Table 2.
Descriptive Statistics and Multivariate Analysis Predicting Preference for Palliative Care, N (%)
| Variable1 | Attitude Toward Palliative Care
|
Adjusted OR (95% CI) | p-value | |
|---|---|---|---|---|
| Favorable (N=303) | Unfavorable (N=80) | |||
|
| ||||
| Gender | ||||
| Women | 185 (87.7%) | 26 (12.3%) | 3.07 (1.80–5.23) | <0.0001 |
| Men | 118 (68.6%) | 54 (31.4%) | ||
|
| ||||
| Age | ||||
| ≥65 year | 141 (73.8%) | 50 (26.2%) | 0.54 (0.31–0.94) | 0.03 |
| <65 years | 162 (84.4%) | 30 (15.6%) | ||
|
| ||||
| Education | ||||
| High school or less | 83 (75.5%) | 27(24.5%) | 0.85 (0.48–1.48) | 0.55 |
| Some college or more | 220 (80.6%) | 53 (19.4%) | ||
|
| ||||
| Race | ||||
| White | 273 (79.8%) | 69 (20.2%) | 1.18 (0.51–2.71) | 0.69 |
| Non-White | 30 (73.2%) | 11 (26.8%) | ||
|
| ||||
| Cancer aggressiveness | ||||
| Aggressive cancer | 143 (75.7%) | 46 (24.3%) | 0.75 (0.45–1.26) | 0.28 |
| Less aggressive cancer | 160 (82.5%) | 34 (17.5%) | ||
|
| ||||
| Insurance status | ||||
| Medicaid/uninsured | 36 (73.5%) | 13 (26.5%) | 0.66 (0.29 1.47)) | 0.30 |
| Medicare/private | 267 (79.9%) | 67 (20.1%) | ||
| insurance | ||||
|
| ||||
| Financial Strain | ||||
| Present | 95 (78.5%) | 26 (21.5%) | 0.85 (0.45–1.62) | 0.62 |
| Absent | 208 (79.4%) | 54 (20.6%) | ||
Note.
All variables in this column were included in the multivariate logistic regression analysis.
PC=Palliative Care, OR=Odds Ratio, CI=Confidence Interval. In the survey, palliative care was described as comfort care that focuses on quality of life, but not a cure. The outcome variable in the logistic regression was favorable attitudes, defined as responding definitely yes or possibly yes to the question “If your cancer doctor advised you that there is no further anti-cancer treatment available that would be helpful, would you want palliative care?” Gender remained a significant predictor in sensitivity analyses that accounted for additional covariates [2.79 (1.60, 4.86)] and analyses that treated the outcome variable as ordinal [2.47(1.67, 3.65)].