Table 3:
Unadjusted and adjusted Fine & Gray proportional subdistribution hazards models for years to wait-listing for kidney transplant.
| Unadjusted (Model 1) | Adjusted (Model 2) | Adjusted (Model 3) | |||||||
|---|---|---|---|---|---|---|---|---|---|
| Variables1 | SHR2 | 95% CI | P value | SHR2 | 95% CI | P value | SHR2 | 95% CI | P value |
| Race/ethnicity | |||||||||
| Non-Hispanic White | Reference | Reference | Reference | ||||||
| Non-Hispanic African American | 0.56 | 0.46–0.68 | <0.0001 | 0.68 | 0.55–0.84 | <0.001 | 0.75 | 0.59–0.96 | 0.021 |
| Other demographic characteristics | |||||||||
| Age (years) | 0.99 | 0.98–0.99 | 0.001 | 0.99 | 0.98–0.99 | 0.025 | |||
| Education (High School or less) | 0.99 | 0.82–1.19 | 0.877 | 1.05 | 0.86–1.28 | 0.642 | |||
| Occupation (<= lower status) | 1.01 | 0.84–1.22 | 0.911 | 1.06 | 0.87–1.28 | 0.572 | |||
| Household income (< US $25,000) | 0.64 | 0.52–0.79 | <0.001 | 0.66 | 0.54–0.82 | <0.001 | |||
| Insurance status | 0.008 | 0.006 | |||||||
| Private only | Reference | Reference | |||||||
| Public only | 0.63 | 0.49–0.80 | 0.002 | 0.67 | 0.52–0.86 | 0.002 | |||
| Public and private | 0.79 | 0.63–0.97 | 0.028 | 0.79 | 0.64–0.99 | 0.041 | |||
| Marital status (married) | 0.96 | 0.80–1.15 | 0.651 | 0.96 | 0.79–1.15 | 0.636 | |||
| Medical factors | |||||||||
| Charlson Comorbidity index | 0.89 | 0.85–0.94 | <0.001 | 0.91 | 0.86–0.96 | <0.001 | |||
| Burden of Kidney Disease | 0.98 | 0.91–1.06 | 0.593 | 0.97 | 0.89–1.06 | 0.516 | |||
| Have living donor | 1.09 | 0.92–1.30 | 0.333 | 1.02 | 0.85–1.22 | 0.827 | |||
| Dialysis (yes) | 0.61 | 0.50–0.75 | <0.001 | 0.62 | 0.50–0.76 | <0.001 | |||
| Cultural factors | |||||||||
| Racism in healthcare | 1.03 | 0.89–1.18 | 0.698 | ||||||
| Medical mistrust | 0.96 | 0.75–1.21 | 0.715 | ||||||
| Trust in physician | 1.11 | 0.90–1.35 | 0.339 | ||||||
| Any religious objection to *LDKT | 0.99 | 0.82–1.17 | 0.814 | ||||||
| Experienced discrimination in healthcare | 0.88 | 0.69–1.13 | 0.316 | ||||||
| Psychosocial factors | |||||||||
| Total social support | 1.03 | 1.01–1.05 | 0.001 | ||||||
| Self-esteem | 0.90 | 0.73–1.11 | 0.320 | ||||||
| Internal locus of control | 0.98 | 0.90–1.06 | 0.561 | ||||||
| External locus of control | 1.04 | 0.93–1.16 | 0.536 | ||||||
| Transplant knowledge | |||||||||
| Transplant Knowledge | 1.06 | 1.02–1.10 | 0.006 | ||||||
| Number of learning activities | 1.02 | 0.96–1.09 | 0.453 | ||||||
| Hours engaged in learning activities | 1.00 | 0.99–1.00 | 0.851 | ||||||
1
Sample size n=1002 for unadjusted model and adjusted model
2
SHR = subdistribution hazard ratio
*
LDKT = Live donor kidney transplantation