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Table 4 Multilevel logistic regression estimates and variance components of patients’ utilization of community-based management care

From: Factors associated with the utilization of community-based diabetes management care: A cross-sectional study in Shandong Province, China

Variables

Model 1

Model 2

Model 3

Model 4

Model 5

OR,95%CI

P

OR,95%CI

P

OR,95%CI

P

OR,95%CI

P

OR,95%CI

P

Individual level

 Area

  Urban (ref)

  

1

 

1

 

1

 

1

 

  Rural

  

1.05 (0.77 ~ 1.43)

0.74

1.15 (0.83 ~ 1.57)

0.40

1.20 (0.89 ~ 1.63)

0.24

1.26 (0.92 ~ 1.72)

0.15

 Gender

  Male (ref)

  

1

 

1

 

1

 

1

 

  Female

  

0.91 (0.76 ~ 1.10)

0.35

1.02 (0.84 ~ 1.24)

0.84

0.92 (0.76 ~ 1.10)

0.35

1.02 (0.84 ~ 1.24)

0.85

 Age group, years

   < 65 (ref)

  

1

 

1

 

1

 

1

 

   ≥ 65

  

0.88 (0.73 ~ 1.05)

0.16

1.06 (0.88 ~ 1.29)

0.53

0.87 (0.73 ~ 1.04)

0.13

1.05 (0.87 ~ 1.28)

0.59

 Household income per capita, Yuan

   < 2800

  

1

 

1

 

1

 

1

 

  2800~

  

1.10 (0.86 ~ 1.42)

0.45

0.99 (0.77 ~ 1.29)

0.96

1.11 (0.86 ~ 1.43)

0.42

1.00 (0.77 ~ 1.30)

0.99

  6000~

  

1.06 (0.82 ~ 1.38)

0.65

0.95 (0.73 ~ 1.25)

0.74

1.06 (0.82 ~ 1.38)

0.64

0.96 (0.73 ~ 1.25)

0.74

   ≥ 12,000

  

0.93 (0.72 ~ 1.22)

0.62

0.76 (0.58 ~ 1.00)

0.05

0.95 (0.73 ~ 1.24)

0.71

0.78 (0.59 ~ 1.03)

0.08

 Duration of diabetes, years

   < 5 (ref)

  

1

 

1

 

1

 

1

 

  5 ~ 10

  

1.16 (0.93 ~ 1.43)

0.18

1.09 (0.88 ~ 1.36)

0.43

1.15 (0.93 ~ 1.42)

0.20

1.09 (0.87 ~ 1.36)

0.45

   > 10

  

1.02 (0.82 ~ 1.27)

0.88

0.86 (0.69 ~ 1.09)

0.21

1.02 (0.82 ~ 1.27)

0.88

0.86 (0.69 ~ 1.09)

0.21

 Diabetic knowledge score

    

1.14 (1.10 ~ 1.17)

0.00

  

1.14 (1.10 ~ 1.17)

0.00*

 Diabetic self-efficacy score

    

1.04 (1.02 ~ 1.06)

0.00

  

1.04 (1.02 ~ 1.06)

0.00*

Community level

 Types of PHIs

  Township-level PHIs (ref)

      

1

 

1

 

  Village-level PHIs

      

1.00 (0.64 ~ 1.55)

0.99

1.10 (0.71 ~ 1.76)

0.63

  Number of health workers per 1000 population serviced by PHI

      

0.02

0.02

1.18 (1.06 ~ 1.30)

0.03*

  Healthcare providers knowledge score on diabetes management delivery in PHIs

      

0.80

0.80

1.02 (0.89 ~ 1.17)

0.76

Variance components

 Community level variance

0.287

 

0.285

 

0.283

 

0.257

 

0.235

 

 Intra-class correlation

0.080

 

0.080

 

0.080

 

0.072

 

0.067

 
  1. Model 1 is an empty model without any explanatory variables; Model 2 included the control variable at the individual level; Model 3 included the control variables and the important explanatory varied of diabetes knowledge and diabetes self-efficacy at the individual level; Model 4 included the control variables at the individual level and the important variables of primary health institutions at the community level. Model 5 include all the variables at the individual and community levels.
  2. PHIs, primary health institutions; Township-level PHIs included the community health centers in urban areas and the township health centers in rural areas; Village-level PHIs included the community health stations in urban area and the village clinics in urban areas. OR, Odds ratios; CI, confidence interval; *Significant at p < 0.05
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BMC Health Services Research

ISSN: 1472-6963

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