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Table 1 Definitions of variables: Analysis of Bypassing Primary Health Centers, the China Health and Aging Longitudinal Study, 2011–2015

From: Bypassing primary care facilities: health-seeking behavior of middle age and older adults in China

Variable

Description

Dependent variable

 Bypassing

1 if a patient bypasses primary health center (PHC) to seek care from a higher-tier facility (secondary or tertiary facilities); 0 otherwise.

Independent variable

 Age (years)

  45–54

1 if the individual is aged 45–54 years; 0 otherwise

  55–64

1 if the individual is aged 55–64 years; 0 otherwise

   ≥ 65

1 if the individual is aged ≥65 years; 0 otherwise

 Male

1 if the individual is male; 0 for female

 Educational attainment

  Illiterate

1 if the individual is illiterate; 0 otherwise

  Elementary school

1 if the individual attended elementary school; 0 otherwise

  Middle school

1 if the individual graduated from middle school; 0 otherwise

  High school

1 if the individual graduated from high school; 0 otherwise

  Above three-years of college

1 if the individual had above three-years of college; 0 otherwise

 Married

1 if the individual is married; 0 otherwise

 Household income

  Low income

1 if the individual’s household income is in the first quartile; 0 otherwise

  Lower middle income

1 if the individual’s household income is in second quartile; 0 otherwise

  Upper middle income

1 if the individual’s household income is in the third quartile; 0 otherwise

  High income

1 if the individual’s household income is in the highest quartile; 0 otherwise

 Medical insurance

  UEMI

1 if the individual is enrolled in Urban Employee Medical Insurance; 0 otherwise

  URMI

1 if the individual is enrolled in Urban Resident Medical Insurance; 0 otherwise

  NRCMI

1 if the individual is enrolled in New Rural Cooperative Medical Insurance; 0 otherwise

  Other Insurance

1 if the individual is enrolled in Government Medical Insurance, Urban and Rural, has either Resident Medical Insurance, Private Medical Insurance, Medical Aid, or Other medical insurance; 0 otherwise

  No Insurance

1 if the individual does not have medical insurance; 0 otherwise

 Health status

  Poor

1 if the individual reports health status to be poor; 0 otherwise

  Fair

1 if the individual reports health status to be fair; 0 otherwise

  Good

1 if the individual reports health status to be good or better; 0 otherwise

 Specific chronic conditions

  Hypertension

1 if the individual has hypertension; 0 otherwise

  Dyslipidemia

1 if the individual has dyslipidemia; 0 otherwise

  Diabetes

1 if the individual has diabetes or high blood sugar; 0 otherwise

  Chronic lung diseases

1 if the individual has chronic lung diseases; 0 otherwise

  Heart diseases

1 if the individual has heart diseases; 0 otherwise

  Kidney disease

1 if the individual has kidney disease; 0 otherwise

  Stomach diseases

1 if the individual has stomach or other digestive diseases; 0 otherwise

  Arthritis or rheumatism

1 if the individual has arthritis or rheumatism; 0 otherwise

  Other major chronic diseases

1 if the individual has cancer or malignant tumor, liver disease, stroke, emotional, nervous or psychiatric problems, memory-related disease, or asthma; 0 otherwise

 Functional limitations

  None

1 if the individual can eat, toilet, dress, bathe/shower, get in/out of bed, and walk without difficulty; 0 otherwise

  Mild

1 if the individual has one or two difficulties in eating, toileting, dressing, bathing/showering, getting in/out of bed, or walking; 0 otherwise

  Moderate

1 if the individual has three or four difficulties in eating, toileting, dressing, bathing/showering, getting in/out of bed, or walking; 0 otherwise

  Severe

1 if the individual has five to six difficulties in eating, toileting, dressing, bathing/showering, getting in/out of bed, or walking; 0 otherwise

 Hospitalization

1 if the individual reports hospitalization in the past 12 months; 0 otherwise

 Relative travel time

The ratio of travel time to a primary care facility to travel time to a secondary or tertiary level facility for individuals in the community