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Table 3 Associations between social integration and utilization of primary health care among migrates in China

From: The association between social integration and utilization of primary health care among migrants in China: a nationwide cross-sectional study

 

Receiving of health education

First Visit Institution

 

Infectious diseases

Noncommunicable diseases

 
 

Univariable analysis

Multivariable analysis

Univariable analysis

Multivariable analysis

Univariable analysis

Multivariable analysis

 

cOR(95% CI)

P

aOR(95% CI)

P

cOR(95% CI)

P

aOR(95% CI)

P

cOR(95% CI)

P

aOR(95% CI)

P

Social communication

Social organization participation

 No

1(Ref)

 

1(Ref)

 

1(Ref)

 

1(Ref)

 

1(Ref)

 

1(Ref)

 

 Yes

2.55(2.50–2.61)

< 0.001

2.50(2.45–2.56)

< 0.001

2.12(2.08–2.16)

< 0.001

2.02(1.98–2.06)

< 0.001

1.02(0.99–1.06)

 

0.94(0.91–0.98)

< 0.001

Civil activities engagement

 No

1(Ref)

 

1(Ref)

 

1(Ref)

 

1(Ref)

 

1(Ref)

 

1(Ref)

 

 Occasionally

0.68(0.47–0.99)

< 0.01

0.59(0.40–0.89)

< 0.005

0.78(0.57–1.06)

 

0.68(0.49–0.94)

< 0.01

0.61(0.24–1.55)

 

0.60(0.24–1.53)

 

 Sometimes

0.31(0.24–0.41)

< 0.001

0.36(0.27–0.48)

< 0.001

0.23(0.19–0.29)

< 0.001

0.28(0.22–0.35)

< 0.001

2.85(1.64–4.96)

< 0.001

2.36(1.35–4.11)

< 0.001

 Usually

0.62(0.47–0.82)

< 0.001

0.47(0.35–0.63)

< 0.001

0.42(0.34–0.52)

< 0.001

0.36(0.28–0.45)

< 0.001

3.35(1.92–5.85)

< 0.001

2.61(1.49–4.58)

< 0.001

Local medical insurance

 No

1(Ref)

 

1(Ref)

 

1(Ref)

 

1(Ref)

 

1(Ref)

 

1(Ref)

 

 Yes

0.58(0.54–0.62)

< 0.001

0.76(0.70–0.82)

< 0.001

0.71(0.65–0.76)

< 0.001

0.80(0.74–0.87)

< 0.001

0.98(0.88–1.10)

 

1.06(0.94–1.19)

 

 Not clear

0.76(0.74–0.79)

< 0.001

0.92(0.89–0.96)

< 0.001

0.93(0.91–0.96)

< 0.001

1.01(0.98–1.05)

 

0.67(0.64–0.70)

< 0.001

0.86(0.82–0.90)

< 0.001

Acculturation

Preference of residence

 Strongly agreed

1(Ref)

 

1(Ref)

 

1(Ref)

 

1(Ref)

 

1(Ref)

 

1(Ref)

 

 Disagreed

0.76(0.74–0.78)

< 0.001

0.95(0.92–0.97)

< 0.001

0.76(0.74–0.77)

< 0.001

0.91(0.89–0.94)

< 0.001

0.94(0.90–0.97)

< 0.001

0.96(0.91-1.00)

< 0.05

 Agreed

0.74(0.67–0.82)

< 0.001

1.05(0.93–1.19)

 

0.75(0.67–0.83)

< 0.001

0.91(0.80–1.03)

 

0.87(0.72–1.06)

 

0.85(0.69–1.04)

 

 Strongly agreed

1.49(1.28–1.74)

< 0.001

1.06(0.89–1.26)

 

1.47(1.29–1.67)

< 0.001

1.06(0.92–1.22)

 

0.98(0.78–1.23)

 

0.91(0.71–1.16)

 

Influence of hometown customs

 Strongly agreed

1(Ref)

 

1(Ref)

 

1(Ref)

 

1(Ref)

 

1(Ref)

 

1(Ref)

 

 Agreed

1.33(1.27–1.39)

