Table 3 Logistic regressions of random effect for MHT treatment in menopause outpatient visits
From: Changes of the prescription of hormone therapy in menopausal women: An observational study in Taiwan
Outpatient visits (% prescribing MHT) | Model 1 – no interaction | Model 2 – interaction of WHI and woman education | Model 3 – interaction of WHI and hospital level | ||
|---|---|---|---|---|---|
n | %a | Odds Ratio (95% CI) | Odds Ratio (95% CI) | Odds Ratio (95% CI) | |
WHI report announcement | |||||
After | 1157 | 72.95 | 0.36 (0.25–0.52) | ||
Before (reference group) | 1392 | 82.97 | |||
Medical care institution | |||||
Metropolitan hospital | 627 | 82.93 | 14.87 (7.28–30.37) | 11.98 (5.82–24.68) | 7.02 (3.23–15.27) |
Local community hospital | 492 | 81.10 | 17.00 (7.92–36.49) | 12.09 (5.81–25.14) | 12.13 (4.84–30.41) |
Physician clinic | 955 | 83.87 | 26.42 (13.34–52.32) | 16.52 (8.43–32.39) | 18.22 (8.12–40.89) |
Ref: Academic medical center | 475 | 58.74 | |||
WHI on Medical care institution b | |||||
WHI effect on metropolitan hospital | 6.25 (2.08–18.72) | ||||
WHI effect on local community hospital | 1.69 (0.52–5.49) | ||||
WHI effect on physician clinic | 2.13 (0.76–5.98) | ||||
WHI effect on academic medical center | 0.15 (0.34–0.63) | ||||
Physician specialty | |||||
Obstetrician or gynecologist | 1295 | 85.10 | 5.34 (3.45–8.26) | 6.26 (3.92–10.00) | 5.56 (3.60–8.58) |
Ref: other specialty | 1254 | 71.53 | |||
Demographic factors | |||||
Age | 0.73 (0.41–1.32) | 0.72 (0.37–1.40) | 0.66 (0.36–1.20) | ||
55–65 | 719 | 75.52 | |||
65+ | 348 | 83.62 | 2.33 (0.81–6.69) | 2.43 (0.86–6.92) | 4.38 (1.41–13.54) |
Ref: 45–55+ | 1482 | 78.61 | |||
Education | |||||
Senior high school | 373 | 75.87 | 0.53 (0.21–1.35) | 0.33 (0.09–1.21) | 2.46 (1.02–5.93) |
Junior high school | 446 | 78.03 | 0.54 (0.19–1.55) | 0.38 (0.11–1.31) | 3.11 (1.19–8.10) |
Elementary school or lower | 1180 | 80.76 | 0.95 (0.41–2.19) | 0.62 (0.22–1.80) | 4.50 (1.83–11.04) |
No | 322 | 79.19 | 1.18 (0.43–3.20) | 1.10 (0.31–3.84) | 4.90 (1.75–13.72) |
Ref: Undergraduate or graduate | 228 | 70.18 | |||
WHI effect on woman education c | |||||
WHI effect on women with senior high school | 1.64 (0.43–6.22) | ||||
WHI effect on women with junior high school | 1.10 (0.29–4.16) | ||||
WHI effect on women with elementary school or lower | 1.28 (0.40–4.08) | ||||
WHI effect on women with no education | 0.85 (0.20–3.53) | ||||
WHI effect on women with undergraduate or graduate | 0.30 (0.11–0.83) | ||||
Marital status | |||||
Married | 2141 | 77.11 | 1.03 (0.51–2.10) | 0.64 (0.34–1.22) | 1.18 (0.62–2.23) |
Ref: Unmarried | 408 | 85.29 | |||
Economic factors | |||||
Employment status | |||||
Employed | 841 | 79.31 | 0.94 (0.45–1.94) | 0.37 (0.17–0.76)* | 0.63 (0.30–1.30) |
Ref: Unemployed | 1708 | 77.99 | |||
Personal income (NT $) | |||||
<4,999 | 293 | 78.16 | 0.73 (0.31–1.72) | 0.66 (0.28–1.59) | 0.76 (0.31–1.89) |
5,000~19,999 | 562 | 79.89 | 0.72 (0.30–1.71) | 0.36 (0.28–1.59) | 0.74 (0.32–1.73) |
20,000~39,999 | 431 | 79.35 | 1.20 (0.57–2.55) | 0.39 (0.18–0.85) | 1.14 (0.53–2.45) |
>= 40,000 | 259 | 71.43 | 0.24 (0.09–0.59) | 0.33 (0.13–0.85) | 0.86 (0.31–2.39) |
Ref: None | 993 | 79.15 | |||
Health Status | |||||
Illness in the past six months | |||||
Yes | 2188 | 78.11 | 1.08 (0.49–2.39) | 2.18 (1.07–4.47) | 0.81 (0.38–1.73) |
Ref: No | 361 | 80.33 | |||
Osteoporosis | |||||
Yes | 741 | 80.43 | 1.63 (0.91–2.89) | 1.48 (0.84–2.59) | 1.37 (0.80–2.33) |
Ref: No | 1808 | 77.60 | |||