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Table 3 Self-reported use of GP care, outpatient care, hospital care, physical therapy, and home care, explained by ethnic background.

From: Ethnic background and differences in health care use: a national cross-sectional study of native Dutch and immigrant elderly in the Netherlands

 

GP

Outpat. specialist

Hospital admiss.

Physical therapy

Homecare

N

1090

1088

1084

1085

1076

Crude analysis

     

Ethnic background (Dutch = ref)

     

-Turkish

2.78(1.98-3.90)***

0.91(0.65-1.26)

1.45(0.95-2.23)

0.80(0.55-1.16)

0.48(0.31-0.75)***

-Moroccan

2.50(1.78-3.51)***

1.04(0.74-1.45)

0.89(0.56-1.43)

0.57(0.39-0.86)**

0.13(0.07-0.27)***

-Antillean

1.63(1.17-2.25)***

0.96(0.69-1.34)

1.00(0.63-1.57)

1.01(0.70-1.44)

0.61(0.40-0.93)*

-Surinamese

2.36(1.70-2.29)***

1.37(0.99-1.90)

1.37(0.89-2.10)

1.16(0.81-1.64)

1.15(0.79-1.69)

Adjusted analysis

     

Self-reported number of chronic conditions in respondent (cf. prespecified list; range 0 - 11)

1.44 (1.28-1.62)***

1.49 (1.34-1.67)***

1.53 (1.33-1.76)***

1.35 (1.20-1.53)***

1.32 (1.13-1.55)***

Self-rated general health (range: 1 to 5; 1 = excellent)

1.51 (1.27-1.80)***

1.57 (1.31-1.88)***

1.53 (1.20-1.94)***

1.43 (1.17-1.74)***

1.77 (1.36-2.31)***

Self-rated mental health (range: 0 to 100; the higher the score the better the mental health)

1.00 (0.99-1.01)

0.99 (0.98-1.01)

0.99 (0.98-1.01)

1.01 (1.00-1.02)

1.00 (0.98-1.01)

Gender (male = 1, female = 2)

0.83 (0.63-1.11)

0.91 (0.70-1.20)

1.66 (1.16-2.36)**

0.60 (0.45-0.81)*

0.53 (0.36-0.78)***

Age (continuous in years)

1.00 (0.98-1.02)

1.02 (1.00-1.04)*

1.02 (0.99-1.04)

0.98 (0.96-1.00)***

1.09 (1.07-1.12)***

Educational level (no/primary education vs secondary and higher education)

1.17 (0.83-1.67)

1.16 (0.83-1.63)

0.96 (0.62-1.48)

1.03 0.71-1.49)

1.41 (0.90-2.21)

Standardized income (continuous in Euros)

1.00 (0.99-1.00)

1.00 (0.99-1.00)

1.00 (0.99-1.00)

1.00 (1.00-1.01)

1.00 (1.00-1.01)

Good Dutch language proficiency

1.10 (0.88-1.39)

1.46 (1.18-1.81)***

1.33 (1.03-1.73)*

1.71 (1.35-2.18)***

2.49 (1.80-3.46)***

Modern attitudes on care for family

0.98 (078-1.23)

1.01 (0.81-1.25)

1.06 (0.81-1.40)

0.90 (0.71-1.14)

1.22 (0.91-1.65)

Modern attitudes on male-female roles

1.12 (0.91-1.37)*

1.04 (0.86-1.30)

0.86 (0.67-1.11)

0.86 (0.69-1.07)

0.82 (0.62-1.09)

Modern attitudes on family values

0.74 (0.58-0.96)

1.04 (0.82-1.33)

1.23 (0.91-1.66)

0.93 (0.72-1.22)

1.20 (0.86-1.67)

Religiosity

1.06 (0.97-1.16)

0.99 (0.90-1.08)

0.93 (0.83-1.04)

0.91 (0.83-1.01)

1.07 (0.95-1.21)

Ethnic background (Dutch = ref)

     

- Turkish

0.54 (0.25-1.18)

0.21 (0.09-0.46)***

0.40 (0.15-1.08)

0.67 (0.29-1.55)

0.19 (0.05-0.68)**

- Moroccan

0.57 (0.26-1.24)

0.31 (0.14-0.67)**

0.28 (0.10-0.78)*

0.50 (0.21-1.18)

0.07 (0.02-0.29)***

- Antillean

1.06 (0.68-1.66)

0.84 (0.53-1.34)

1.07 (0.58-1.96)

0.78 (0.47-1.24)

0.67 (0.37-1.24)

- Surinamese

1.34 (0.85-2.13)

0.67 (0.40-1.02)

0.92 (0.51-1.65)

0.88 (0.55-1.42)

0.90 (0.52-1.58)

  1. *p < 0.05, **p < 0.01, ***p < 0.001
  2. Comparison of crude analysis (ethnic background only as independent) and full analysis (a theoretically defined set of explanatory factors is added to the ethnic background variable). Odds Ratios and 95% Confidence Intervals obtained with univariate (crude) and multivariate (adjusted) logistic regression analysis.