Table 3.
Factors associated with low satisfaction (step 2: role of provider)
| Step 2a Factor (reference) | Category assessed | Bivariate (OR with 95% CI) |
Model 1 (OR with 95% CI) |
Model 2 (OR with 95% CI) |
|---|---|---|---|---|
| Specialist | No specialist | 1.82 (1.21 to 2.73) | 1.94 (1.25 to 3.02) | 1.94 (1.25 to 3.02) |
| Health status | Per unit SIBDQ | 0.98 (0.96 to 1.00) | 0.98 (0.96 to 1.00) | |
| Anxiety symptoms | Present | 2.18 (0.96 to 4.94) | 2.08 (0.91 to 4.76) | |
| Time with provider (>12 months) | <12 months | 2.33 (1.51 to 3.61) | 1.68 (1.04 to 2.71) | |
|
| ||||
| Step 2b | Bivariate | Model 1 | Model 2 | |
|
| ||||
| Age-appropriate provider (age: 16–17 years, PGE) | Age <16, PGE (89) | 0.99 (0.49 to 2.00) | 0.93 (0.45 to 1.95) | 1.09 (0.52 to 2.28) |
| Age 18+, PGE (74) | 1.35 (0.66 to 2.77) | 1.16 (0.55 to 2.44) | 1.21 (0.58 to 2.50) | |
| Age 16–20, GE (114) | 1.75 (0.92 to 3.33) | 1.36 (0.70 to 2.67) | 1.18 (0.59 to 2.34) | |
| Age 21+, GE | 1.39 (0.69 to 2.80) | 0.96 (0.46 to 2.03) | 0.87 (0.41 to 1.84) | |
| Any age, no specialist | 2.33 (1.25 to 4.36) | 2.16 (1.13 to 4.15) | 2.09 (1.10 to 3.98) | |
| Health status | Per unit SIBDQ | 0.98 (0.96 to 1.00) | 0.98 (0.95 to 1.00) | |
| Anxiety symptoms | Present | 2.16 (0.95 to 4.91) | 2.08 (0.91 to 4.75) | |
| Time with provider (>12 months) | <12 months | 1.61 (0.96 to 2.71) | ||
|
| ||||
| Step 2c | Bivariate | Model 1 | Model 2 | |
|
| ||||
| Type of provider (PGE) | Adult care, GE (117) | 1.08 (0.58 to 2.00) | 0.99 (0.52 to 1.90) | 0.86 (0.44 to 1.69) |
| No specialist (72) | 1.65 (0.84 to 3.23) | 1.78 (0.90 to 3.60) | 1.63 (0.80 to 3.31) | |
| Health status | Per unit SIBDQ | 0.98 (0.95 to 1.01) | 0.98 (0.95 to 1.01) | |
| Anxiety symptoms | Present (17) | 1.41 (0.45 to 4.47) | 1.43 (0.45 to 4.57) | |
| Time with provider (>12 months) | <12 months (67) | 1.54 (0.85 to 2.81) | ||
|
| ||||
| Step 2d | Bivariate | Model 1 | Model 2 | |
|
| ||||
| Type of provider (PGE) | Adult care GE (117) | 1.44 (0.96 to 2.17) | 1.16 (0.75 to 1.80) | 0.95 (0.59 to 1.51) |
| No specialist (72) | 2.16 (1.37 to 3.39) | 2.11 (1.31 to 3.41) | 1.89 (1.16 to 3.10) | |
| Health status | Per unit SIBDQ | 0.98 (0.96 to 1.00) | 0.98 (0.96 to 1.00) | |
| Anxiety symptoms | Present (17) | 2.18 (0.96 to 4.93) | 2.08 (0.91 to 4.75) | |
| Time with provider (>12 months) | <12 months (67) | 1.71 (1.03 to 2.83) | ||
Notes: Step 2a: full sample; not relevant: parental SES, age. Step 2b: full sample; not relevant: SES, age not included. Step 2c: subgroup age 16–20 years; not relevant: parental SES, age. Step 2d: as 2c, but using full sample. Model 1: controlled for SIBDQ and anxiety. Model 2: additional covariates (only if statistically significant). Bold values indicate strong associations (OR <0.5 or >2.0) or significant contributors.
Abbreviations: PGE, pediatric gastroenterologist; GE, gastroenterologist; SES, socioeconomic status; SIBDQ, Short Inflammatory Bowel Disease Questionnaire.