Table 2. Association of utilization of the annual health check-ups with equivalent income and indices for geographic accessibility using a multilevel mixed-effect logistic regression model.
Index for accessibility | |||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Travel time to the nearest facility | Density | 2SFCA | E2SFCA with slow decay | E2SFCA with quick decay | |||||||||||||
OR | 95% CI | p-value | OR | 95% CI | p-value | OR | 95% CI | p-value | OR | 95% CI | p-value | OR | 95% CI | p-value | |||
Fixed parameters | |||||||||||||||||
Individual factors | |||||||||||||||||
Sex | |||||||||||||||||
Men | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | ||||||||||||
Women | 1.73 | 1.68–1.79 | <0.001 | 1.73 | 1.68–1.79 | <0.001 | 1.73 | 1.68–1.79 | <0.001 | 1.73 | 1.68–1.79 | <0.001 | 1.73 | 1.68–1.79 | <0.001 | ||
Age (year) | 1.09 | 1.09–1.09 | <0.001 | 1.09 | 1.09–1.09 | <0.001 | 1.09 | 1.09–1.09 | <0.001 | 1.09 | 1.09–1.09 | <0.001 | 1.09 | 1.09–1.09 | <0.001 | ||
Household factors | |||||||||||||||||
Number of family members | |||||||||||||||||
1 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | ||||||||||||
2 | 1.50 | 1.43–1.58 | <0.001 | 1.50 | 1.43–1.58 | <0.001 | 1.50 | 1.43–1.58 | <0.001 | 1.50 | 1.43–1.58 | <0.001 | 1.50 | 1.43–1.58 | <0.001 | ||
3 or more | 1.05 | 0.99–1.12 | 0.125 | 1.05 | 0.99–1.12 | 0.116 | 1.05 | 0.98–1.12 | 0.136 | 1.05 | 0.98–1.12 | 0.134 | 1.05 | 0.98–1.12 | 0.136 | ||
Income (million yen) | |||||||||||||||||
0.00 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | ||||||||||||
0.01–1.00 | 1.37 | 1.29–1.46 | <0.001 | 1.37 | 1.29–1.46 | <0.001 | 1.37 | 1.29–1.46 | <0.001 | 1.37 | 1.29–1.46 | <0.001 | 1.37 | 1.29–1.46 | <0.001 | ||
1.01–2.00 | 1.96 | 1.84–2.09 | <0.001 | 1.96 | 1.84–2.09 | <0.001 | 1.96 | 1.84–2.09 | <0.001 | 1.96 | 1.84–2.09 | <0.001 | 1.96 | 1.84–2.09 | <0.001 | ||
2.01– | 1.93 | 1.80–2.07 | <0.001 | 1.93 | 1.80–2.07 | <0.001 | 1.93 | 1.80–2.07 | <0.001 | 1.93 | 1.80–2.07 | <0.001 | 1.93 | 1.80–2.07 | <0.001 | ||
Contextual factors of residence | |||||||||||||||||
Indices for accessibility | |||||||||||||||||
Log travel time to the nearest facility | 0.91 | 0.87–0.95 | <0.001 | - | - | - | - | ||||||||||
Densitya | - | 1.03 | 1.01–1.04 | <0.001 | - | - | - | ||||||||||
2SFCAb | - | - | 1.03 | 1.00–1.06 | 0.062 | - | - | ||||||||||
E2SFCA with slow decayb | - | - | - | 1.03 | 1.00–1.06 | 0.050 | - | ||||||||||
E2SFCA with quick decayb | - | - | - | - | 1.01 | 0.99–1.04 | 0.172 | ||||||||||
σ2 | SE | σ2 | SE | σ2 | SE | σ2 | SE | σ2 | SE | ||||||||
Random parameters | |||||||||||||||||
Residence | 0.360 | 0.018 | 0.356 | 0.019 | 0.364 | 0.019 | 0.364 | 0.019 | 0.367 | 0.019 | |||||||
Household | 2.10 | 0.024 | 2.10 | 0.024 | 2.10 | 0.024 | 2.10 | 0.024 | 2.10 | 0.024 | |||||||
AIC | 189414 | 189414 | 189425 | 189425 | 189427 |
Abbreviations. AIC: Akaike’s Information criterion; CI: confidence interval; OR: odds ratio, SE: standard error.
a Density of health care facilities divided by 5 was entered in the model, so odds ratios are for increases of 5 in density.
b 2SFCA, E2SFCA with slow decay, and E2SFCA with quick decay multiplied by 104 were entered in the model, so odds ratios are for increases of 10−4 in these variables.