< 0.001

1.13(1.08–1.19)

< 0.001

1.47(1.41–1.53)

< 0.001

1.30(1.25–1.36)

< 0.001

1.01(0.94–1.09)

 

0.91(0.84–0.98)

< 0.01

 Disagreed

1.05(1.02–1.08)

< 0.001

1.14(1.10–1.18)

< 0.001

1.07(1.04–1.10)

< 0.001

1.17(1.13–1.21)

< 0.001

0.93(0.88–0.98)

< 0.001

0.93(0.88–0.99)

< 0.01

 Strongly disagreed

1.17(1.13–1.20)

< 0.001

1.16(1.12–1.20)

< 0.001

1.21(1.17–1.25)

< 0.001

1.24(1.20–1.29)

< 0.001

1.08(1.02–1.14)

< 0.001

1.01(0.95–1.07)

 

Differences of health habits between migrants and local people

 Strongly agreed

1(Ref)

 

1(Ref)

 

1(Ref)

 

1(Ref)

 

1(Ref)

 

1(Ref)

 

 Agreed

1.42(1.34–1.51)

< 0.001

1.25(1.17–1.33)

< 0.001

1.27(1.20–1.35)

< 0.001

1.18(1.11–1.26)

< 0.001

1.43(1.28–1.59)

< 0.001

1.29(1.15–1.44)

< 0.001

 Disagreed

0.90(0.85–0.96)

< 0.001

0.99(0.93–1.06)

 

0.90(0.85–0.96)

< 0.001

1.03(0.97–1.10)

 

1.00(0.90–1.12)

 

0.99(0.88–1.12)

 

 Strongly disagreed

1.15(1.09–1.22)

< 0.001

1.14(1.07–1.21)

< 0.001

1.05(1.00-1.11)

< 0.05

1.13(1.06–1.20)

< 0.001

1.29(1.16–1.44)

< 0.001

1.14(1.02–1.27)

< 0.01

Self-identity

Integration willingness

 Strongly disagreed

1(Ref)

 

1(Ref)

 

1(Ref)

 

1(Ref)

 

1(Ref)

 

1(Ref)

 

 Disagreed

1.50(1.44–1.57)

< 0.001

1.17(1.12–1.23)

< 0.001

1.53(1.46–1.60)

< 0.001

1.21(1.15–1.27)

< 0.001

0.81(0.76–0.87)

< 0.001

0.89(0.83–0.96)

< 0.001

 Agreed

1.10(0.99–1.22)

< 0.05

0.90(0.80–1.02)

 

1.31(1.18–1.46)

< 0.001

1.14(1.01–1.28)

< 0.01

0.96(0.80–1.14)

 

1.03(0.85–1.24)

 

 Strongly agreed

2.07(1.99–2.16)

< 0.001

1.27(1.21–1.34)

< 0.001

2.06(1.97–2.16)

< 0.001

1.28(1.22–1.35)

< 0.001

0.90(0.84–0.97)

< 0.001

1.00(0.93–1.09)

 

Evaluation of identity

 Strongly disagreed

1(Ref)

 

1(Ref)

 

1(Ref)

 

1(Ref)

 

1(Ref)

 

1(Ref)

 

 Disagreed

1.48(1.44–1.52)

< 0.001

1.22(1.18–1.25)

< 0.001

1.59(1.55–1.64)

< 0.001

1.32(1.28–1.36)

< 0.001

0.72(0.69–0.75)

< 0.001

0.77(0.74–0.81)

< 0.001

 Agreed

0.99(0.94–1.05)

 

1.01(0.95–1.08)

 

1.03(0.97–1.10)

 

1.02(0.95–1.09)

 

1.03(0.93–1.13)

 

1.02(0.93–1.12)

 

 Strongly agreed

1.90(1.84–1.96)

< 0.001

1.25(1.21–1.30)

< 0.001

2.11(2.05–2.18)

< 0.001

1.45(1.40–1.51)

< 0.001

0.67(0.64–0.71)

< 0.001

0.66(0.62–0.70)

< 0.001

  1. Notes: cOR, crude odds ratio; aOR, adjusted odds ratio