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. 2022 Mar 14;12(3):e058231. doi: 10.1136/bmjopen-2021-058231

Table 3.

Univariate and multivariate analysis of factors associated with utilisation of hospice care services during the last year of life among deceased patients

Variables Number of patients Utilisation of hospice care services† Univariate Multivariate analysis
N (%) OR (95% CI) AOR (95% CI)
HIV infection
 No 14 722 1811 (12.30) 1 1
 Yes 5691 328 (5.76) 0.44 (0.39 to 0.49)*** 0.66 (0.57 to 0.75)***
Demographics
Age, years
 18–64 18 175 1921 (10.57) 1 1
 ≥65 2238 218 (9.74) 0.91 (0.79 to 1.06) 0.59 (0.49 to 0.70)***
Sex
 Female 1066 150 (14.07) 1 1
 Male 19 347 1989 (10.28) 0.70 (0.59 to 0.84)*** 0.66 (0.54 to 0.81)***
Income level
 Low 6652 359 (5.40) 1 1
 Intermediate 9359 1086 (11.60) 2.30 (2.03 to 2.60)*** 1.96 (1.72 to 2.25)***
 High 4402 694 (15.77) 3.28 (2.87 to 3.75)*** 2.21 (1.90 to 2.57)***
Urbanisation
 Rural 2092 209 (9.99) 1 1
 Suburban 12 517 1305 (10.43) 1.05 (0.90 to 1.22) 0.97 (0.82 to 1.16)
 Urban 5804 625 (10.77) 1.09 (0.92 to 1.28) 0.95 (0.79 to 1.15)
Comorbidity
Cancer 6225 1905 (30.60) 26.30 (22.86 to 30.25)*** 24.48 (21.23 to 28.24)***
Diabetes 4738 551 (11.63) 1.17 (1.05 to 1.29)** 1.05 (0.93 to 1.19)
Chronic kidney disease 3568 401 (11.24) 1.10 (0.98 to 1.24) 0.97 (0.84 to 1.11)
Congestive heart failure 2203 192 (8.72) 0.80 (0.68 to 0.93)** 0.99 (0.81 to 1.20)
Coronary heart disease 3823 438 (11.46) 1.13 (1.01 to 1.27)* 1.02 (0.89 to 1.18)
Liver cirrhosis 3403 491 (14.43) 1.57 (1.41 to 1.75)*** 0.97 (0.86 to 1.10)
COPD 4758 606 (12.74) 1.35 (1.22 to 1.49)*** 1.15 (1.02 to 1.29)*
Dementia 611 49 (8.02) 0.74 (0.55 to 0.99)* 0.92 (0.65 to 1.30)
Cerebrovascular disease 3792 329 (8.68) 0.78 (0.69 to 0.88)*** 0.87 (0.75 to 1.00)

*P<0.05; **p<0.01; ***p<0.001.

†During the last year of life.

AOR, adjusted OR; COPD, chronic obstructive pulmonary disease.