Table 3.
Multivariable Logistic Regression Models Examining Posttreatment Communication and Follow-up Care Utilization
Crude Model | Model with Demographic Factors | Model with Socioeconomic Factors | Model with Residental County Rurality | Model with Cancer-related Factors | Model with Other Health-related Factors | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Model Fit | LR | df | P value | LR | df | P value | LR | df | P value | LR | df | P value | LR | df | P value | LR | df | P value |
-- | -- | -- | 4.32 | 2 | .12 | 2.92 | 3 | .40 | 0.66 | 1 | .42 | 20.51 | 3 | .01 | 5.52 | 2 | .06 | |
Individual Predictors | ||||||||||||||||||
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 | OR | 95%CI | P value | |
Quality of patient-provider communication | 1.78 | 0.64, 4.96 | .27 | 1.65 | 0.57, 4.78 | .36 | 1.51 | 0.51, 4.45 | .46 | 1.92 | 0.67, 5.50 | .23 | 2.44 | 0.74, 8.05 | .14 | 2.25 | 0.75, 6.72 | .15 |
Written communication | 4.29 | 1.52, 12.10 | .01 | 5.76 | 1.88, 17.66 | .002 | 5.25 | 1.71, 16.13 | .004 | 4.18 | 1.47, 11.87 | .01 | 4.28 | 1.31, 13.94 | .02 | 5.04 | 1.68, 15.12 | .004 |
DEMOGRAPHIC FACTORS | ||||||||||||||||||
Age | 0.97 | 0.93, 1.00 | .08 | |||||||||||||||
Marital Status (REF: Not Married) | 1.92 | 0.65, 5.63 | .24 | |||||||||||||||
SOCIOECONOMIC FACTORS | ||||||||||||||||||
Education (REF: <Bachelor’s) | 0.46 | 0.17, 1.26 | .13 | |||||||||||||||
Incomea | 1.07 | 0.72, 1.57 | .75 | |||||||||||||||
Private insurance (REF: No) | 0.69 | 0.25, 1.95 | .49 | |||||||||||||||
RURALITY (REF: RUCC 1-3) | 1.48 | 0.58, 3.78 | .42 | |||||||||||||||
CANCER-RELATED FACTORS | ||||||||||||||||||
Breast Cancer (REF: No) | 0.96 | 0.32, 2.90 | .94 | |||||||||||||||
Treatment-related symptomsa | 3.28 | 1.49, 7.23 | .003 | |||||||||||||||
Time since last treatment (REF: <5 years) | 0.34 | 0.12, 0.98 | .05 | |||||||||||||||
OTHER HEALTH FACTORS | ||||||||||||||||||
Tobacco Use (REF: No) | 1.57 | 0.37, 6.70 | .55 | |||||||||||||||
Number of lifetime comorbiditiesa | 1.17 | 1.01, 1.35 | .03 | |||||||||||||||
Models with Non-Imputed Data (n=83) | ||||||||||||||||||
Model Fit | LR | df | P value | LR | df | P value | LR | df | P value | LR | df | P value | LR | df | P value | LR | df | P value |
-- | -- | -- | 4.89 | 2 | .09 | 1.76 | 3 | .62 | 0.53 | 1 | .47 | 25.99 | 3 | .002 | 3.72 | 2 | .16 | |
Individual Predictors | 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 | OR | 95%CI | P value |
Quality of patient-provider communication | 2.54 | 0.48, 13.35 | .27 | 1.87 | 0.60, 5.79 | .28 | 1.79 | 0.57, 5.59 | .32 | 2.26 | 0.73, 6.98 | .16 | 3.03 | 0.80, 3.03 | .11 | 2.37 | 0.76, 7.40 | .14 |
Written communication | 4.78 | 1.58, 14.48 | .01 | 6.89 | 2.04, 23.25 | .005 | 5.51 | 1.65, 18.37 | .005 | 4.56 | 1.49, 13.96 | .01 | 6.41 | 1.62, 25.40 | .008 | 5.55 | 1.73, 17.80 | .004 |
DEMOGRAPHIC FACTORS | ||||||||||||||||||
Age | 0.96 | 0.92, 1.00 | .06 | |||||||||||||||
Marital Status (REF: Not Married) | 1.93 | 0.63, 5.93 | .25 | |||||||||||||||
SOCIOECONOMIC FACTORS | ||||||||||||||||||
Education (REF: <Bachelor’s) | 0.54 | 0.18, 1.62 | .27 | |||||||||||||||
Incomea | 1.02 | 0.65, 1.59 | .93 | |||||||||||||||
Private insurance (REF: No) | 0.75 | 0.26, 2.22 | .61 | |||||||||||||||
RURALITY (REF: RUCC 1-3) | 1.45 | 0.53, 3.98 | .47 | |||||||||||||||
CANCER-RELATED FACTORS | ||||||||||||||||||
Breast Cancer (REF: No) | 1.64 | 0.47, 5.70 | .44 | |||||||||||||||
Treatment-related symptomsa | 4.03 | 1.69, 9.64 | .002 | |||||||||||||||
Time since last treatment (REF: <5 years) | 0.24 | 0.07, 0.80 | .02 | |||||||||||||||
OTHER HEALTH FACTORS | ||||||||||||||||||
Tobacco Use (REF: No) | 1.71 | 0.40, 7.37 | .47 | |||||||||||||||
