First part: Home help service utilization (n = 3770) | Second part: Home help service expenditures (n = 1163) | |||||||
---|---|---|---|---|---|---|---|---|
OR | 95% CI | P value | RR | 95% CI | P value | |||
Household income | ||||||||
Middle/high income | 1.000 | 1.000 | ||||||
Low income | 1.432 | 1.232 | 1.664 | < 0.001 | 0.888 | 0.799 | 0.986 | 0.026 |
Age (years) | ||||||||
62–71 | 1.000 | 1.000 | ||||||
72–81 | 1.214 | 0.933 | 1.581 | 0.149 | 1.005 | 0.838 | 1.205 | 0.960 |
≥ 82 | 1.080 | 0.829 | 1.407 | 0.567 | 1.229 | 1.025 | 1.475 | 0.026 |
Sex | ||||||||
Male | 1.000 | 1.000 | ||||||
Female | 1.112 | 0.946 | 1.308 | 0.199 | 1.166 | 1.042 | 1.306 | 0.008 |
Dwelling | ||||||||
Detached house | 1.000 | 1.000 | ||||||
Multiple-unit housing | 1.443 | 1.220 | 1.706 | < 0.001 | 1.238 | 1.107 | 1.384 | < 0.001 |
Care needs level | ||||||||
Care needs level 1 | 1.000 | 1.000 | ||||||
Care needs level 2 | 0.930 | 0.758 | 1.140 | 0.483 | 1.232 | 1.070 | 1.419 | 0.004 |
Care needs level 3 | 0.930 | 0.724 | 1.194 | 0.570 | 2.075 | 1.743 | 2.469 | < 0.001 |
Care needs level 4 | 1.260 | 0.941 | 1.688 | 0.121 | 2.615 | 2.132 | 3.209 | < 0.001 |
Care needs level 5 | 1.404 | 0.964 | 2.044 | 0.077 | 3.218 | 2.504 | 4.136 | < 0.001 |
Physical function | ||||||||
Independent (Independent and Level J) | 1.000 | 1.000 | ||||||
Mild (Level A) | 0.589 | 0.460 | 0.753 | < 0.001 | 1.427 | 1.216 | 1.676 | < 0.001 |
Moderate (Level B) | 0.690 | 0.511 | 0.931 | 0.015 | 1.484 | 1.215 | 1.812 | < 0.001 |
Severe (Level C) | 0.756 | 0.508 | 1.126 | 0.169 | 1.666 | 1.284 | 2.163 | < 0.001 |
Cognitive function | ||||||||
Independent (Independent and Rank I) | 1.000 | 1.000 | ||||||
Mild (Rank II) | 0.857 | 0.717 | 1.024 | 0.089 | 1.166 | 1.032 | 1.316 | 0.013 |
Moderate (Rank III) | 0.696 | 0.564 | 0.859 | 0.001 | 1.223 | 1.057 | 1.415 | 0.007 |
Severe (Rank IV and Rank M) | 0.615 | 0.467 | 0.810 | 0.001 | 1.083 | 0.896 | 1.309 | 0.409 |
Chronic diseases | ||||||||
Cerebrovascular disease | ||||||||
Absent | 1.000 | 1.000 | ||||||
Present | 0.949 | 0.818 | 1.102 | 0.494 | 0.955 | 0.862 | 1.058 | 0.375 |
Joint disorders | ||||||||
Absent | 1.000 | 1.000 | ||||||
Present | 1.170 | 1.005 | 1.362 | 0.043 | 0.919 | 0.828 | 1.020 | 0.113 |
Heart disease | ||||||||
Absent | 1.000 | 1.000 | ||||||
Present | 1.024 | 0.877 | 1.195 | 0.763 | 0.973 | 0.876 | 1.081 | 0.609 |
Parkinson’s disease | ||||||||
Absent | 1.000 | 1.000 | ||||||
Present | 1.204 | 0.905 | 1.603 | 0.203 | 1.127 | 0.929 | 1.366 | 0.225 |
Long-term care service use | ||||||||
Home-based rehabilitation services | ||||||||
Non-use | 1.000 | 1.000 | ||||||
Use | 0.873 | 0.718 | 1.061 | 0.171 | 0.764 | 0.667 | 0.876 | < 0.001 |
Home-visit nursing | ||||||||
Non-use | 1.000 | 1.000 | ||||||
Use | 1.943 | 1.541 | 2.450 | < 0.001 | 0.809 | 0.700 | 0.934 | 0.004 |
Type of home help servicea | ||||||||
Single | 1.000 | |||||||
Multiple | 1.621 | 1.306 | 2.012 | < 0.001 | ||||
Medical expenditures | ||||||||
Lower group | 1.000 | 1.000 | ||||||
Middle group | 1.014 | 0.848 | 1.212 | 0.877 | 1.066 | 0.941 | 1.208 | 0.315 |
Higher group | 1.206 | 1.004 | 1.448 | 0.045 | 1.274 | 1.124 | 1.444 | < 0.001 |
C statistic | 0.632 | (0.613–0.651) |