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Table 4 Forgone care within the past 12 months: multilevel logistic regression analysis1

From: Forgone and delayed care in Germany– inequalities and perceived health risk of unmet need

 

Forgone care due to…

At least one type

of forgone care

 

waiting time

distance

financial costs

Individual level

OR (95%-CI)

p

OR (95%-CI)

p

OR (95%-CI)

p

OR (95%-CI)

p

Sex (ref: male)

        

female

1.64 (1.30–2.07)

< 0.001

1.39 (0.99–1.96)

0.057

2.05 (1.50–2.81)

< 0.001

1.59 (1.28–1.97)

< 0.001

Age (ref: ≥60 years)

        

18–40

2.95 (2.12–4.12)

< 0.001

2.55 (1.58–4.10)

< 0.001

1.68 (1.10–2.56)

0.017

2.49 (1.84–3.36)

< 0.001

41–59

1.88 (1.38–2.56)

< 0.001

1.55 (0.99–2.43)

0.058

1.42 (0.97–2.09)

0.071

1.60 (1.22–2.11)

< 0.001

Migration history

(ref: no)

        

1st generation

1.25 (0.80–1.94)

0.334

0.88 (0.43–1.80)

0.721

1.03 (0.55–1.92)

0.925

1.24 (0.82–1.88)

0.313

2nd generation

1.14 (0.84–1.55)

0.409

0.91 (0.57–1.47)

0.711

1.44 (0.97–2.13)

0.070

1.10 (0.82–1.48)

0.521

Education

(ref: high)

        

intermediate

0.95 (0.72–1.27)

0.746

1.55 (1.02–2.36)

0.041

1.54 (1.04–2.28)

0.033

1.16 (0.89–1.52)

0.276

low

1.24 (0.89–1.72)

0.198

1.42 (0.87–2.34)

0.164

1.92 (1.25–2.96)

0.003

1.35 (1.00-1.83)

0.053

Income

(ref: upper tertile)

        

middle tertile

1.18 (0.88–1.57)

0.270

1.37 (0.88–2.15)

0.168

1.81 (1.19–2.78)

0.006

1.34 (1.02–1.76)

0.033

lower tertile

1.08 (0.81–1.44)

0.613

1.51 (0.97–2.35)

0.071

2.57 (1.70–3.88)

< 0.001

1.50 (1.15–1.97)

0.003

Health insurance

(ref: private)

        

statutory

2.20 (1.40–3.44)

0.001

2.39 (1.08–5.27)

0.031

1.12 (0.64–1.98)

0.690

2.02 (1.36–3.02)

< 0.001

Area level

        

Social deprivation2

        

Variance

0.000

0.221

0.000

0.011

ICC3

0.000

0.018

0.000

0.002

MOR4

1.00

1.56

1.00

1.11

Observations

1,683

1,683

1,683

1,683

  1. 1All variables in the models are adjusted for each other 2German Index of Social Deprivation (GISD)
  2. 3Intraclass correlation coefficient 4Median odds ratio; significant associations (p < 0.05) are bold