Table 3. Multiple logistic regression of factors affecting “Demand,” “Awareness,” and “Demand but poor awareness” on the pilot project of primary health care for people with disabilities.
| Variables | Demand | Awareness | Demand but poor awareness | |||||
|---|---|---|---|---|---|---|---|---|
| Odds ratio (95% CI) | P value | Odds ratio (95% CI) | P value | Odds ratio (95% CI) | P value | |||
| Predisposing factors | ||||||||
| Age, yr | ||||||||
| 1–19 | Ref | Ref | Ref | |||||
| 20–64 | 0.58 (0.21–0.61) | 0.294 | 0.52 (0.20–1.36) | 0.180 | 1.21 (0.57–2.60) | 0.617 | ||
| 65+ | 0.93 (0.32–2.67) | 0.887 | 0.41 (0.15–1.17) | 0.095 | 1.75 (0.79–3.87) | 0.166 | ||
| Gender | ||||||||
| Female | Ref | Ref | Ref | |||||
| Male | 1.07 (0.75–1.53) | 0.722 | 1.56 (0.98–2.50) | 0.062 | 0.96 (0.70–1.32) | 0.793 | ||
| Marital status | ||||||||
| Married | Ref | Ref | Ref | |||||
| No married | 0.89 (0.59–1.32) | 0.551 | 1.44 (0.89–2.33) | 0.140 | 0.84 (0.59–1.18) | 0.309 | ||
| Education | ||||||||
| < High school (none, primary, middle) | Ref | Ref | Ref | |||||
| High school | 1.08 (0.63–1.86) | 0.766 | 0.84 (0.46–1.55) | 0.575 | 0.95 (0.60–1.51) | 0.838 | ||
| College, university | 1.55 (0.87–2.74) | 0.135 | 0.60 (0.31–1.16) | 0.131 | 1.48 (0.90–2.43) | 0.120 | ||
| Living arrangement | ||||||||
| Live with others | Ref | Ref | Ref | |||||
| Live alone | 1.26 (0.76–2.11) | 0.371 | 0.42 (0.20–0.88) | 0.020* | 1.44 (0.91–2.29) | 0.116 | ||
| Enabling factors | ||||||||
| Incomea | ||||||||
| Low | Ref | Ref | Ref | |||||
| Medium | 1.06 (0.67–1.67) | 0.798 | 0.74 (0.43–1.28) | 0.282 | 1.11 (0.75–1.66) | 0.598 | ||
| High | 1.22 (0.68–2.20) | 0.510 | 0.68 (0.32–1.47) | 0.329 | 1.30 (0.77–2.20) | 0.318 | ||
| Occupational status | ||||||||
| Currently employed | Ref | Ref | Ref | |||||
| Unemployed | 0.72 (0.47–1.10) | 0.127 | 0.70 (0.41–1.18) | 0.181 | 0.87 (0.60–1.26) | 0.465 | ||
| Public health insurance | ||||||||
| Health insurance | Ref | Ref | Ref | |||||
| Medical aid | 1.30 (0.68–2.49) | 0.433 | 2.10 (1.13–3.90) | 0.020* | 0.80 (0.48–1.33) | 0.389 | ||
| Support status | ||||||||
| None | Ref | Ref | Ref | |||||
| Care giver (informal, formal) | 1.15 (0.73–1.81) | 0.545 | 1.27 (0.69–2.33) | 0.447 | 1.03 (0.68–1.55) | 0.896 | ||
| Home bound | ||||||||
| Non-homebound | Ref | Ref | Ref | |||||
| Homebound | 0.56 (0.26–1.24) | 0.152 | 1.96 (0.88–4.38) | 0.099 | 0.80 (0.48–1.33) | 0.389 | ||
| Utilization of health services | ||||||||
| Not experienced | Ref | Ref | Ref | |||||
| Experienced | 1.57 (0.98–2.52) | 0.060 | 1.47 (0.91–2.38) | 0.117 | 1.11 (0.77–1.62) | 0.572 | ||
| Health information sources | ||||||||
| None | Ref | Ref | Ref | |||||
| Health service center | 0.80 (0.43–1.50) | 0.490 | 4.00 (1.65–9.68) | 0.002** | 0.52 (0.30–0.90) | 0.020* | ||
| Welfare center/Government office | 0.99 (0.55–1.78) | 0.973 | 4.16 (1.79–9.68) | 0.001** | 0.62 (0.37–1.03) | 0.066 | ||
| Family, friend, neighborhood | 0.92 (0.46–1.82) | 0.802 | 1.33 (0.47–3.80) | 0.590 | 1.00 (0.54–1.87) | 0.988 | ||
| Mass media | 1.03 (0.65–1.64) | 0.903 | 2.18 (0.97–4.89) | 0.058 | 0.81 (0.53–1.26) | 0.354 | ||
| Need factors | ||||||||
| Chronic disease | ||||||||
| None | Ref | Ref | Ref | |||||
| Yes | 1.86 (1.28–2.70) | 0.001** | 1.68 (1.02–2.78) | 0.043* | 1.29 (0.92–1.81) | 0.136 | ||
| Assistance in ADL | ||||||||
| Not need | Ref | Ref | Ref | |||||
| Need | 0.99 (0.64–1.53) | 0.954 | 0.88 (0.50–1.53) | 0.651 | 1.07 (0.72–1.57) | 0.019* | ||
| Severity of disability | ||||||||
| Mild | Ref | Ref | Ref | |||||
| Severe | 1.23 (0.82–1.85) | 0.325 | 1.78 (1.07–2.93) | 0.025* | 0.88 (0.62–1.26) | 0.493 | ||
| Disability type | ||||||||
| External physical | Ref | Ref | Ref | |||||
| Mental, developmental | 0.87 (0.45–1.69) | 0.690 | 1.29 (0.65–2.53) | 0.466 | 0.83 (0.48–1.42) | 0.494 | ||
| Internal organ | 0.67 (0.39–1.17) | 0.158 | 0.95 (0.48–1.91) | 0.893 | 0.83 (0.50–1.37) | 0.457 | ||
| Subjective health status | ||||||||
| Poor | Ref | Ref | Ref | |||||
| Moderate | 0.75 (0.49–1.16) | 0.196 | 1.56 (0.90–2.69) | 0.115 | 0.69 (0.47–0.99) | 0.046* | ||
| Good | 0.61 (0.36–1.03) | 0.067 | 4.51 (2.38–8.57) | < 0.001*** | 0.36 (0.22–0.56) | < 0.001*** | ||
| Depressive status | ||||||||
| None | Ref | Ref | Ref | |||||
| Depressive | 1.33 (0.91–1.93) | 0.141 | 1.03 (0.64–1.64) | 0.906 | 1.26 (0.91–1.76) | 0.162 | ||
| Unmet need | ||||||||
| None | Ref | Ref | Ref | |||||
| Unmet need | 2.40 (1.40–4.11) | 0.001** | 0.71 (0.41–1.25) | 0.235 | 1.96 (1.29–2.99) | 0.002** | ||
| Log likelihood | −459.71674 | −324.64034 | −562.60989 | |||||
| Pseudo R2 | 0.0917 | 0.1417 | 0.0886 | |||||
CI = confidence interval, proxy response adjusted.
aIncome (per month): low, < 1 million won; medium, ≥ 1 million & ≤ 3 million; high, 3 million.
*P < 0.05, **P < 0.01, ***P < 0.001.