Table 3 Factors associated with the use of physical examination among urban elderly in Shandong, China (2012)
Characteristics | Total (N/%) | APEa Use (N/%) | Unadjusted model | Adjusted model | |||||
|---|---|---|---|---|---|---|---|---|---|
Yes | No | OR | 95%CI | P | OR | 95%CI | P | ||
Observations | 1769 | 1348 (76.2) | 421 (23.8) | ||||||
Gender | |||||||||
Male | 777 (43.9) | 622 (80.1) | 155 (19.9) | 1.00 | 1.00 | ||||
Female | 992 (56.1) | 726 (53.9) | 266 (26.8) | 0.68 | 0.54–0.85 | 0.001 | 0.83 | 0.64–1.07 | 0.166 |
Age | 0.486 | NAb | |||||||
60− | 1101 (62.2) | 829 (75.3) | 272 (24.7) | 1.00 | |||||
70− | 571 (32.2) | 445 (77.9) | 126 (22.1) | 1.15 | 0.91–1.47 | 0.230 | |||
80+ | 97 (5.5) | 74 (76.3) | 23 (23.7) | 1.05 | 0.64–1.71 | 0.828 | |||
Education | 0.000 | 0.001 | |||||||
Illiteracy or semiliterate | 530 (30.0) | 349 (65.8) | 181 (34.2) | 1.00 | 1.00 | ||||
Primary school | 544 (30.8) | 428 (78.7) | 116 (21.3) | 1.91 | 1.45–2.51 | 0.000 | 1.59 | 1.18–2.13 | 0.002 |
Junior school | 382 (21.6) | 301 (78.8) | 81 (21.2) | 1.92 | 1.42–2.62 | 0.000 | 1.44 | 1.03–2.03 | 0.033 |
Senior school or above | 313 (17.7) | 270 (86.3) | 43 (13.7) | 3.25 | 2.25–4.70 | 0.000 | 2.26 | 1.49–3.44 | 0.000 |
Marital status | NA | ||||||||
Single | 313 (17.7) | 238 (76.0) | 75 (24.0) | 1.00 | |||||
Couple | 1456 (82.3) | 1110 (76.2) | 346 (23.8) | 1.01 | 0.75–1.34 | 0.941 | |||
Economic status | 0.101 | 0.520 | |||||||
Poor | 229 (12.9) | 163 (71.2) | 66 (28.8) | 1.00 | 1.00 | ||||
Normal | 981 (55.5) | 747 (76.1) | 234 (23.9) | 1.29 | 0.93–1.78 | 0.118 | 1.19 | 0.85–1.66 | 0.305 |
Good | 559 (31.6) | 438 (78.4) | 121 (21.6) | 1.46 | 1.03–2.07 | 0.032 | 1.07 | 0.74–1.56 | 0.692 |
Smoking | NA | ||||||||
No | 1528 (86.4) | 177 (73.4) | 64 (26.6) | 1.00 | |||||
Yes | 241 (13.6) | 1171 (76.6) | 357 (23.4) | 1.18 | 0.87–1.61 | 0.280 | |||
Drinking (time/a week) | NA | ||||||||
<1 | 1524 (86.2) | 192 (78.4) | 53 (21.6) | 1.00 | |||||
≥1 | 245 (13.8) | 1156 (85.8) | 368 (24.1) | 1.15 | 0.83–1.59 | 0.391 | |||
Exercise (time/a week) | |||||||||
<3 | 1357 (23.3) | 274 (66.5) | 138 (33.5) | 1.00 | 1.00 | ||||
≥3 | 412 (76.7) | 1074 (79.1) | 283 (20.9) | 1.91 | 1.49–2.43 | 0.000 | 1.83 | 1.42–2.37 | 0.000 |
Watching TV | |||||||||
No | 166 (9.4) | 104 (62.7) | 62 (37.3) | 1.00 | 1.00 | ||||
Yes | 1603 (90.6) | 1244 (77.6) | 359 (22.4) | 2.06 | 1.47–2.89 | 0.000 | 1.59 | 1.11–2.28 | 0.011 |
Number of NCDsc | 0.026 | 0.074 | |||||||
None | 530 (30.0) | 382 (72.1) | 148 (27.9) | 1.00 | 1.00 | ||||
1 | 818 (46.2) | 638 (78.0) | 180 (22.0) | 1.37 | 1.06–1.76 | 0.014 | 1.32 | 1.01–1.73 | 0.037 |
2 | 304 (17.2) | 231 (76.0) | 73 (24.0) | 1.22 | 0.88–1.69 | 0.218 | 1.08 | 0.76–1.53 | 0.651 |
3+ | 117 (6.6) | 97 (82.9) | 20 (17.1) | 1.87 | 1.12–3.15 | 0.017 | 1.74 | 1.00–3.02 | 0.048 |
Hospitalization | NA | ||||||||
No | 1455 (82.2) | 1102 (75.7) | 353 (24.3) | 1.00 | |||||
Yes | 314 (17.8) | 246 (78.3) | 68 (21.7) | 1.15 | 0.86–1.55 | 0.326 | |||
ADLd | 0.021 | 0.218 | |||||||
1 | 1406 (79.5) | 1077 (76.6) | 329 (23.4) | 1.00 | 1.00 | ||||
2 | 231 (13.1) | 183 (79.2) | 48 (20.8) | 1.16 | 0.82–1.63 | 0.381 | 1.34 | 0.93–1.94 | 0.108 |
3 | 132 (7.5) | 88 (66.7) | 44 (33.3) | 0.61 | 0.41–0.89 | 0.012 | 0.91 | 0.60–1.39 | 0.692 |
The distance to the nearest health institutions (km) | NA | ||||||||
<1 | 1706 (96.4) | 1297 (76.0) | 409 (24.0) | 1.00 | |||||
≥1 | 63 (3.6) | 51 (81.0) | 12 (19.0) | 1.34 | 0.70–2.53 | 0.369 | |||
Type of health insurancee | 0.000 | 0.000 | |||||||
None | 75 (4.2) | 49 (65.3) | 26 (34.7) | 1.00 | 1.00 | ||||
UEBMI | 755 (42.7) | 622 (82.4) | 133 (17.6) | 2.48 | 1.48–4.13 | 0.000 | 1.70 | 0.98–2.92 | 0.056 |
URBMI | 454 (25.7) | 362 (79.7) | 92 (20.3) | 2.08 | 1.23–3.53 | 0.006 | 1.87 | 1.08–3.23 | 0.025 |
Others | 485 (27.4) | 315 (64.9) | 170 (35.1) | 0.98 | 0.59–1.63 | 0.948 | 0.95 | 0.56–1.61 | 0.861 |