Table 2.
Multinomial regression model of the associations of predisposing, enabling, and need factors with the utilization of nursing care (N = 1549)
OdpNCU relative to noNCU | InpNCU relative to noNCU | |||||
---|---|---|---|---|---|---|
Odds ratio | 95% CI | Odds ratio | 95% CI | |||
Predisposing factors | ||||||
Age | 1.056* | 1.005 | 1.109 | 1.143*** | 1.069 | 1.224 |
Sex (Ref: female) | 1.132 | 0.721 | 1.776 | 0.509 | 0.235 | 1.104 |
Socioeconomic status | 0.995 | 0.985 | 1.006 | 0.983* | 0.967 | 1.000 |
Migration background (Ref: no) | 0.665 | 0.422 | 1.050 | 0.928 | 0.477 | 1.808 |
Community type (Ref: ≥500,000) | ||||||
100,000 to 499,999a | 1.498 | 0.959 | 2.340 | 0.563 | 0.282 | 1.124 |
50,000 to 99,999 | 1.178 | 0.647 | 2.146 | 1.253 | 0.548 | 2.867 |
5000 to 49,999 | 1.355 | 0.765 | 2.399 | 0.216** | 0.079 | 0.592 |
Enabling factors | ||||||
Children (Ref: yes)a | 0.713 | 0.390 | 1.302 | 3.827** | 1.710 | 8.564 |
Partnership status (Ref: no partnership)a | 0.577* | 0.367 | 0.908 | 0.433* | 0.195 | 0.962 |
Social isolation (Ref: no) | 0.761 | 0.466 | 1.243 | 3.939*** | 2.056 | 7.546 |
Loneliness (Ref: never/rarely)a | 2.004 | 0.950 | 4.227 | 2.942* | 1.581 | 7.892 |
Time spent with others (Ref: often/very often) | ||||||
never/rarely | 0.867 | 0.507 | 1.481 | 0.434 | 0.178 | 1.061 |
sometimes | 0.939 | 0.600 | 1.471 | 0.800 | 0.405 | 1.581 |
Need factors | ||||||
Self-rated health status | 1.045 | 0.799 | 1.366 | 1.469 | 0.973 | 2.218 |
Basic activities of daily living | 0.015*** | 0.006 | 0.036 | 0.010*** | 0.004 | 0.029 |
Instrumental activities of daily living | 0.181*** | 0.111 | 0.295 | 0.044*** | 0.020 | 0.094 |
≥ 5 chronic conditions (Ref: no) | 1.203 | 0.789 | 1.833 | 0.423* | 0.204 | 0.878 |
Physical frailty (Ref: robust) | ||||||
pre-fraila | 1.436 | 0.779 | 2.648 | 0.242** | 0.101 | 0.577 |
frail | 1.136 | 0.528 | 2.445 | 0.085*** | 0.026 | 0.272 |
Dementia (DemTect) | 0.625** | 0.439 | 0.890 | 0.477** | 0.309 | 0.738 |
Pseudo R-squared (Nagelkerke)b | 0.695*** |
Weighted data
NoNCU no nursing care use, odpNCU outpatient, day, and/or private nursing care use, inpNCU inpatient nursing care use, CI confidence interval, ref reference category
*p < 0.05
**p < 0.01
***p < 0.001
aThe findings differed between the original and full imputed datasets. For more details, see “Results” section
bCalculated as the mean value from all imputed datasets