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Table 1 Factors associated with annual physical examination among the seniors in Shandong, China, 2012

From: Rural–urban difference in the use of annual physical examination among seniors in Shandong, China: a cross-sectional study

Characteristics

Total (N/%)

APEa Use (N/%)

Unadjusted model

Adjusted model

Yes

No

OR

95%CI

P

OR

95%CI

P

Observations

3922

2154 (54.9)

1768 (45.1)

      

Region

         

 Rural

2153 (54.9)

806 (37.4)

1347 (62.6)

1.00

  

1.00

  

 Urban

1769 (45.1)

1348 (76.2)

421 (23.8)

5.35

4.65–6.15

0.000

2.76

2.26–3.36

0.000

Gender

      

NAb

  

 Male

1822 (46.5)

1018 (55.9)

804 (44.1)

1.00

     

 Female

2100 (53.5)

1136 (54.1)

964 (45.9)

0.93

0.82–1.05

0.265

   

Age

     

0.082

NA

  

 60−

2569 (65.5)

1392 (54.2)

1177 (45.8)

1.00

     

 70−

1121 (28.6)

644 (57.4)

477 (42.6)

1.14

0.99–1.31

0.067

   

 80+

232 (5.9)

118 (50.9)

114 (49.1)

0.87

0.66–1.14

0.331

   

Education

     

0.000

  

0.000

 Illiteracy or semiliterate

1736 (44.3)

758 (43.7)

978 (56.3)

1.00

  

1.00

  

 Primary school

1175 (30.0)

680 (57.9)

495 (42.1)

1.77

1.52–2.05

0.000

1.30

1.10–1.55

0.002

 Junior school

597 (15.2)

391 (65.5)

206 (34.5)

2.44

2.01–2.97

0.000

1.30

1.04–1.63

0.020

 Senior school or above

414 (10.6)

325 (78.5)

89 (21.5)

4.71

3.65–6.06

0.000

1.95

1.45–2.62

0.000

Marital status

         

 Single

817 (20.8)

409 (50.1)

408 (49.9)

1.00

  

1.00

  

 Couple

3105 (79.2)

1745 (56.2)

1360 (43.8)

1.28

1.09–1.49

0.002

1.01

0.84–1.20

0.936

Economic status

     

0.000

  

0.060

 Poor

677 (17.3)

298 (44.0)

379 (56.0)

1.00

  

1.00

  

 Normal

2319 (59.1)

1251 (53.9)

1068 (46.1)

1.49

1.25–1.77

0.000

1.21

1.00–1.47

0.046

 Good

926 (23.6)

605 (65.3)

321 (34.7)

2.39

1.95–2.93

0.000

1.31

1.03–1.65

0.023

Smoking

         

 No

3041 (77.5)

1741 (57.3)

1300 (42.7)

1.00

  

1.00

  

 Yes

881 (22.5)

413 (46.9)

468 (53.1)

0.65

0.56–0.76

0.000

0.89

0.74–1.07

0.221

Drinking (time/a week)

         

 <1

3243 (82.7)

1805 (55.7)

1438 (44.3)

1.00

  

1.00

  

 ≥1

679 (17.3)

349 (51.4)

330 (48.6)

0.84

0.71–0.99

0.043

0.93

0.76–1.14

0.505

Exercise (time/a week)

         

 <3

1514 (38.6)

633 (41.8)

881 (58.2)

1.00

  

1.00

  

 ≥3

2408 (61.4)

1521 (63.2)

887 (36.8)

2.38

2.09–2.72

0.000

1.53

1.32–1.78

0.000

Watching TV

         

 No

470 (12.0)

179 (38.1)

291 (61.9)

1.00

  

1.00

  

 Yes

3452 (88.0)

1975 (57.2)

1477 (42.8)

2.17

1.78–2.65

0.000

1.69

1.34–2.12

0.000

Number of NCDsc

     

0.000

  

0.001

 None

1338 (34.1)

649 (48.5)

689 (51.5)

1.00

  

1.00

 

0.001

 1

1781 (45.4)

1006 (56.5)

775 (43.5)

1.37

1.19–1.58

0.000

1.29

1.10–1.52

0.002

 2

582 (14.8)

354 (60.8)

228 (39.2)

1.64

1.35–2.00

0.000

1.41

1.12–1.77

0.003

 3+

221 (5.6)

145 (65.6)

76 (34.4)

2.02

1.50–2.72

0.000

1.78

1.26–2.52

0.001

Hospitalization

         

 No

3355 (85.5)

1790 (53.4)

1565 (46.6)

1.00

  

1.00

  

 Yes

567 (14.5)

364 (64.2)

203 (35.8)

1.56

1.30–1.88

0.000

1.19

0.96–1.48

0.101

ADLd

     

0.000

  

0.247

 1

2854 (72.8)

1638 (57.4)

1216 (42.6)

1.00

  

1.00

  

 2

630 (16.1)

331 (52.5)

299 (47.5)

0.82

0.69–0.97

0.026

1.03

0.85–1.26

0.716

 3

438 (11.2)

185 (42.2)

253 (57.8)

0.54

0.44–0.66

0.000

0.83

0.65–1.05

0.133

The distance to the nearest health institutions (km)

         

 <1

3639 (92.8)

2024 (55.6)

1615 (44.4)

1.00

  

1.00

  

 ≥1

283 (7.2)

130 (45.9)

153 (54.1)

0.67

0.53–0.86

0.002

0.98

0.75–1.28

0.893

Type of health insurancee

     

0.000

  

0.000

 None

113 (2.9)

57 (50.4)

56 (49.6)

1.00

  

1.00

  

 UEBMI

808 (20.6)

658 (81.4)

150 (18.6)

4.31

2.86–6.48

0.000

2.13

1.36–3.33

0.001

 URBMI

470 (12.0)

370 (78.7)

100 (21.3)

3.63 `

2.36–5.58

0.000

2.18

1.37–3.46

0.001

 NCMS

2507 (63.9)

1053 (42.0)

1454 (58.0)

0.71

0.48–1.03

0.077

1.15

0.75–1.74

0.511

 Others

24 (0.6)

16 (66.7)

8 (33.3)

1.96

0.77–4.95

0.153

1.68

0.61–4.64

0.311

  1. Note: The italics indicate significance
  2. a APE annual physical examination
  3. b NA not applicable
  4. c NCDs Non-communicable chronic diseases
  5. d ADL activity of daily living
  6. e UEBMI, Urban Employee Basic Medical Insurance, URBMI Urban Resident Basic Medical Insurance, NCMS New cooperative medical scheme