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Table 4 Determinants of (a) seeing a professional for a new health problem (b) using private healthcare-logistic regression (RLMS: men and women aged 18–59)

From: An analysis of trends and determinants of health insurance and healthcare utilisation in the Russian population between 2000 and 2004: the 'inverse care law' in action

 

Male

Female

 

(i) Age, gender

(ii) Age, gend, inc, educ, area, marital

(iii) = (ii) + empl. status + s-r health

(i) Age, gender

(ii) Age, gend, inc, educ, area, marital

(iii) = (ii) + empl. status + s-r health

 

SEEING A PROFESSIONAL (vs not seeing) – Odds ratio (95% CI)

Sex (female vs male)

-

-

-

1.16 (1.01–1.33)

1.17 (1.00–1.35)

1.03 (0.89–1.21)

Age (per year)

0.99 (0.98–1.00)

1.00 (0.99–1.02)

0.99 (0.98–1.00)

1.00 (1.00–1.01)

1.01 (1.00–1.02)

1.00 (0.99–1.01)

Health ins.

      

Compulsory

1

1

 

1

1

 

Suppl. (priv)

1.02 (0.53–1.97)

1.13 (0.56–2.27)

1.21 (0.60–2.45)

1.04 (0.63–1.70)

1.19 (0.69–2.07)

1.28 (0.73–2.23)

None

0.62 (0.41–0.93)

0.64 (0.42–0.98)

0.68 (0.44–1.06)

0.56 (0.36–0.88)

0.53 (0.33–0.86)

0.56 (0.34–0.91)

Education

      

1ry/incomp 2ry

1

1

 

1

1

 

Comp 2ry

0.76 (0.58–0.99)

0.79 (0.60–1.05)

0.89 (0.66–1.20)

0.68 (0.54–0.87)

0.72 (0.56–0.93)

0.77 (0.59–1.01)

Higher

0.82 (0.60–1.11)

0.91 (0.65–1.27)

1.11 (0.78–1.58)

0.77 (0.61–0.97)

0.85 (0.66–1.10)

0.95 (0.72–1.25)

Hhld inc. pp quintile (asc.)

0.96 (0.88–1.04)

0.96 (0.88–1.05)

1.01 (0.92–1.10)

0.98 (0.92–1.04)

0.98 (0.92–1.05)

1.00 (0.93–1.07)

Nr consumer gds (0–5)

0.92 (0.70–1.21)

0.96 (0.69–1.34)

1.03 (0.72–1.47)

0.97 (0.83–1.14)

0.91 (0.76–1.11)

0.87 (0.72–1.06)

Marital status

      

Married

1

1

 

1

1

 

Single

1.63 (1.15–2.31)

1.56 (1.08–2.25)

1.23 (0.81–1.86)

1.49 (1.14–1.94)

1.46 (1.10–1.94)

1.44 (1.06–1.94)

Divorced

1.99 (1.24–3.19)

2.08 (1.27–3.41)

1.67 (0.98–2.85)

0.92 (0.69–1.23)

0.92 (0.69–1.25)

0.97 (0.72–1.32)

Widowed

0.52 (0.15–1.80)

0.54 (0.15–1.89)

0.43 (0.12–1.55)

1.10 (0.79–1.54)

1.15 (0.81–1.62)

1.09 (0.77–1.56)

Cohabiting

1.15 (0.80–1.66)

1.15 (0.79–1.68)

1.24 (0.84–1.83)

1.10 (0.83–1.47)

1.09 (0.80–1.48)

1.09 (0.79–1.49)

Geog. area

      

Urban

1

1

 

1

1

 

Rural

0.96 (0.73–1.26)

0.93 (0.70–1.24)

1.00 (0.75–1.35)

1.05 (0.85–1.30)

1.03 (0.82–1.28)

1.06 (0.84–1.33)

Moscow/St P

1.18 (0.86–1.62)

1.18 (0.83–1.66)

1.22 (0.85–1.73)

1.12 (0.88–1.43)

1.18 (0.90–1.56)

1.22 (0.92–1.62)

Employment

      

Working

1

1

 

1

1

 

paid leave

1.09 (0.29–4.06)

1.14 (0.30–4.29)

1.00 (0.26–3.80)

1.27 (0.79–2.02)

1.46 (0.88–2.44)

1.55 (0.92–2.61)

Unpaid leave

-

-

-

3.13 (0.70–14.06)

2.84 (0.62–12.99)

2.96 (0.65–13.46)

not working

1.74 (1.26–2.39)

1.71 (1.16–2.52)

1.57 (1.06–2.33)

1.02 (0.80–1.31)

1.07 (0.81–1.42)

1.05 (0.79–1.40)

unemployed

0.95 (0.64–1.41)

0.94 (0.62–1.41)

0.92 (0.60–1.41)

0.61 (0.42–0.90)

0.63 (0.42–0.94)

0.65 (0.43–0.97)

Pension

3.10 (2.07–4.62)

2.93 (1.89–4.55)

2.32 (1.47–3.66)

