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Table 6 Multi-level logistic regression models for intervening for lifestyle risk factors

From: Explaining the variation in the management of lifestyle risk factors in primary health care: A multilevel cross sectional study

Explanatory Variables

 

Empty Model

Model 11

Model 21

Patient Characteristics

 

OR (95% CI)

OR (95% CI)

OR (95% CI)

Age

65+ years

 

1.00 (reference)

1.00 (reference)

 

18–44 years

 

1.93 (0.43–8.69)

0.98 (0.16–6.06)

 

45–64 years

 

1.55 (0.45–5.37)

2.66 (0.48–14.72)

Gender

Male

 

1.00 (reference)

1.00 (reference)

 

Female

 

0.74 (0.28–1.97)

0.60 (0.17–2.12)

SEIFA index2

Most disadvantaged

 

1.00 (reference)

1.00 (reference)

 

Intermediate disadvantage

 

2.37 (0.43–13.18)

1.53 (0.17–14.00)

 

Least disadvantaged

 

4.11 (0.79–21.46)

11.29 (1.23–103.83)

Consultation Characteristics

    

Consultation Type

Follow up consultation

 

1.00 (reference)

1.00 (reference)

 

First consultation

 

0.79 (0.27–2.27)

0.52 (0.11–2.59)

Reason for Visit

Palliative care

 

1.00 (reference)

1.00 (reference)

 

Wound management, Primary health care clinic & procedures

 

3.72 (0.71–19.51)

9.84 (1.21–80.25)

 

Other

 

2.91 (0.39–21.76)

3.11 (0.19–49.87)

Appropriate to address risk factors

No – extrinsic patient or service factors or patient acceptability low3

 

1.00 (reference)

1.00 (reference)

 

Yes

 

9.70 (3.23–29.12)

25.89 (4.78–140.26)

Provider Characteristics

    
 

Team 1 (Urban)

  

1.00 (reference)

 

Team 2 & 3 (Rural)

  

14.24 (1.55–130.94)

Provider Type

Nurse

  

1.00 (reference)

 

Allied Health

  

0.39 (0.05–2.91)

Provider Attitudes

    

Plan to discuss risk factors prior to consultation

No

  

1.00 (reference)

 

Yes

  

0.66 (0.15–2.96)

Perceived Accessibility of Support Services

   

0.25 (0.11–0.59)

Work Priority Rating

   

1.77 (0.89–3.53)

Perceived Patient Acceptability

   

2.32 (0.81–6.62)

Perceived Effectiveness

   

0.23 (0.06–0.80)

Between provider variance (SE5)

 

2.403 (1.079)

1.880 (0.902)

0.459 (0.644)

Intra class correlation

 

0.422

0.364

0.122

Explained variance6 (%)

 

-

21.76

80.90

  1. Multilevel logistic regression. Patients, n = 307. 1 Model 1: Patient and consultation variables, Model 2: Patient, consultation and provider variables., 2 2006 index of relative socio-economic advantage/disadvantage, 3 Extrinsic patient or service factors: Palliative care, physically unable to respond, frail aged, incapacitated, mental health problems, intellectual disability, NESB, lack of time, discrete/casual service, ongoing care, 4Provider perception of low patient acceptance (inappropriate time, patient not interested, religious beliefs), 5 Standard error, 6 Explained 'between provider' variance using the variance in the empty model as reference.