Table 1.
Longitudinal analysis of determinants of multimorbidity among people aged 50 years and older in China, 2011–15
| Adjusted odds ratio (95% CI)* | p value | ||
|---|---|---|---|
| Socioeconomic group | |||
| Quartile 1 (lowest) | 1 (ref) | .. | |
| Quartile 2 | 1·13 (0·96–1·34) | 0·15 | |
| Quartile 3 | 1·25 (1·04–1·49) | 0·016 | |
| Quartile 4 (highest) | 1·50 (1·24–1·82) | <0·0001 | |
| Age, per 5 years | 2·93 (2·71–3·15) | <0·0001 | |
| Sex | |||
| Male | 1 (ref) | .. | |
| Female | 2·70 (2·04–3·57) | <0·0001 | |
| Marital status | |||
| Married | 1 (ref) | .. | |
| Unmarried and others | 1·37 (1·03–1·82) | 0·030 | |
| Education | |||
| Primary school and below | 1 (ref) | .. | |
| Secondary school | 9·27 (5·85–14·67) | <0·0001 | |
| College and above | 5·17 (3·02–8·83) | <0·0001 | |
| Residence status | |||
| Urban | 1 (ref) | .. | |
| Rural | 0·59 (0·41–0·85) | 0·005 | |
| Rural-to-urban | 0·76 (0·53–1·10) | 0·14 | |
| Economic development region | |||
| Group 1 (most affluent) | 1 (ref) | .. | |
| Group 2 | 5·37 (3·10–9·31) | <0·0001 | |
| Group 3 | 4·06 (2·42–6·82) | <0·0001 | |
| Group 4 | 3·25 (2·10–5·02) | <0·0001 | |
| Group 5 (most deprived) | 3·88 (2·25–6·69) | <0·0001 | |
| Health insurance | |||
| None | 1 (ref) | .. | |
| Urban Employee Basic Medical Insurance | 0·92 (0·63–1·35) | 0·68 | |
| Urban Resident Basic Medical Insurance | 0·84 (0·58–1·20) | 0·33 | |
| New Rural Cooperative Medical Scheme | 0·81 (0·62–1·04) | 0·10 | |
| Others† | 0·77 (0·47–1·24) | 0·28 | |
Adjusted for age, sex, marital status, education, residence, socioeconomic status quartiles, health insurance, and economic development regions.
Examples include government health care, private medical insurance.