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Table 6 Multinomial logistic regression analysis of PHC preference shift on health status change

From: The trend in primary health care preference in China: a cohort study of 12,508 residents from 2012 to 2018

Variables

Preference shifting (Beta)

From PHC to Non-PHC vs. Non-shifting a

From Non-PHC to PHC vs. Non-shifting b

From PHC to Non-PHC vs. From Non-PHC to PHC c

Predisposing factors

 Gender (Reference = Female)

  Male

0.064**

0.004

0.060

 Age (Reference = 16 ~ 25)

  26 ~ 35

−0.183

0.034

−0.217

  36 ~ 45

−0.260**

− 0.069

− 0.191

  46 ~ 55

− 0.318***

− 0.007

− 0.312*

  56 ~ 65

− 0.366***

− 0.017

− 0.349**

   ≥ 66

− 0.518***

− 0.041

−0.478***

 Education (Reference = Junior high school and below)

  High school or secondary

0.006

0.067

−0.060

  University/college or above

−0.055

−0.127

0.072

  Ethnicity (Reference = Han)

   

  Minority

0.106*

0.100

0.006

 Marital status (Reference = Unmarried)

  Married

0.123**

0.083

0.040

 Household size (Reference = 1 ~ 2 person)

  3–4 person

−0.076*

−0.072

−0.003

   ≥ 5 person

−0.147***

−0.078

− 0.069

Enabling factors

 Household income (Reference = < 30 thousand)

  30 ~ 50 thousand

0.059

0.068

−0.009

  50 ~ 70 thousand

0.077

0.047

0.030

  70 ~ 90 thousand

0.034

0.094

−0.060

   ≥ 90 thousand

0.059

0.012

0.071

 Employment status (Reverence = Not currently working)

 Currently working

−0.192***

−0.131***

− 0.061

 Hukou (Reference = Agricultural)

  Non-agricultural

−0.185***

0.106

−0.291***

 Social basic medical insurance status (Reference = UEBMI)

  URBMI

0.224***

0.134*

0.090

  NCMS

−0.029

0.245***

−0.273**

  FMS

−0.063

−0.011

− 0.052

 Geographic region (Reference = East)

  Central

−0.068**

− 0.020

−0.048

  West

−0.014

0.041

−0.055

 Living area (Reference = Rural)

  Urban

0.119***

0.168***

−0.048

Needs-based factors

 Health status change (Reference = No change)

  Become worse

0.295***

−0.046

0.341***

  Become better

−0.068

0.290***

−0.358***

 Chronic disease (Reference = No)

  Yes

0.311***

−0.008

0.319***

 Hospitalization (Reference = No)

  Yes

0.765***

−0.121**

0.886***

  Constant

−1.471***

−2.143***

0.671***

Pseudo R2

0.017

0.017

0.017

  1. a This column took Non-shifting group as the reference group, and the results indicated the group of shifting from PHC to Non-PHC compared to the reference group
  2. b This column took Non-shifting group as the reference group, and the results indicated the group of shifting from Non-PHC to PHC compared to the reference group
  3. c This column took the group of shifting from Non-PHC to PHC as the reference group, and the results indicated the group of shifting from PHC to Non-PHC compared to reference group
  4. The total respondents were N = 12,058 × 3 = 36,174
  5. The results of multinomial logistic regression were statistically significant, χ2 =917.72, p < 0.001
  6. ***p < 0.01, **p < 0.05, *p < 0.10