From: Determinants of access to hemodialysis services in a metropolitan region of Brazil
Variables | Model 1 | Model 2 | Model 3 | |
---|---|---|---|---|
OR (IC95%) | OR (IC95%) | OR (IC95%) | ||
First tertile (lowest access level) | First tertile (lowest access level) | First tertile (lowest access level) | ||
Contextual | IDHm | |||
Medium | 26.14 (3.61–189.12) | 5.61 (0.85–36.94) | ||
High | 10.25 (1.87–56,021) | 6.78 (1.00–44.5) | ||
Very High | 1 | 1 | ||
General Mortality Index | ||||
Up to 5/1000 inhabitants | 1 | 1 | ||
5,1 to 10/1000 inhabitants | 0.11 (0.19–0.66) | 0.28 (0.39–1.94) | ||
Above to 10/1000 inhabitants | 0.09 (0.15–0.58) | 0.18 (0.24–1.36) | ||
Family health strategy coverage | ||||
Low Coverage | 0.16 (0.03–0.79) | 0.40 (0.07–2.44) | 1.43 (0.63–3.26) | |
Medium Coverage | 0.05 (0.01–0.26) | 0.16 (0.03–0.98) | 0.54 (0.29–0.99) | |
High Coverage | 1 | 1 | 1 | |
Predisposing | Age groups | |||
Up to 29 years | 2.44 (0.93–6.35) | 1.78 (0.62–5.14) | 1.73 (0.62–4.83) | |
30 to 59 years | 2.25 (1.47–3.48) | 2.08 (1.30–3.32) | 2.16 (1.38–3.39) | |
≥ 60 years | 1 | 1 | 1 | |
Sex | ||||
Female | 2.10 (1.40–3.17) | 1.77 (1.13–2.80) | 1.74 (1.11–2.72) | |
Male | 1 | 1 | 1 | |
Race/color | ||||
Black | 0.98 (0.60–1.63) | |||
Brown | 0.75 (0.46–1.22) | |||
White | 1 | |||
Hemodialisys treatment time | ||||
0 to 2 years | 1.05 (0.47–2.34) | |||
3 to 5 years | 0.57 (0.27–1.20) | |||
6 to 10 years | 0.77 (0.40–1.48) | |||
Above to 10 years | 1 | |||
Chronic kidney disease time | ||||
< 5 years | 0.85 (0.46–1.59) | 0.78 (0.51–1.20) | ||
> 5 years | 1 | 1 | ||
Previous conservative treatment | ||||
Not | 0.68 (0.44–1.06) | 0.62 (0.39–0.99) | 0.59 (0.38–0.91) | |
Yes | 1 | 1 | 1 | |
Capacitors | Income | |||
≤ 2 minimum wage | 1.75 (1.07–2.84) | 1.80 (1.17–2.78) | ||
> 2 minimum wage | 1 | 1 | ||
Schooling | ||||
≤ 8 years of study | 1.08 (0.52–2.27) | |||
> 8 ≤ 11 years of study | 0.75 (0.38–1.50) | |||
> 11 years of study | 1 | |||
Access modality to hemodialysis services | ||||
Health Unic System (Public police) | 1.14 (0.66–2.00) | |||
Others | 1 | |||
Profession | ||||
Without paid work activity | 0.44 (0.18–1.07) | 0.35 (0.15–0.85) | ||
Retired due to illness | 0.33 (0.14–0.78) | 0.27 (0.12–0.64) | ||
With paid work activity | 1 | 1 | ||
City of residence x hemodialysis treatment city | ||||
Doesn’t live in the same city where he/she undergoes hemodialysis | 0.14 (0.08–0.24) | 0.13 (0.08–0.22) | ||
Lives in the same city where he/she undergoes hemodialysis | 1 | 1 | ||
Health needs | Self-assessment of health status | |||
Bad/very bad | 0.62 (0.40–0.96) | |||
Good /Very good | 1 |