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Table 3 Effect of older adults’ characteristics on their opinion regarding the most appropriate long-term care option (Home, sheltered house (SH) or nursing home (NH)) expressed for 3 vignettes: multinomial logit regressions

From: Impact of urine and mixed incontinence on long-term care preference: a vignette-survey study of community-dwelling older adults

 

BADL N = 2703

BADL+UI N = 2781

BADL+MI N = 2668

Home vs SH

NH vs SH

Home vs SH

NH vs SH

Home vs SH

NH vs SH

RRR

95 CI%

RRR

95 CI%

RRR

95 CI%

RRR

95 CI%

RRR

95 CI%

RRR

95 CI%

Predisposing factors

 Gender

   (Men)

            

  Women

0.74**

0.60–0.90

0.65*

0.45–0.96

0.80*

0.65–0.97

1.02

0.82–1.27

0.86

0.67–1.10

1.16

0.94–1.42

 Age group

   (68–72)

            

  73–77

    

1.11

0.90–1.36

1.05

0.83–1.31

1.44**

1.11–1.87

1.14

0.92–1.41

  78–82

    

1.41**

1.12–1.78

1.31*

1.02–1.68

1.63**

1.23–2.16

0.93

0.73–1.18

 Educational level

   (Compulsory schooling) (ISCED 0–2)

            

  Apprenticeship (ISCED 3)

0.72*

0.54–0.96

0.50**

0.32–0.80

0.80

0.60–1.06

0.84

0.62–1.14

0.81

0.58–1.13

1.08

0.80–1.46

  Baccalaureate (ISCED 4)

0.76

0.52–1.11

0.28**

0.12–0.61

0.50***

0.34–0.74

0.51**

0.34–0.76

0.63

0.39–1.02

0.95

0.63–1.41

  Professional diploma (ISCED 6–7)

0.88

0.63–1.22

0.46**

0.26–0.82

0.70*

0.51–0.96

0.64*

0.45–0.91

0.59**

0.40–0.88

0.91

0.65–1.28

  University or above (ISCED 8)

0.80

0.58–1.11

0.43**

0.24–0.76

0.71*

0.51–0.97

0.70*

0.49–0.99

0.64*

0.44–0.95

0.95

0.68–1.32

Enabling factors

 Caregiver role

   (No)

            

  Yes

1.43

0.97–2.10

1.42

0.68–2.96

1.61*

1.11–2.34

1.43

0.93–2.18

1.58*

1.03–2.42

0.99

0.67–1.47

 Financial problems

   (No)

            

  Yes

0.97

0.66–1.43

1.45

0.78–2.69

    

1.42

0.90–2.24

0.89

0.59–1.35

 Depression

   (No)

            

  Yes

0.84

0.68–1.03

0.97

0.67–1.43

        

 Knowledge of SH

            

   (No)

            

  Yes

    

0.94

0.75–1.19

1.30

0.98–1.71

0.70*

0.50–0.98

0.84

0.62–1.13

 Knowledge of CHCC

   (No)

            

  Yes

        

0.67*

0.47–0.96

0.96

0.70–1.32

Enabling factors

 Household composition

  (Alone)

            

  With spouse

1.26

0.97–1.63

0.58*

0.35–0.95

1.11

0.85–1.43

0.71*

0.54–0.95

1.12

0.81–1.56

0.86

0.65–1.12

  With Others

0.89

0.53–1.49

0.50

0.17–1.52

0.91

0.54–1.54

0.56

0.31–1.02

1.02

0.49–2.09

0.97

0.54–1.75

 Potential informal care

   (Spouse only)

            

  Other family only

0.92

0.64–1.31

0.87

0.43–1.75

0.66*

0.46–0.95

0.88

0.59–1.31

0.82

0.53–1.29

0.96

0.65–1.40

  Others

1.24

0.81–1.90

1.50

0.71–3.17

0.82

0.54–1.25

0.97

0.62–1.53

0.96

0.56–1.63

1.15

0.74–1.79

  None

0.97

0.66–1.42

1.14

0.56–2.32

0.56*

0.38–0.84

1.01

0.67–1.53

0.57*

0.35–0.95

1.13

0.76–1.69

  Multiples responses

1.19

0.93–1.52

1.17

0.70–1.95

0.88

0.70–1.11

1.04

0.79–1.37

0.79

0.59–1.05

0.98

0.76–1.26

 Support from family

  (No)

            

  Yes

0.94

0.68–1.31

0.56*

0.34–0.93

        

Need factors

 Cognitive difficulty

  (No)

            

  Yes

        

1.21

0.88–1.66

0.90

0.68–1.19

 Mobility difficulty

  (No)

            

  Yes

        

1.22

0.90–1.65

0.98

0.76–1.28

  1. Legend Table 3: The 3 vignettes presented a person with a same level of disability moderately affecting basic activities of daily living (moderate BADL), who lived with an able-bodied spouse. This fixed component included needs for help in preparing meals, housekeeping, shopping for groceries, getting out of bed in the morning, bathing and dressing, with preserved ability to get up from a chair and to walk inside. The 3 vignettes varied on continence. The first (hereafter BADL only) was limited to the fixed component and did not mention continence problems. The second added the presence of urine incontinence (BADL + UI). The third added mixed (urinary and fecal) incontinence (BADL + MI). Information given in the vignette specified that the disabled person could not manage alone his or her incontinence and lives with an able-bodied spouse
  2. For each vignette, SH was the base outcome
  3. Place of LTC delivery: SH, sheltered house; NH, nursing home
  4. Respondents’ characteristics: ISCED international standard classification of education, CHCC community health care center, ADL activities of daily living, IADL instrumental activities of daily living, BADL basic activities of daily living, UI urine incontinence, MI mixed incontinence
  5. RRR relative risk ratio, 95 CI% 95 confidence interval;
  6. () refers to the base
  7. *p < .05
  8. **p < .01
  9. ***p < .001