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. 2022 Apr 15;10:850157. doi: 10.3389/fpubh.2022.850157

Table 4.

Decomposition of household income-related inequalities in outpatient and inpatient services utilization.

Outpatient services Inpatient services
Determinants Marginal effects (bk) p Contribution to CI (%) Marginal effects (bk) p Contribution to CI (%)
Gender and age (years) 8.16 −6.93
Men
0–14 −0.0547 0.092 0.037 −3.87 −0.0550* 0.035 0.036 −1.61
15–24 0.0242 0.606 −0.094 −1.82 −0.0436 0.180 −0.094 1.37
25–34 0.0265 0.569 0.063 2.31 −0.0730*** <0.001 0.064 −2.69
35–44 0.0043 0.916 0.118 1.50 −0.0738*** <0.001 0.119 −10.94
45–54 0.0019 0.961 0.039 0.36 −0.0645** 0.007 0.039 −5.07
55–64 0.0236 0.578 −0.030 −2.75 −0.0571* 0.021 −0.030 2.80
65– 0.0141 0.735 −0.129 −5.63 −0.0459 0.084 −0.128 7.65
Women
0–14 −0.0636* 0.036 −0.034 4.31 −0.0592* 0.021 −0.034 1.69
15–24 Reference
25–34 0.1144* 0.040 0.082 14.32 −0.0286 0.346 0.082 −1.51
35–44 0.0082 0.842 0.097 2.36 −0.0661** 0.003 0.097 −7.92
45–54 0.0271 0.520 0.035 4.67 −0.0713** 0.002 0.035 −5.11
55–64 0.0138 0.738 −0.062 −3.64 −0.0653** 0.005 −0.062 7.19
65– 0.0115 0.780 −0.107 −3.96 −0.0498 0.053 −0.107 7.22
Socioeconomic status
Household income 184.03 253.47
Quintile I Reference
Quintile II −0.0061 0.570 −0.399 18.86 0.0368** 0.001 −0.399 −47.53
Quintile III −0.0013 0.908 0.009 −0.09 0.0437*** <0.001 0.009 1.24
Quintile IV 0.0095 0.408 0.408 28.72 0.0566*** <0.001 0.408 71.71
Quintile V 0.0221 0.063 0.800 136.54 0.0882*** <0.001 0.800 228.05
Marital status −10.22 4.79
Unmarried and others Reference
Married −0.0139 0.162 0.026 −10.22 0.0155 0.081 0.026 4.79
Education −26.83 11.34
Illiteracy Reference
Primary school or junior middle school 0.0435 0.051 −0.232 −25.05 −0.0245 0.105 −0.232 5.92
Senior high school or technical secondary school 0.0105 0.453 −0.066 −16.91 −0.0248 0.062 −0.066 16.63
College, university, or above 0.0171 0.275 0.139 15.13 −0.0302* 0.013 0.139 −11.21
Employment status 32.91 −15.74
Employed 0.0140 0.167 0.037 9.95 −0.0444*** <0.001 0.038 −13.34
Retired 0.0197 0.137 0.198 22.93 −0.0042 0.709 0.197 −2.04
Student 0.0022 0.957 0.005 0.03 −0.0616* 0.015 0.005 −0.36
Unemployed and others Reference
Place of residence 27.21 −28.45
Urban Reference
Rural −0.0159 0.098 −0.108 27.21 0.0398*** <0.001 −0.108 −28.45
Healthcare accessibility
Type of basic medical insurance scheme −17.26 26.61
UEBMI 0.0245 0.243 0.277 56.25 0.0848** 0.003 0.276 81.48
URRBMI, URBMI, NCMS, and others 0.0338* 0.044 −0.078 −73.51 0.0603** 0.001 −0.077 −54.87
None Reference
Critical illness insurance −4.60 −0.90
Yes 0.0079 0.368 −0.040 −4.60 0.0037 0.645 −0.039 −0.90
No Reference
Commercial health insurance 20.79 7.40
Yes 0.0270* 0.024 0.153 20.79 0.0229* 0.042 0.154 7.40
No Reference
Distance to the nearest health facility 4.14 −0.68
≤ 5 km Reference
>5 km −0.0409* 0.020 −0.077 4.14 0.0159 0.428 −0.078 −0.68
Time taken to travel to the nearest health facility 0.35 0.16
<30 min Reference
≥30 min −0.0176 0.808 −0.190 0.35 −0.0189 0.744 −0.190 0.16
Health status
Self-assessed health −53.78 −22.18
Very poor 0.0920** 0.006 0.008 1.90 0.1001** 0.002 0.008 0.84
Poor 0.0990*** <0.001 −0.084 −10.48 0.1385*** <0.001 −0.084 −6.11
Fair 0.0709*** <0.001 −0.086 −42.81 0.0618*** <0.001 −0.087 −15.69
Good 0.0258** 0.008 −0.008 −2.39 0.0299** 0.001 −0.008 −1.22
Excellent Reference
Chronic disease −44.67 −16.16
Yes 0.1126*** <0.001 −0.023 −44.67 0.0970*** <0.001 −0.023 −16.16
No Reference
limitation of daily activities −39.35 −11.61
Yes 0.0607*** <0.001 −0.124 −39.35 0.0428*** <0.001 −0.124 −11.61
No Reference
*

Indicates that the difference was statistically significant *p < 0.05,

**

p < 0.01,

***

p < 0.001. Bold values indicate the total contribution to CI of each determinant.