1.78 (1.35–2.35)

1.60 (1.18–2.17)

1.33 (0.97–1.82)

Self-rated hlth 1(vg) -5(vp)

1.81 (1.51–2.16)

1.78 (1.47–2.14)

1.65 (1.36–2.00)

1.98 (1.69–2.32)

2.02 (1.71–2.39)

2.00 (1.69–2.36)

 

SEEKING PRIVATE HEALTH CARE (vs not seeking private care) – Odds ratio (95% CI)

Sex (female vs male)

-

-

-

1.81 (1.15–2.85)

1.52 (0.92– 2.52)

1.52 (0.92–2.53)

Age (per year)

0.99 (0.97–1.02)

0.98 (0.93–1.03)

1.00 (0.95–1.06)

0.98 (0.97–1.00)

0.96 (0.93–0.98)

0.96 (0.93–0.98)

Health ins.

      

Compulsory

1

1

1

1

1

1

Suppl. (priv)

3.56 (0.72–17.58)

1.83 (0.28–12.08)

2.64 (0.40–17.26)

3.03 (1.15–7.95)

2.25 (0.72–7.00)

2.23 (0.71–6.98)

None

4.61 (1.55–13.74)

3.80 (0.96–15.08)

3.65 (0.85–15.71)

2.45 (0.87–6.93)

2.78 (0.81–9.51)

2.83 (0.81–9.81)

Education

      

1ry/incomp 2ry

1

1

1

1

1

1

Comp 2ry

4.94 (1.33–18.42)

7.06 (1.44–34.58)

8.28 (1.62–42.40)

2.68 (1.04–6.89)

3.24 (1.13–9.25)

3.26 (1.13–9.36)

Higher

8.59 (2.10–35.20)

9.14 (1.62–51.46)

12.06 (1.91–76.0)

6.14 (2.49–15.14)

6.52 (2.33–18.27)

6.21 (2.13–18.10)

Hhld inc. pp quintile (asc.)

1.74 (1.22–2.48)

1.46 (0.99–2.17)

1.49 (1.01–2.20)

1.23 (1.03–1.46)

1.12 (0.93–1.36)

1.08 (0.89–1.32)

Nr consumer gds (0–5)

1.02 (0.94–1.10)

1.07 (0.97–1.18)

1.08 (0.98–1.19)

1.02 (0.96–1.09)

1.05 (0.97–1.13)

1.05 (0.97–1.13)

Marital status

      

Married

1

1

1

1

1

1

Single

2.63 (0.71–9.74)

1.77 (0.48–6.52)

1.96 (0.43–8.88)

0.65 (0.33–1.29)

0.89 (0.43–1.85)

0.85 (0.40–1.82)

Divorced

0.63 (0.08–5.07)

0.81 (0.09–7.47)

0.97 (0.09–10.35)

0.82 (0.35–1.92)

0.86 (0.35–2.10)

0.80 (0.33–1.98)

Widowed

-

-

-

1.28 (0.52–3.13)

1.95 (0.75–5.09)

1.96 (0.75–5.13)

Cohabiting

1.30 (0.34–5.05)

0.64 (0.12–3.50)

0.81 (0.13–4.99)

0.40 (0.15–1.07)

0.20 (0.04–0.86)

0.19 (0.04–0.86)

Geog. area

      

Urban

1

1

1

1

1

1

Rural

0.40 (0.09–1.81)

0.46 (0.10–2.19)

0.42 (0.08–2.08)

0.63 (0.33–1.23)

0.76 (0.38–1.52)

0.74 (0.37–1.49)

Moscow/St P

4.21 (1.78–9.94)

2.88 (1.09–7.63)

2.87 (1.04–7.91)

1.66 (0.92–2.97)

1.36 (0.67–2.76)

1.39 (0.68–2.82)

Employment

      

Working

1

1

1

1

1

1

paid leave

7.00 (0.60–82.16)

14.32 (0.81–52.26)

14.32 (0.81–252.3)

0.35 (0.08–1.57)

0.45 (0.09–2.14)

0.45 (0.09–2.14)

Unpaid leave

-

-

-

-

-

-

not working

1.62 (0.53–4.97)

3.55 (1.00–12.69)

3.55 (1.00–12.69)

0.67 (0.34–1.32)

0.85 (0.39–1.88)

0.85 (0.39–1.88)

unemployed

1.47 (0.40–5.45)

3.49 (0.73–16.63)

3.49 (0.73–16.63)

0.52 (0.15–1.77)

0.59 (0.16–2.16)

0.59 (0.16–2.16)

Pension

0.28 (0.03–2.19)

-

-

0.38 (0.15–1.00)

0.72 (0.26–2.03)

0.72 (0.26–2.03)

Self-rated hlth 1(vg)-5(vp)

0.42 (0.23–0.77)

0.41 (0.19–0.89)

0.37 (0.17–0.84)

0.87 (0.59–1.28)

0.95 (0.62–1.46)

0.94 (0.61–1.45)

  1. [Results in bold are statistically significant (p < 0.05)]