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Table 3 Factors influencing internet and HIT use among people with multi-morbidity, results of bivariate and multivariate logistic regression (n = 5380)

From: Factors associated with internet use and health information technology use among older people with multi-morbidity in the United States: findings from the National Health Interview Survey 2018

Variables

Internet use

Any HIT use

uOR a (95%CIc)

P-value

aOR b (95%CI)

P-value

uOR (95%CI)

P-value

aOR (95%CI)

P-value

Gender

 Male

1(ref)

 

1(ref)

 

1(ref)

 

1(ref)

 

 Female

0.83(0.74–0.92)

0.001

1.41(1.22–1.63)

0.000

0.88(0.79–0.98)

0.018

1.36(1.19–1.56)

0.000

Age

 65–74

1(ref)

 

1(ref)

 

1(ref)

 

1(ref)

 

 75–84

0.43(0.38–0.48)

0.000

0.41(0.35–0.48)

0.000

0.48(0.43–0.55)

0.000

0.49(0.42–0.56)

0.000

 85 + 

0.17(0.14–0.20)

0.000

0.18(0.15–0.23)

0.000

0.18(0.14–0.22)

0.000

0.21(0.16–0.26)

0.000

Marital Status

 Currently married

1(ref)

 

1(ref)

 

1(ref)

 

1(ref)

 

 Widowed

0.36(0.31–0.41)

0.000

0.66(0.56–0.79)

0.000

0.42(0.37–0.48)

0.000

0.75(0.64–0.89)

0.001

 Divorced/separated

0.78(0.67–0.91)

0.001

1.05(0.86–1.27)

0.646

0.82(0.71–0.95)

0.000

1.01(0.85–1.21)

0.877

 Never married

0.73(0.58–0.93)

0.009

0.87(0.65–1.16)

0.326

0.76(0.60–0.96)

0.009

0.83(0.63–1.08)

0.165

Region

     

0.021

  

 Northeast

1(ref)

 

1(ref)

 

1(ref)

0.003

1(ref)

 

 Midwest

1.03(0.87–1.23)

0.696

1.03(0.84–1.27)

0.763

0.88(0.75–1.05)

0.153

0.87(0.71–1.06)

0.161

 South

0.94(0.81–1.10)

0.462

1.03(0.84–1.25)

0.805

0.89(0.76–1.04)

0.126

0.92(0.76–1.11)

0.368

 West

1.29(1.08–1.53)

0.005

1.31(1.05–1.64)

0.016

1.14(0.96–1.35)

0.146

1.11(0.90–1.36)

0.328

Race

     

0.000

  

 Hispanic

1(ref)

 

1(ref)

 

1(ref)

0.000

1(ref)

 

 Non-Hispanic White

3.17(2.55–3.95)

0.000

2.07(1.58–2.72)

0.000

2.75(2.16–3.50)

0.147

1.72(1.30–2.28)

0.000

 Non-Hispanic Black

1.28(0.98–1.67)

0.073

1.11(0.80–1.53)

0.546

1.24(0.93–1.67)

0.001

1.06(0.75–1.49)

0.744

 Non-Hispanic Asian

2.18(1.54–3.09)

0.000

1.05(0.68–1.62)

0.816

1.91(1.32–2.76)

0.191

0.95(0.62–1.46)

0.814

 Non-Hispanic All other race group

1.43(0.84–2.44)

0.185

1.01(0.55–1.88)

0.966

1.46(0.83–2.59)

0.000

1.10(0.58–2.07)

0.777

Highest education

     

0.000

  

 High school and below

1(ref)

 

1(ref)

 

1(ref)

0.000

1(ref)

 

 Some college

4.18(3.55–4.91)

0.000

3.13(2.61–3.74)

0.000

3.86(3.29–4.52)

0.000

2.88(2.42–3.42)

0.000

 College

4.43(3.62–5.41)

0.000

3.02(2.42–3.77)

