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.