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Table 6 Factors associated with utilization of publicly and privately provided outpatient care services among civil servants in South Africa

From: Social health insurance contributes to universal coverage in South Africa, but generates inequities: survey among members of a government employee insurance scheme

Variable

Any public outpatient services

Any private outpatient visit

Univariate. OR (95%CI)

Multivariate OR

(95%CI)

Univariate OR

(95%CI)

Multivariate OR

(95%CI)

Age (years)

 20–34

1.0

1.0

1.0

–

 35–49

1.10 (0.60–2.02)

1.63 (0.85–3.14)

1.22 (0.93–1.63)

 

 50–69

1.76 (0.92–3.36)

1.79 (0.85–3.73)

1.45 (1.05–2.01)

 

Gender

 Male

1.0

1.0

1.0

1.0

 Female

1.47 (0.92–2.34)

1.40 (0.84–2.33)

1.53 (1.22–1.91)

1.41 (1.08–1.83)*

Race

 Black

1.0

–

1.0

1.0

 Coloured

0.75 (0.41–1.37)

 

1.55 (1.17–2.06)

1.47 (0.93–2.34)

 Indian

0.52 (0.16–1.70)

 

1.60 (1.00–2.56)

1.34 (0.79–2.27)

 White

0.61 (0.26–1.44)

 

1.66 (1.15–2.40)

1.47 (0.94–2.29)*

Marital status

 Married

1.0

–

1.0

1.0

 Divorced,/widow

2.08 (1.14–3.80)

 

1.09 (0.76–1.54)

1.11 (0.75–1.65)

 Single

1.24 (0.75–2.05)

 

1.00 (0.78–1.28)

1.46 (1.09–1.97)**

Province

 Western Cape

1.0

1.0

1.0

1.0

 KwaZulu Natal

1.18 (0.62–2.25)

1.26 (0.63–2.53)

0.59 (0.43–0.81)

0.65 (0.40–1.04)*

 North West

1.27 (0.68–2.38)

1.44 (0.73–2.85)

0.74 (0.54–1.00)

0.69 (0.44–1.08)

 Gauteng

1.22 (0.65–2.28)

1.24 (0.64–2.41)

0.72 (0.53–0.97)

0.84 (0.53–1.32)

Sector

 Health

1.0

1.0

1.0

1.0

 Education

0.20 (0.12–0.33)

0.27 (0.16–0.47)*

2.11 (1.67–2.66)

1.88 (1.43–2.48)*

Salary grade

 Lower-skilled

1.0

1.0

1.0

1.0

 Skilled

0.50 (0.28–0.88)

0.49 (0.26–0.91)*

1.20 (0.78–1.84)

1.03 (0.63–1.68)

 Highly skilled

0.16 (0.09–0.28)

0.37 (0.19–0.69)*

2.37 (1.87–4.46)

1.50 (0.97–2.32)*

 Management

0.09 (0.03–0.25)

0.20 (0.07–0.63)*

2.89 (1.87–4.46)

1.69 (1.01–2.81)*

Health status

 Excellent

1.0

1.0

1.0

1.0

 Good

0.98 (0.52–1.85)

0.94 (0.48–1.84)

1.76 (1.26–2.22)

1.73 (1.27–2.36)*

 Average

2.32 (1.24–4.33)

1.73 (0.87–3.45)

2.21 (1.61–3.04)

2.90 (2.03–4.16)*

 Poor or very poor

4.36 (1.57–12.12)

3.11 (0.98–9.88)*

3.05 (1.48–6.29)

4.10 (1.81–9.28)*

Insurance status

 GEMS

1.0

1.0

1.0

1.0

 Private scheme

0.58 (0.31–1.08)

0.67 (0.34–1.29)

1.08 (0.84–1.40)

0.96 (0.73–1.26)

 Uninsured

2.44 (1.44–4.15)

1.81 (1.02–3.21)*

0.20 (0.14–0.28)

0.21 (0.15–0.31)*

  1. * p < 0.05 in multivariate analysis. Divorced/widow category includes those separated. OR odds ratio. Multivariate analysis done with logistic regression models