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. 2017 May 9;12(5):e0177091. doi: 10.1371/journal.pone.0177091

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.