhood is more close-knit (ref = neighborhood is less close knit) | 0.83 | (0.49, 1.38) | 0.68d | (0.46, 1.01) |
| People are more willing to help neighbors (ref = people are less willing to help neighbors) | 3.95c | (1.66, 9.39) | 2.45c | (1.31, 4.58) |
| Disagree that neighbors do not share same values (ref = agree that neighbors do not share same values) | 0.70 | (0.46, 1.09) | 0.74 | (0.50, 1.09) |
| Neighbors can be trusted (ref = neighbors are less trustworthy) | 0.99 | (0.59, 1.66) | 1.31 | (0.87, 1.97) |
| Friends living in neighborhood (ref = no friends in neighborhood) | 0.93 | (0.64, 1.35) | 1.12 | (0.85, 1.49) |
| Neighbors do more favors for one another (ref = neighbors do fewer favors) | 0.35c | (0.17, 0.71) | 0.58c | (0.35, 0.98) |
| Healthcare resources | ||||
| Median income (ref = tracts in Q1-lowest)e | ||||
| Q2 | 0.59 | (0.27, 1.31) | 1.10 | (0.58, 2.06) |
| Q3 | 0.84 | (0.40, 1.75) | 1.40 | (0.81, 2.41) |
| Q4-highest | 0.57 | (0.24, 1.35) | 1.77d | (0.93, 3.37) |
| Tract in highest quartile (Q4) of percent of population aged 65 or older (ref = Q1–Q3)e | 1.28 | (0.75, 2.19) | 1.75c | (1.11, 2.77) |
| Tract in highest quartile (Q4) of percent of population under age 5 (ref = Q1–Q3)e | 1.50 | (0.76, 2.97) | 1.68d | (0.92, 3.05) |
| Highly disadvantaged neighborhood (ref = not highly disadvantaged neighborhood) | 1.37 | (0.59, 3.20) | 0.43c | (0.21, 0.87) |
| Variance of random intercept
|
||||
| Has a RSOC | Check-up | |||
|
|
|
|||
| No individual or neighborhood characteristics | 0.82678 | 0.32240 | ||
| Individual characteristics only | 0.43770 | 0.24880 | ||
| Individual and neighborhood characteristics | 0.07152 | 0.03138 | ||
a
The model also controls for variables listed in Table 1 including, age, having children under 5, reporting no family income, reporting no assets and smoking habits.
b
AOR = adjusted odds ration; CI = confidence interval.
c
Significant at p<0.05.
d
Significant at p<0.10.
e
Q = quartiles.