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Table 4 Sequential Logistic Regression results on the determinants of healthcare use among poor older people

From: Predictors of healthcare utilisation among poor older people under the livelihood empowerment against poverty programme in the Atwima Nwabiagya District of Ghana

Variable

Model 1

Model 2

Model 3

Full Model

AOR

95% C.I

AOR

95% C.I

AOR

95% C.I

AOR

95% C.I

Demographic

 Gender a

  Female

2.694*

(1.002–7.244)

2.780

(0.969–7.974)

2.386

(0.719–7.920)

2.521

(0.412–12.981)

 Age (years)

  70–74 b

1.495

(0.404–5.528)

0.912

(0.220–3.776)

0.727

(0.134–3.952)

0.523

(0.127–4.285)

  75–79

0.703

(0.182–2.722)

0.549

(0.120–2.511)

0.268

(0.047–1.526)

0.152

(0.017–1.457)

  80–84

0.867

(0.244–3.075)

0.438

(0.103–1.860)

0.444

(0.081–2.438)

0.369

(0.030–4.791)

  85–89

0.648

(0.140–3.005)

0.419

(0.076–2.308)

0.273

(0.036–2.094)

0.094*

(0.007–1.170)

  90 and above

1.099

(0.316–3.820)

0.500

(0.121–2.061)

0.419

(0.081–2.17)

0.072

(0.069–2.028)

 Ethnicity

  Akan c

0.024

(0.001–0.015)

0.013

(0.001–0.017)

0.0021

(0.0025–0.0023)

0.820

(0.184–3.658)

 Religious group

  Muslim d

0.470

(0.162–1.364)

0.807

(0.238–2.735)

0.437

(0.115–1.659)

1.835

(0.417–8.076)

  Traditional

0.355

(0.057–2.225)

0.736

(0.103–5.229)

1.021

(0.064–16.295)

0.801

(0.041–15.797)

 Marital status

  Married e

2.276

(0. 761–6.810)

2.050

(0.645–6.519)

1.950

(0.559–6.802)

2.450

(0.575–14.266)

Socio-economic

 Education

  Basic School f

  

0.687

(0.252–1.877)

0.387

(0.116–1.292)

0.251*

(0.085–0.987)

  Senior High School

  

0.868

(0.199–3.794)

0.442

(0.075–2.588)

0.310

(0.117–2.474)

 Income (GHS)

  200 or below g

  

1.343

(0.492–3.661)

1.364

(0.421–4.415)

2.375

(0.548–10.210)

  201–300

  

1.532

(0.396–5.932)

1.744

(0.366–8.309)

3.054

(0.416–23.599)

  Above 300

  

1.641

(0.276–9.742)

1.652

(0.245–11.145)

2.968

(0.509–24.704)

  Uninsured

  

0.096*

(0.016–0.585)

0.205

(0.025–1.660)

0.293

(0.015–5.826)

  No Family support

  

0.207*

(0.065–0.655)

0.125*

(0.028–0.552)

0.771*

(0.120–0.620)

Health related

 No Past illness (3 months)

    

0.088*

(0.026–1.292)

0.236*

(0.057–0.197)

 Poor health status

    

0.530

(0.179–1.568)

0.822

(0.153–2.943)

 No chronic Non-Communicable Diseases(NCDs)

    

0.159*

(0.042–0.602)

0.418*

(0.101–0.723)

 No Disability

    

2.303

(0.445–11.925)

19.245*

(2.415–29.921)

Health behaviour

 Non- physical activity

      

1.064

(0.303–3.746)

 Non-alcohol users

      

0.448

(0.133–1.503)

 Non-tobacco smokers

      

0.573

(0.097–3.370)

 Inadequate (low) fruits intake (less than 5 serving fruits per day)

      

1.435*

(0.552–8.740)

 Inadequate (low) vegetable intakes (less than 5 serving vegetables per day)

      

1.202*

(0.362–10.20)

Model fitting information

 -2Log Likelihood

 

158.617

 

141.095

 

110.951

 

108.696

 Hosmer-Lemeshow χ2 (significance)

 

1.387(0.917)

 

9.986(0.266)

 

10.620(0.224)

 

10.879(0.209)

 Nagelkerke R2

 

0.089

 

0.229

 

0.442

 

0.457

  1. Italic values indicate significance of p value (p < 0.05)
  2. Model 1 = Demographic variables; Model 2 = All variables in Model 1 plus socio-economic variable; Model 3 = All variables in Model 2 plus health-related variables; Model 4 = All variables in Model 3 plus health behaviour variable
  3. CI Confidence Interval, OR Odd Ratio, AOR Adjusted Odd Ratio
  4. * p < 0.05
  5. a Male is the reference category for gender variable
  6. b 65–69 years is the reference category for age variable
  7. c Non-Akan is the reference category for ethnicity variable
  8. d Christians is the reference category for religious variable
  9. e Single is the reference category for marital status variable
  10. f No formal education is the reference category for education variable
  11. g 200 Ghana cedis or less is the reference category for income variable