Number of lifetime comorbiditiesa | 1.14 | 0.98, 1.32 | .09 | |||||||||||||||
Models with Imputed Data among Wave 1 participants only (n = 81) | ||||||||||||||||||
Model Fit | LR | df | P value | LR | df | P value | LR | df | P value | LR | df | P value | LR | df | P value | LR | df | P value |
-- | -- | -- | 5.20 | 2 | .07 | 2.19 | 3 | .53 | 1.52 | 1 | .22 | 21.35 | 3 | .01 | 4.53 | 2 | .10 | |
Individual Predictors | 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 | OR | 95%CI | P value |
Quality of patient-provider communication | 1.65 | 0.57, 4.77 | .35 | 1.49 | 0.49, 4.54 | .48 | 1.48 | 0.49, 4.51 | .49 | 1.89 | 0.63, 5.68 | .25 | 2.19 | 0.62, 7.78 | .23 | 1.99 | 0.65, 6.09 | .23 |
Written communication | 3.29 | 1.15, 9.46 | .03 | 4.48 | 1.43, 14.02 | .01 | 3.99 | 1.29, 12.38 | .02 | 3.09 | 1.06, 9.02 | .04 | 3.12 | 0.92, 10.62 | .07 | 4.04 | 1.32, 12.36 | .01 |
DEMOGRAPHIC FACTORS | ||||||||||||||||||
Age | 0.96 | 0.92, 1.00 | .06 | |||||||||||||||
Marital Status (REF: Not Married) | 2.14 | 0.72, 6.41 | .17 | |||||||||||||||
SOCIOECONOMIC FACTORS | ||||||||||||||||||
Education (REF: <Bachelor’s) | 0.49 | 0.17, 1.39 | .18 | |||||||||||||||
Incomea | 1.09 | 0.73, 1.62 | .69 | |||||||||||||||
Private insurance (REF: No) | 0.72 | 0.26, 2.06 | .54 | |||||||||||||||
RURALITY (REF: RUCC 1-3) | 1.83 | 0.69, 4.84 | .22 | |||||||||||||||
CANCER-RELATED FACTORS | ||||||||||||||||||
Breast Cancer (REF: No) | 0.72 | 0.22, 2.32 | .58 | |||||||||||||||
Treatment-related symptomsa | 3.67 | 1.48, 9.13 | .005 | |||||||||||||||
Time since last treatment (REF: <5 years) | 0.32 | 0.10, 0.97 | .05 | |||||||||||||||
OTHER HEALTH FACTORS | ||||||||||||||||||
Tobacco Use (REF: No) | 1.86 | 0.36, 9.63 | .46 | |||||||||||||||
Number of lifetime comorbiditiesa | 1.15 | 0.99, 1.33 | .06 | |||||||||||||||
Models with Imputed Data among participants in non-metropolitan counties (RUCC 4-9) only (n=53) | ||||||||||||||||||
Model Fit | LR | df | P value | LR | df | P value | LR | df | P value | LR | df | P value | LR | df | P value | LR | df | P value |
-- | -- | -- | 3.15 | 2 | .21 | 4.46 | 3 | .22 | 3.87 | 1 | .05 | 12.52 | 3 | .04 | 6.24 | 2 | .04 | |
Individual Predictors | 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 | OR | 95%CI | P value |
Quality of patient-provider communication | 3.72 | 0.80, 17.36 | .09 | 2.39 | 0.47, 12.18 | .29 | 2.63 | 0.49, 14.04 | .26 | 5.37 | 1.01, 28.47 | .05 | 3.46 | 0.60, 20.13 | .17 | 7.34 | 1.15, 47.04 | .04 |
Written communication | 7.72 | 1.79, 33.24 | .01 | 13.8 | 2.53, 75.69 | 0 | 12.6 | 2.23, 71.52 | .004 | 6.08 | 1.33, 27.81 | .02 | 11.61 | 2.20, 61.39 | .004 | 9.73 | 1.94, 48.89 | .006 |
DEMOGRAPHIC FACTORS | ||||||||||||||||||
Age | 0.95 | 0.89, 1.01 | .12 | |||||||||||||||
Marital Status (REF: Not Married) | 1.78 | 0.40, 7.98 | .45 | |||||||||||||||
SOCIOECONOMIC FACTORS | ||||||||||||||||||
Education (REF: <Bachelor’s) | 0.26 | 0.06, 1.24 | .09 | |||||||||||||||
Incomea | 1.06 | 0.61, 1.85 | .84 | |||||||||||||||
Private insurance (REF: No) | 0.49 | 0.10, 2.49 | .39 | |||||||||||||||
RURALITY (continuous) | 1.75 | 0.98, 3.14 | .06 | |||||||||||||||
CANCER-RELATED FACTORS | ||||||||||||||||||
Breast Cancer (REF: No) | 1.53 | 0.30, 7.92 | .61 | |||||||||||||||
Treatment-related symptomsa | 3.34 | 1.09, 10.28 | .04 | |||||||||||||||
Time since last treatment (REF: <5 years) | 0.41 | 0.08, 2.05 | .28 | |||||||||||||||
OTHER HEALTH FACTORS | ||||||||||||||||||
Tobacco Use (REF: No) | 2.28 | 0.29, 18.07 | .43 | |||||||||||||||
Number of lifetime comorbiditiesa | 1.28 | 1.02, 1.60 | .03 |
Analyzed as a continuous variable.
Significant associations (P < .05) are in bold. Non-significant associations (P < .10) are italicized.