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Table 2 Adjusted associations between indicators of the socioeconomic status and visits to specific health care providers: Odds ratio (OR) and 95% confidence intervals (CI) for the likelihood to visit specific providers and coefficients (coeff) and 95% CI for the total number of providers visited during the past 12 months by indicators of the socioeconomic status

From: Does the socioeconomic status predict health service utilization in persons with enhanced health care needs? Results from a population-based survey in persons with spinal cord lesions from Switzerland

 

General practitioner

SCI-specialist

Other specialists

Dentist

Dental hygienist

Physio-therapist

Occupational therapist

Chiropractor

Home care service

Masseur

Pharmacist

Natural healer

Psychologist

N° of different health care providers visited (range 0–13)

OR (95% CI)

OR (95% CI)

OR (95% CI)

OR (95% CI)

OR (95% CI)

OR (95% CI)

OR (95% CI)

OR (95% CI)

OR (95% CI)

OR (95% CI)

OR (95% CI)

OR (95% CI)

OR (95% CI)

Coeff (95% CI)

Highest education

 Compulsory

Ref

Ref

Ref

Ref

Ref

Ref

Ref

Ref

Ref

Ref

Ref

Ref

Ref

Ref

 Higher secondary

1.09 (0.67–1.77)

1.22 (0.87–1.72)

1.61 (1.14–2.27)

1.20 (0.85–1.70)

2.12 (1.51–2.97)

1.27 (0.89–1.80)

1.25 (0.79–1.98)

1.58 (0.66–3.76)

1.06 (0.71–1.59)

1.41 (0.90–2.20)

1.40 (0.99–1.99)

1.44 (0.86–2.42)

0.99 (0.54–1.81)

0.64 (0.32–0.97)

 Short tertiary

1.63 (0.89–2.99)

1.43 (0.96–2.15)

2.07 (1.37–3.13)

1.61 (1.07–2.43)

2.89 (1.93–4.32)

1.18 (0.78–1.77)

1.11 (0.64–1.92)

2.92 (1.15–7.40)

1.05 (0.64–1.73)

2.25 (1.36–3.72)

1.43 (0.94–2.18)

1.95 (1.08–3.51)

1.20 (0.59–2.45)

1.07 (0.68–1.46)

 Tertiary

0.78 (0.46–1.31)

1.77 (1.19–2.61)

2.31 (1.54–3.45)

1.65 (1.10–1.47)

3.23 (2.19–4.78)

1.32 (0.88–1.97)

0.99 (0.57–1.70)

2.04 (0.79–5.27)

0.93 (0.57–1.50)

1.40 (0.85–2.33)

2.01 (1.36–2.99)

1.72 (0.98–3.04)

1.25 (0.64–2.44)

1.04 (0.66–1.41)

 p-value

0.264

0.012

 < 0.001

0.045

 < 0.001

0.329

0.444

0.324

0.798

0.295

0.002

0.168

0.682

 < 0.001

Household income

 Income deciles (1–10)

0.97 (0.91–1.03)

1.05 (0.99–1.10)

1.03 (0.98–1.09)

1.05 (1.00–1.10)

1.14 (1.08–1.19)

1.00 (0.95–1.05)

1.00 (0.93–1.07)

1.02 (0.92–1.14)

0.99 (0.93–1.05)

1.04 (0.98–1.10)

1.03 (0.98–1.08)

1.07 (1.00–1.14)

1.00 (0.92–1.09)

0.05 (0.00–0.10)

 p-value

0.301

0.086

0.186

0.033

 < 0.001

0.914

0.910

0.647

0.759

0.208

0.285

0.049

0.933

0.033

Financial hardship

 Massive

Ref

Ref

Ref

Ref

Ref

Ref

Ref

Ref

Ref

Ref

Ref

Ref

Ref

Ref

 Some

1.88 (0.93–3.80)

1.19 (0.70–2.02)

0.77 (0.45–1.33)

1.14 (0.68–1.91)

1.66 (0.98–2.81)

1.50 (0.87–2.58)

1.66 (0.85–3.21)

1.05 (0.32–3.52)

1.57 (0.82–3.00)

0.87 (0.48–1.58)

0.92 (0.54–1.55)

1.05 (0.48–2.29)

0.54 (0.25–1.16)

0.34 (-0.19–0.86)

 None

1.93 (1.03–3.60)

1.19 (0.74–1.91)

0.80 (0.49–1.31)

1.55 (0.97–2.49)

2.39 (1.48–3.84)

1.55 (0.95–2.52)

1.10 (0.59–2.02)

1.15 (0.39–3.42)

1.26 (0.69–2.30)

0.73 (0.43–1.25)

1.04 (0.65–1.67)

1.41 (0.70–2.84)

0.66 (0.34–1.26)

0.48 (0.01–0.95)

 p-value

0.112

0.766

0.626

0.051

 < 0.001

0.214

0.104

0.946

0.336

0.412

0.741

0.356

0.280

0.114

Supplementary benefits

 Yes

Ref

Ref

Ref

Ref

Ref

Ref

Ref

Ref

Ref

Ref

Ref

Ref

Ref

Ref

 No

0.34 (0.15–0.80)

1.80 (1.15–2.83)

0.88 (0.57–1.37)

0.98 (0.63–1.52)

1.68 (1.09–2.57)

1.12 (0.72–1.76)

1.13 (0.64–1.98)

2.04 (0.62–6.76)

0.57 (0.35–0.92)

1.18 (0.69–2.03)

1.00 (0.65–1.54)

1.87 (0.93–3.75)

0.74 (0.39–1.39)

0.16 (-0.26–0.58)

 p-value

0.014

0.011

0.572

0.937

0.018

0.616

0.682

0.243

0.022

0.549

0.991

0.079

0.346

0.455

Subjective social status

 Range 1–10

0.97 (0.89–1.06)

1.09 (1.02–1.17)

1.02 (0.96–1.09)

1.14 (1.06–1.21)

1.20 (1.12–1.28)

1.00 (0.94–1.08)

0.93 (0.86–1.02)

1.18 (1.02–1.36)

0.99 (0.91–1.07)

1.08 (1.00–1.17)

1.08 (1.01–1.16)

1.09 (1.00–1.20)

0.98 (0.87–1.10)

0.13 (0.07–0.19)

 p-value

0.555

0.007

0.531

 < 0.001

 < 0.001

0.844

0.108

0.022

0.728

0.051

0.017

0.061

0.729

 < 0.001

  1. Results based on imputed data (n = 1,294). Missing values in % of total sample for health care providers: 2.1%. Results in bold indicate statistically significant associations (p < 0.05)
  2. Models adjusted for age, gender, severity of the spinal cord injury, time since injury, driving time to closest SCI-center, secondary health conditions, mental health, and comorbidities
  3. Abbreviations: Ref Reference group, SCI Spinal Cord Injury