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Table 2 Multiple logistic regression analyses of predisposing, enabling, and need factors associated with client perceptions of provider awareness of traditional and cultural treatments among Indigenous people who use unregulated drugs (n = 507) in Vancouver, Canada, from December 2017 to March 2020

From: Perceptions of provider awareness of traditional and cultural treatments among Indigenous people who use unregulated drugs in Vancouver, Canada

Characteristic

Unadjusted odds ratio (95% CI)

p-value

Adjusted Odds Ratio (95% CI)

p-value

Pre-disposing factors

 Agea

  36–45 vs. 25–35

0.9 (0.5, 1.6)

0.67

0.8 (0.5, 1.4)

0.47

  46–55 vs. 25–35

1.2 (0.7, 2.0)

0.60

1.0 (0.6, 1.8)

0.92

  >55 vs. 25–35

1.0 (0.5, 1.7)

0.86

0.8 (0.4, 1.5)

0.47

 Self-identified gendera

  Man vs. woman

1.2 (0.9, 1.7)

0.22

1.2 (0.9, 1.7)

0.23

Unstable housing/homelessnessa (yes vs. no)

1.2 (0.9, 1.6)

0.32

1.2 (0.9, 1.8)

0.24

  DTES residencea (yes vs. no)

1.0 (0.8, 1.4)

0.80

1.0 (0.7, 1.5)

0.95

Enabling factors

 Patient involvement in treatment decisionsa

  Always vs. never

5.1 (2.4, 10.8)

<0.0001

3.6 (1.6, 7.8)

0.002

  Most or some of the time vs. never

4.0 (1.7, 9.0)

0.001

3.3 (1.4, 7.7)

0.01

Comfort with provider or clinica (yes vs. no)

3.7 (2.1, 6.6)

<0.0001

2.7 (1.5, 5.0)

0.002

  Received healthcare in one placea (yes vs. no)

1.3 (0.8, 2.0)

0.30

0.9 (0.6, 1.6)

0.80

 Provider typea

  Social support worker vs. clinician

1.5 (1.1, 2.2)

0.01

1.5 (1.0, 2.1)

0.03

Need factors

 Chronic paina (yes vs. no)

1.0 (0.8, 1.4)

0.87

1.2 (0.8, 1.6)

0.36

 Mental healtha (yes vs. no)

0.8 (0.6, 1.1)

0.21

0.9 (0.6, 1.3)

0.52

 Barriers to carea (yes vs. no)

  Delayed care due to poor treatment

0.6 (0.4, 0.9)

0.01

0.7 (0.5, 1.1)

0.15

  Delayed treatment due to racism

0.8 (0.4, 1.3)

0.27

1.4 (0.8, 2.5)

0.29

  Refused healthcare due to drug use

0.6 (0.4, 0.9)

0.01

0.7 (0.4, 1.1)

0.15

Survey round

 Follow-up 1 vs. baseline

1.6 (1.1, 2.3)

0.01

1.6 (1.1, 2.3)

0.01

 Follow-up 2 vs. baseline

1.2 (0.8, 1.7)

0.43

1.1 (0.7, 1.5)

0.78

 Follow-up 3 vs. baseline

1.3 (0.8, 2.0)

0.24

1.2 (0.8, 1.9)

0.38

 Follow-up 4 vs. baseline

3.0 (1.2, 7.2)

0.02

2.5 (1.0, 6.1)

0.05

  1. CI Confidence interval, DTES Downtown Eastside
  2. aDenotes behaviours and events in the previous 6 months