0.000

4.33(3.57–5.25)

0.000

3.05(2.48–3.75)

0.000

 Master degree and above

9.41(7.98–11.08)

0.000

6.02(4.98–7.28)

0.000

7.46(6.44–8.63)

0.000

4.94(4.18–5.84)

0.000

Family income to the FPG d

     

0.000

  

  < 200% FPG

1(ref)

 

1(ref)

 

1(ref)

0.000

1(ref)

 

 200%-399% FPG

2.31(2.03–2.64)

0.000

1.40(1.19–1.64)

0.000

2.18(1.90–2.51)

0.000

1.38(1.17–1.63)

0.000

  ≥ 400% FPG

6.76(5.77–7.92)

0.000

2.45(2.01–2.99)

0.000

4.93(4.25–5.73)

0.000

1.96(1.62–2.37)

0.000

Health status

     

0.000

  

 Good

1(ref)

 

1(ref)

 

1(ref)

 

1(ref)

 

 Fair

0.39(0.34–0.45)

0.000

0.57(0.48–0.68)

0.000

0.51(0.44–0.59)

0.000

0.71(0.59–0.84)

0.000

 Poor

0.27(0.22–0.34)

0.000

0.53(0.40–0.70)

0.000

0.35(0.27–0.45)

0.700

0.59(0.43–0.79)

0.001

Health insurance

     

0.000

  

 Private health insurance(no)

0.57(0.51–0.64)

0.000

0.79(0.69–0.92)

0.002

0.67(0.60–0.75)

0.081

0.93(0.81–1.07)

0.297

 Medicare(no)

1.12(0.93–1.34)

0.241

0.83(0.66–1.04)

0.109

1.04(0.87–1.25)

0.000

0.84(0.68–1.05)

0.119

 Medicaid(no)

4.47(3.62–5.53)

0.000

1.87(1.43–2.44)

0.000

4.09(3.19–5.23)

0.434

1.95(1.46–2.61)

0.000

 Military healthcare insurance(no)

0.92(0.761–1.11)

0.372

0.97(0.77–1.22)

0.785

0.96(0.80–1.16)

0.704

1.04(0.83–1.29)

0.762

Health care use in the past 12 months

     

0.970

  

 Seen/talked to a medical specialist(no)

0.69(0.62–0.77)

0.000

0.79(0.69–0.91)

0.001

0.55(0.50–0.62)

0.550

0.62(0.54–0.71)

0.000

 Seen/talked to a general doctor(no)

0.90(0.76–1.08)

0.262

0.90(0.72–1.11)

0.325

0.85(0.71–1.02)

0.314

0.93(0.76–1.15)

0.512

 Received home care from health professional(no)

2.64(2.21–3.15)

0.000

1.73(1.37–2.18)

0.000

1.91(1.59–2.31)

0.000

1.40(1.11–1.76)

0.005

 receive care 10 + times(no)

1.29(1.134–1.46)

0.000

1.04(0.88–1.24)

0.652

0.95(0.84–1.08)

0.000

0.83(0.70–0.98)

0.024

Satisfied with health care

 Very satisfied

1(ref)

 

1(ref)

 

1(ref)

 

1(ref)

 

 Somewhat satisfied

0.91(0.80–1.04)

0.165

1.15(0.98–1.36)

0.095

1.00(0.88–1.15)

0.003

1.23(1.05–1.44)

0.009

 Somewhat dissatisfied

1.01(0.74–1.38)

0.958

1.61(1.10–2.36)

0.014

1.10(0.81–1.50)

0.153

1.56(1.09–2.25)

0.016

 Very dissatisfied

0.72(0.45–1.15)

0.165

1.55(0.87–2.75)

0.139

0.78(0.48–1.27)

0.126

1.43(0.81–2.52)

0.223

  1. a uOR Unadjusted odds ratio
  2. b aOR adjusted odds ratio
  3. c CI Confidence interval
  4. d FPG federal poverty guidelines