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Table 2 Hierarchical logistic longitudinal regression models fitted on polypharmacy at follow-up (n = 1451a)

From: Factors associated with polypharmacy and the high risk of medication-related problems among older community-dwelling adults in European countries: a longitudinal study

 

Polypharmacy at follow-up (Model 1) d

Polypharmacy at follow-up (Model 1) e

Polypharmacy at follow-up (Model 3) f

Polypharmacy at follow-up (Model 4) g

OR (95%CI) b

p-valuec

OR (95%CI) b

p-valuec

OR (95%CI) b

p-valuec

OR (95%CI) b

p-valuec

Intervention (yes)

1.10 (0.89–1.37)

0.37

1.16 (0.93–1.45)

0.19

1.19 (0.94–1.50)

0.16

1.15 (0.87–1.53)

0.33

Sociodemographic factors at baseline

Age (year)

1.02 (1.00–1.04)

0.09

1.02 (0.99–1.04)

0.14

0.99 (0.97–1.02)

0.58

0.99 (0.97–1.02)

0.68

Sex (female)

0.78 (0.62–0.99)

0.045

0.73 (0.57–0.94)

0.01

0.55 (0.42–0.72)

 < 0.001

0.75 (0.54–1.04)

0.09

Education level

 

0.04

 

0.12

 

0.41

 

0.54

 Tertiary or higher (ref.)

1.00

 

1.00

 

1.00

 

1.00

 

 Secondary

1.63 (1.05–2.51)

0.03

1.49 (0.96–2.33)

0.08

1.21 (0.80–1.85)

0.37

1.33 (0.80–2.21)

0.27

 Primary

1.15 (0.78–1.7)

0.48

1.11 (0.75–1.66)

0.60

1.38 (0.86–2.21)

0.18

1.26 (0.71–2.22)

0.43

Country

 

 < 0.001

 

 < 0.001

 

 < 0.001

 

 < 0.001

 The Netherlands (ref.)

1.00

 

1.00

 

1.00

 

1.00

 

 Greece

0.59(0.38–0.92)

0.02

0.50 (0.32–0.78)

0.002

0.43 (0.26–0.71)

0.001

0.45 (0.24–0.82)

0.01

 Croatia

0.72 (0.51–1.03)

0.07

0.58 (0.4–0.83)

0.003

0.42 (0.28–0.63)

 < 0.001

0.47 (0.28–0.77)

0.003

 Spain

0.58 (0.39–0.85)

0.006

0.56 (0.38–0.83)

0.004

0.55 (0.36–0.84)

0.005

0.68 (0.41–1.14)

0.15

 The United Kingdom

1.62 (1.13–2.31)

0.008

1.7 (1.18–2.44)

0.004

1.52 (1.03–2.25)

0.03

1.27 (0.80–2.04)

0.31

Migration background (yes)

1.48 (0.98–2.23)

0.06

1.55 (1.02–2.35)

0.04

1.67 (1.08–2.59)

0.02

1.56 (0.91–2.65)

0.10

Living composition (living alone)

1.26 (0.99–1.60)

0.06

1.23 (0.96–1.58)

0.10

1.14 (0.87–1.48)

0.35

1.04 (0.76–1.43)

0.81

Factors regarding life style and nutrition at baseline

Smoke (yes)

  

1.09 (0.71–1.66)

0.70

1.01(0.65–1.57)

0.97

1.16 (0.68–1.97)

0.60

Alcohol risk (yes)

  

0.76 (0.59–0.98)

0.03

0.88 (0.67–1.16)

0.37

0.84 (0.60–1.17)

0.30

Exercise (once a week or less)

  

1.75 (1.35–2.27)

 < 0.001

1.06 (0.79–1.43)

0.68

1.06 (0.74–1.51)

0.77

BMI b

   

 < 0.001

 

0.003

 

0.03

 Underweight and normal (ref.)

  

1.00

 

1.00

 

1.00

 

 Overweight

  

1.47 (1.14–1.9)

0.003

1.37 (1.04–1.79)

0.02

1.40 (1.01–1.93)

0.045

 Obese

  

1.99 (1.44–2.74)

 < 0.001

1.78 (1.26–2.51)

0.001

1.70 (1.12–2.59)

0.01

Malnutrition (yes)

  

0.97 (0.7–1.34)

0.83

0.76 (0.53–1.08)

0.12

0.71 (0.46–1.08)

0.11

Factors regarding health and health care use at baseline

Health-related quality of life (SF-12) (score)

  Physical Component Summary

    

0.96 (0.95–0.98)

 < 0.001

0.98 (0.97- 0.996)

0.01

  Mental Component Summary

    

0.99 (0.98–1.00)

0.17

0.99 (0.98–1.01)

0.41

Multi-morbidity (yes)

    

3.73 (2.18–6.37)

 < 0.001

2.31 (1.24–4.31)

0.01

Falling times during the last year (two or more times)

    

0.95 (0.68–1.32)

0.74

0.82 (0.55–1.24)

0.34

Frailty (yes)

    

1.69 (1.24–2.30)

0.001

1.44 (0.99–2.09)

0.05

Outpatient service use during the last year (yes)

    

1.77 (1.09–2.88)

0.02

1.24 (0.69–2.23)

0.47

Hospitalization (yes)

    

1.20 (0.88–1.63)

0.25

0.91 (0.63–1.33)

0.63

Polypharmacy at baseline (yes)

      

15.91 (11.94–21.21)

 < 0.001

Block

75.47

 < 0.001

45.44

 < 0.001

147.40

 < 0.001

435.16

 < 0.001

Model summary

1918.15

0.95

1872.71

0.29

1725.31

0.69

1290.14

0.03

Nagelkerke R2

0.07

 

0.11

 

0.23

 

0.51

 
  1. aThe number of missing cases is 340; the number of cases included in the analysis is 1451
  2. bAbbreviations: BMI, body mass index; OR, odds ratio; CI, confidence interval
  3. cSignificant P-values (< 0.05) are in bold
  4. dModel 1: Adjusted for intervention
  5. eModel 2: Model 1 + Factors regarding life style and nutrition
  6. fModel 3: Model 2 + Factors regarding health and health care use
  7. gModel 4: Model 3 + Polypharmacy at baseline