From: Health services utilization of Chinese patients with Huntington’s disease: a cross-sectional study
Characteristic | N (%) | Adherent to follow-up visits | Non-adherent to follow-up visits | χ2 | P |
---|---|---|---|---|---|
Predisposing factors | |||||
Age | 4.011 | 0.260 | |||
8-17 | 6 (2.6) | 3 (1.3) | 3 (1.3) | ||
18-44 | 80 (34.5) | 31 (13.4) | 49 (21.1) | ||
45-64 | 125 (53.9) | 34 (14.7) | 91 (39.2) | ||
≥65 | 21 (9.0) | 6 (2.6) | 15 (6.5) | ||
Sex | 0.276 | 0.599 | |||
Male | 103 (44.4) | 31 (13.4) | 72 (31.0) | ||
Female | 129 (55.6) | 43 (18.5) | 86 (37.1) | ||
Education level | 7.237 | 0.124 | |||
Under elementary school | 45 (19.4) | 13 (5.6) | 32 (13.8) | ||
Junior high school | 72 (31.0) | 27 (11.6) | 45 (19.4) | ||
Senior high school | 50 (21.6) | 10 (4.3) | 40 (17.2) | ||
Junior college | 39 (16.8) | 17 (7.3) | 22 (9.5) | ||
University or above | 26 (11.2) | 7 (3.0) | 19 (8.2) | ||
Marital status | 1.271 | 0.736 | |||
Single | 23 (9.9) | 6 (2.6) | 17 (7.3) | ||
Married, without children | 12 (5.2) | 4 (1.7) | 8 (3.4) | ||
Married, with children | 164 (70.7) | 51 (22.0) | 113 (48.7) | ||
Separated, divorced or widowed | 33 (14.2) | 13 (5.6) | 20 (8.6) | ||
Employment status | 4.993 | 0.172 | |||
Employed, or enrolled student | 41 (17.7) | 11 (4.7) | 30 (12.9) | ||
Retired | 46 (19.8) | 17 (7.3) | 29 (12.5) | ||
Unemployed, or unenrolled | 58 (25.0) | 24 (10.3) | 34 (14.7) | ||
Unable to work or study | 86 (37.1) | 22 (9.5) | 64 (27.6) | ||
Residence registration | 0.053 | 0.819 | |||
Urban | 126 (54.3) | 41 (17.7) | 85 (36.6) | ||
Rural | 106 (45.7) | 33 (14.2) | 73 (31.5) | ||
Enabling Factors | |||||
Annual household income (¥) | 3.063 | 0.216 | |||
<50,000 | 116 (50.0) | 31 (13.4) | 85 (36.6) | ||
50,000-149,999 | 89 (38.4) | 34 (14.7) | 55 (23.7) | ||
≥150,000 | 25 (10.8) | 8 (3.4) | 17 (7.3) | ||
Health insurance type | 0.507 | 0.776 | |||
Basic medical insurance for urban employees | 110 (47.4) | 38 (16.4) | 72 (31.0) | ||
New rural cooperative medical insurance | 87 (37.5) | 26 (11.2) | 61 (26.3) | ||
Without health insurance | 29 (12.5) | 9 (3.9) | 20 (8.6) | ||
Access to medical care | 0.567 | 0.753 | |||
Local hospitals | 77 (33.2) | 30 (12.9) | 47 (20.3) | ||
Cross-city | 43 (18.5) | 14 (6.0) | 29 (12.5) | ||
Cross-province | 67 (28.9) | 26 (11.2) | 41 (17.7) | ||
Medical expenses(¥) | 8.824 | 0.012 | |||
<10,000 | 105 (45.3) | 24 (10.3) | 81 (34.9) | ||
10,000-49,999 | 88 (37.9) | 35 (15.1) | 53 (22.8) | ||
≥50,000 | 31 (13.4) | 14 (6.0) | 17 (7.3) | ||
Reimbursement of health insurance | 10.22 | 0.001 | |||
Yes | 51 (22.0) | 26 (11.2) | 25 (10.8) | ||
No | 170 (73.3) | 46 (19.8) | 124 (53.4) | ||
Need for accompanying family members to follow-up visits | 6.735 | 0.034 | |||
No | 28 (12.1) | 8 (3.4) | 20 (8.6) | ||
1 accompanying family member | 110 (47.4) | 43 (18.5) | 67 (28.9) | ||
2 or more accompanying family members | 94 (40.5) | 21 (9.1) | 73 (31.5) | ||
Need factors | |||||
Perceived stage of disease | 15.701 | 0.001 | |||
Early stage | 48 (20.7) | 20 (8.6) | 28 (12.1) | ||
Middle stage | 101 (43.5) | 41 (17.7) | 60 (25.9) | ||
Late stage | 52 (22.4) | 8 (3.4) | 44 (19.0) | ||
Unaware | 31 (13.4) | 5 (2.2) | 26 (11.2) | ||
Impact of the disease on daily life | 4.324 | 0.229 | |||
No | 13 (5.6) | 3 (1.3) | 10 (4.3) | ||
Mild | 32 (13.8) | 8 (3.4) | 24 (10.3) | ||
Moderate | 51 (22.0) | 22 (9.5) | 29 (12.5) | ||
Severe | 136 (58.6) | 41 (17.7) | 95 (40.9) | ||
Perceived effectiveness of drugs | 37.71 | <0.001 | |||
Effective | 27 (11.6) | 18 (7.8) | 9 (3.9) | ||
Not very effective | 77 (33.2) | 34 (14.7) | 43 (18.5) | ||
Not effective | 66 (28.4) | 17 (7.3) | 49 (21.1) | ||
Unaware | 62 (26.7) | 5 (2.2) | 57 (24.6) | ||
Self-care ability | 8.635 | 0.035 | |||
Completely able | 63 (27.2) | 16 (6.9) | 47 (20.3) | ||
Able for the majority | 49 (21.1) | 23 (9.9) | 26 (11.2) | ||
Able for the minority | 74 (31.9) | 15 (6.5) | 59 (25.4) | ||
Completely unable | 46 (19.8) | 10 (4.3) | 36 (15.5) |