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Table 4 Multivariate analysis of difficulties accessing health care services

From: Difficulties accessing health care services during the COVID-19 pandemic in Canada: examining the intersectionality between immigrant status and visible minority status

 

NES

NEDT

ARC

DC

MHC

ESUC

OR (95% CI)

OR (95% CI)

OR (95% CI)

OR (95% CI)

OR (95% CI)

OR (95% CI)

Visible minority immigrant status

 NVMNB

1.00

1.00

1.00

1.00

1.00

1.00

 VMNB

0.96 (0.66, 1.40)

0.74 (0.57, 0.96)*

0.99 (0.77, 1.28)

0.69 (0.58, 0.83)***

0.98 (0.75, 1.27)

1.12 (0.74, 1.69)

 NVMI

0.99 (0.74, 1.32)

1.02 (0.84, 1.24)

1.05 (0.85, 1.30)

0.92 (0.80, 1.06)

1.03 (0.80, 1.32)

0.87 (0.60, 1.25)

 VMI

0.55 (0.40, 0.75)***

0.74 (0.61, 0.89)***

0.56 (0.46, 0.68)***

0.71 (0.62, 0.82)***

0.77 (0.62, 0.96)*

1.46 (1.07, 1.98)*

Experience of discrimination

 No

1.00

1.00

1.00

1.00

1.00

1.00

 Yes

1.42 (1.18, 1.71)***

1.50 (1.33, 1.70)***

1.39 (1.22, 1.58)***

1.41 (1.28, 1.56)***

1.87 (1.63, 2.15)***

1.72 (1.41, 2.09)***

Trust towards health care

 Great deal of trust

1.00

1.00

1.00

1.00

1.00

1.00

 Fair amount of trust

1.12 (0.89, 1.41)

1.36 (1.17, 1.58)***

1.15 (0.98, 1.35)

1.06 (0.95, 1.18)

1.01 (0.83, 1.23)

1.20 (0.89, 1.63)

 Moderate amount trust

1.39 (1.08, 1.80)*

1.76 (1.49, 2.07)***

1.21 (1.02, 1.45)*

1.23 (1.09, 1.38)**

1.15 (0.94, 1.42)

2.29 (1.68, 3.10)***

 Little amount of trust

1.95 (1.45, 2.63)***

2.93 (2.38, 3.60)***

1.67 (1.34, 2.07)***

1.50 (1.29, 1.76)***

1.90 (1.50, 2.42)***

3.76 (2.67, 5.29)***

 No trust at all

2.73 (1.83, 4.08)***

4.86 (3.61, 6.54)***

1.72 (1.26, 2.34)***

1.64 (1.28, 2.10)***

2.33 (1.69, 3.23)***

7.07 (4.76, 9.51)***

Level of education

 No university

1.00

1.00

1.00

1.00

1.00

1.00

 University

1.01 (0.85, 1.20)

1.18 (1.05, 1.33)**

1.13 (0.99, 1.28)

1.12 (1.02, 1.22)*

0.85 (0.74, 0.98)*

1.05 (0.86, 1.28)

Sex

 Male

1.00

1.00

1.00

1.00

1.00

1.00

 Female

1.18 (0.99, 1.39)

1.27 (1.13, 1.43)***

1.45 (1.28, 1.65)***

1.08 (0.99, 1.17)

1.25 (1.08, 1.46)**

1.16 (0.94, 1.42)

Rural residence

 No

1.00

1.00

1.00

1.00

1.00

1.00

 Yes

1.13 (0.88, 1.44)

1.11 (0.92, 1.32)

1.25 (1.03, 1.52)**

1.23 (1.08, 1.41)**

1.30 (1.04, 1.61)*

1.04 (0.78, 1.38)

Age of respondents

 15–34

1.00

1.00

1.00

1.00

1.00

1.00

 35–44

0.98 (0.75, 1.27)

1.02 (0.85, 1.23)

1.40 (1.18, 1.67)***

0.98 (0.86, 1.11)

0.73 (0.61, 0.87)***

0.85 (0.64, 1.12)

 45+

1.18 (0.94, 1.50)

1.05 (0.89, 1.23)

1.35 (1.15, 1.58)***

0.95 (0.84, 1.06)

0.74 (0.64, 0.87)***

1.03 (0.80, 1.33)

 Unknown

1.06 (0.66, 1.70)

1.03 (0.75, 1.40)

1.86 (1.35, 2.56)***

1.13 (0.92, 1.39)

1.24 (0.91, 1.68)

1.24 (0.79, 1.94)

Marital status

 Married

1.00

1.00

1.00

1.00

1.00

1.00

 Not married

0.94 (0.75, 1.16)

0.96 (0.82, 1.12)

0.96 (0.81, 1.13)

0.97 (0.86, 1.09)

1.18 (1.01, 1.39)*

0.98 (0.77, 1.24)

LGBTQ2

 No

1.00

1.00

1.00

1.00

1.00

1.00

 Yes

0.93 (0.72, 1.21)

1.09 (0.91, 1.31)

1.11 (0.92, 1.33)

1.17 (1.02, 1.33)*

1.33 (1.12, 1.57)**

1.10 (0.83, 1.45)

Indigenous identity

 No

1.00

1.00

1.00

1.00

1.00

1.00

 Yes

1.05 (0.73, 1.51)

1.02 (0.77, 1.35)

0.92 (0.67, 1.26)

0.96 (0.77, 1.19)

1.12 (0.86, 1.47)

1.81 (1.26, 2.59)**

Living arrangement

 Living alone

1.00

1.00

1.00

1.00

1.00

1.00

 Multiple persons, no children

1.02 (0.77, 1.34)

1.21 (0.99, 1.48)

1.00 (0.82, 1.22)

1.19 (1.03, 1.37)*

1.13 (0.92, 1.38)

1.08 (0.78, 1.49)

 Multiple persons, with children

1.15 (0.86, 1.53)

1.17 (0.95, 1.44)

1.17 (0.94, 1.44)

1.20 (1.03, 1.39)*

1.49 (1.20, 1.84)***

1.33 (0.96, 1.86)

Sense of belonging

 Very strong

1.00

1.00

1.00

1.00

1.00

1.00

 Somewhat strong

1.43 (1.19, 1.73)***

1.18 (1.03, 1.34)*

1.24 (1.09, 1.43)**

1.11 (1.01, 1.22)*

1.12 (0.95, 1.33)

1.06 (0.84, 1.33)

 Somewhat weak

1.45 (1.15, 1.83)**

1.31 (1.12, 1.53)***

1.57 (1.32, 1.85)***

1.27 (1.13, 1.43)***

1.40 (1.16, 1.69)***

1.14 (0.88, 1.49)

 Very weak

1.64 (1.20, 2.25)**

1.46 (1.16, 1.84)***

1.43 (1.13, 1.80)**

1.33 (1.12, 1.58)**

1.76 (1.39, 2.23)***

1.19 (0.85, 1.67)

Any health problem

 No

1.00

1.00

1.00

1.00

1.00

1.00

 Yes

3.23 (2.70, 3.86)***

2.21 (1.96, 2.48)***

2.18 (1.94, 2.46)***

1.54 (1.42, 1.67)***

2.85 (2.42, 3.35)***

2.03 (1.64, 2.50)***

 Wald X2

371.83***

652.66***

437.49***

400.77***

598.60***

391.62***

  1. NES non-emergency surgery, NEDT non-emergency diagnostic test, DC dental care, MHC mental health care, ESUC emergency service/urgent care; *p < 0.05, **p < 0.01, ***p < 0.001; point estimates and 95% confidence intervals (in parentheses)