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Table 3 Association of ability to access care with social vulnerability1

From: Does healthcare inequity reflect variations in peoples’ abilities to access healthcare? Results from a multi-jurisdictional interventional study in two high-income countries

Personal and social characteristics (Ordered by increasing vulnerability, first category = 0)

Access ability

Sum of abilities

β (95% CI)

Seek

β (95% CI)

Reach

β (95% CI)

(Inability) Pay

β (95% CI)

Engage-explain

β (95% CI)

Engage-manage

β (95% CI)

Proxy for healthcare need

Chronic illness burden

Number self-reported chronic illnesses:

 

  0

   

- 0.17 (− 0.31; − 0.03)

  

  1–2

  3–5

  6+

Demographics and personal Characteristics

  Increasing age, in decades

−0.05 (− 0.08; − 0.02)

0.14 (0.07; 0.21)

0.11 (0.02–0.21)

Immigrant status

  

  Native born

 

−0.24 (− 0.50; 0.02)

p = 0.07

−0.09 (− 0.18; 0.01)

p = 0.09

   

  Old immigrants

  New immigrants (< 10 years)

Language spoken at home

−0.39 (− 0.79; 0.01)

  Dominant language2

p = 0.06

     

  Other only

Indigenous or Aboriginal

Social vulnerability characteristics

Self-perceived financial status

 

    

  Comfortable

− 0.37 (− 0.60; − 0.13)

 

0.12 (0.02; 0.22)

− 0.53 (− 0.80; − 0.27)

− 0.49

(− 0.74;

− 0.25)

− 0.78 (− 1.11;

− 0.46)

  Moderate

  Poor or very tight

Risk of social isolation Persons for social support:

−0.24 (− 0.52; 0.03)

p = 0.09

− 0.35 (− 0.68; − 0.02)

−0.36 (− 0.67; − 0.05)

−0.35 (− 0.75; 0.05)

p = 0.09

  Low (5–6 persons)

  Medium (3–4 persons)

  High (0–2 persons)

Sum of social vulnerabilities (score range 0 to 4)

−0.23 (−0.36; − 0.10)

0.05 (− 0.001; 0.11)

p = 0.06

−0.27 (− 0.42; − 0.12)

−0.27 (− 0.42; − 0.12)

−0.41 (− 0.59; − 0.23)

Most socially vulnerable (0 or 1 vs. 2+ vulnerabilities)

−0.35 (− 0.65; − 0.05)

−0.30 (− 0.65; 0.06)

p = 0.10

−0.42 (− 0.76; − 0.08)

−0.67 (− 1.10; − 0.25)

  1. 1 Average increase or decrease in each ability to access care associated with a unit increase in social vulnerability of personal and social characteristic. All effects are univariate in separate hierarchical linear regression models with the ability as the outcome variable and the personal or social variable as the independent variable. The first category is value = 0; other categories are valued at 1 or 2. β coefficients are shown only if significantly different from zero at p < 0.05. p values shown if 0.10 < p < 0.05
  2. 2 Dominant language was English, or French in Quebec
  3. Abbreviations: CI confidence interval, SD standard deviation