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Table 3 Association of predisposing, enabling and need factors with formal home care utilization - logistic regression models

From: Formal home care use by older adults: trajectories and determinants in the Lc65+ cohort

 Odds ratio95% confidence intervalp
Model 1: need factors only (N = 1845)
 Fear of falling (ref: not at all)
  Yes, without activity restriction0.97(0.68–1.37)0.843
  Yes, with restriction from certain activities because of it1.99(1.25–3.15)0.004
 Difficulty or need for help in one or more ADL/IADL (ref: none in 2018a)
  Difficulty or need for help in 2018a, but not in 20126.16(4.23–8.98)< 0.001
  Difficulty or need for help in 2012 and 2018a5.03(3.28–7.72)< 0.001
 Coronary artery disease, heart failure, heart valve/muscle disease, or cerebrovascular disease1.75(1.13–2.70)0.013
 Frailty phenotype (ref: robust)
  Pre-frail1.43(1.01–2.03)0.045
  Frail2.25(1.29–3.95)0.005
Model 2: predisposing, enabling and need factors (N = 1467)
 One-year increase in age1.04(0.98–1.10)0.222
 Born abroad (ref: born in Switzerland)1.34(0.89–2.01)0.166
 Knows very well or rather well what a home care organization is and what it can offer (ref: rather no or not a at all)1.01(0.65–1.58)0.952
 Lubben Social Network Scale (LSNS-6) score of less than 12 (ref: 12 or more)1.24(0.84–1.85)0.282
 Lives alone (ref: living with other people)1.16(0.80–1.69)0.438
 Difficult financial situation1.65(1.12–2.45)0.012
 Fear of falling (ref: not at all)
  Yes, without activity restriction1.19(0.79–1.80)0.400
  Yes, with restriction from certain activities because of it2.28(1.32–3.92)0.003
 Difficulty or need for help in one or more ADL/IADL (ref: none in 2018a)
  Difficulty or need for help in 2018a, but not in 20126.85(4.44–10.56)< 0.001
  Difficulty or need for help in 2012 and 2018a4.54(2.69–7.66)< 0.001
 Coronary artery disease, heart failure, heart valve/muscle disease, or cerebrovascular disease2.06(1.27–3.37)0.004
 Frailty phenotype (ref: robust)
  Pre-frail1.26(0.84–1.89)0.271
  Frail1.62(0.80–3.27)0.178
  1. aFor those who were admitted into a nursing home, died or dropped out before 2018, information of the year preceding institutionalization, death or drop-out was considered