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Table 6 Multivariable logistic regression estimates of the association between multimorbidity and food insecurity among socially disadvantaged people, 2017–18

From: Exploring food insecurity and multimorbidity in Indian socially disadvantaged people: cross-sectional findings from LASI, 2017–18

Variables

Category

Model 1

Model 2

Model 3

Model 4

Model 5

  

uOR

aOR (95% CI)

aOR (95% CI)

aOR (95% CI)

aOR (95% CI)

Multimorbidity

No

Ref

Ref

   

Yes

1.22*** (1.04,1.45)

1.28** (1.09,1.5)

1.23** (1.05,1.43)

  

Age (in years)

45–59

 

Ref

Ref

 

Ref

60 + 

 

0.96 (0.87,1.01)

0.88** (0.80,0.97)

 

0.88** (0.80,0.97)

Gender

Female

 

Ref

Ref

  

Male

 

1.03 (0.92,1.16)

1.02 (0.92,1.14)

1.02 (0.92,1.14)

 

Residence

Rural

 

Ref

Ref

Ref

 

Urban

 

0.85** (0.76,0.95)

0.92 (0.82,1.02)

0.92 (0.82,1.02)

0.92 (0.82,1.02)

Education

No Education

 

Ref

Ref

Ref

Ref

less than 5 years

 

1.02 (0.9,1.14)

0.97 (0.87,1.09)

0.97 (0.87,1.09)

0.97 (0.87,1.09)

5–9 years

 

0.83** (0.73,0.94)

0.83** (0.73,0.94)

0.83** (0.73,0.94)

0.83** (0.73,0.94)

10 or more years

 

0.82* (0.65,1.03)

0.76* (0.62,0.95)

0.76* (0.62,0.95)

0.76* (0.62,0.94)

Marital Status

Currently in union

 

Ref

Ref

Ref

Ref

Not in union

 

1.13** (1.01,1.28)

1.08 (0.96,1.22)

1.08 (0.96,1.22)

1.09 (0.96,1.22)

Living alone

No

 

Ref

Ref

Ref

Ref

Yes

 

1.21 (1,1.47)

1.27** (1.04,1.56)

1.27** (1.04,1.55)

1.27** (1.04,1.55)

Currently working

Yes

 

Ref

Ref

Ref

Ref

No

 

1.03 (0.93,1.14)

0.98 (0.9,1.08)

0.98 (0.9,1.08)

0.98 (0.9,1.08)

Religion

Hindu

 

Ref

Ref

Ref

Ref

Muslim

 

0.93 (0.74,1.16)

0.92 (0.79,1.08)

0.92 (0.78,1.08)

0.92 (0.78,1.08)

Others

 

1.23* (1.01,1.51)

1.25* (1.03,1.52)

1.25* (1.03,1.52)

1.25* (1.03,1.51)

MPCE Quintile

Rich

 

Ref

Ref

Ref

Ref

Poor

 

1.16 *** (1.05,1.28)

1.11* (1,1.23)

1.11* (1,1.23)

1.11* (1,1.23)

Middle

 

1.06 (0.92,1.21)

1.02 (0.88,1.17)

1.02 (0.88,1.17)

1.01 (0.88,1.17)

ADL disability

No

  

Ref

Ref

Ref

Yes

  

1.2*** (1.06,1.37)

1.21** (1.06,1.37)

1.2** (1.06,1.37)

IADL disability

No

  

Ref

Ref

Ref

Yes

  

0.8*** (0.72,0.88)

0.8*** (0.72,0.88)

0.8*** (0.72,0.88)

SRH

Good

  

Ref

Ref

Ref

Poor

  

1.36*** (1.25,1.49)

1.36*** (1.25,1.49)

1.36*** (1.24,1.49)

Current smoker

No

  

Ref

Ref

Ref

Yes

  

1.06 (0.96,1.18)

1.06 (0.96,1.18)

1.06 (0.95,1.18)

Alcohol use

No

  

Ref

Ref

Ref

Yes

  

1.1* (0.99,1.23)

1.1* (0.99,1.23)

1.1* (0.98,1.23)

Physical activity

Frequent

  

Ref

Ref

Ref

Ever

  

1.25*** (1.12,1.39)

1.25 (1.12,1.39)

1.25*** (1.12,1.39)

Never

  

1.35*** (1.23,1.49)

1.35 (1.23,1.49)

1.35*** (1.23,1.49)

Nutritional Status

Normal weight

  

Ref

Ref

Ref

Underweight

  

1.18** (1.07,1.3)

1.18** (1.07,1.3)

1.18** (1.07,1.3)

Overweight/obese

  

0.86* (0.76,0.98)

0.86* (0.76,0.98)

0.87* (0.77,0.98)

Regional geography

Central

 

Ref

Ref

Ref

Ref

North

 

0.59*** (0.53,0.66)

0.6*** (0.54,0.67)

0.6*** (0.54,0.67)

0.6*** (0.54,0.67)

East

 

0.8* (0.73,0.89)

0.84** (0.76,0.93)

0.84** (0.76,0.93)

0.84** (0.76,0.93)

Northeast

 

0.93*** (0.82,1.05)

1.02 (0.9,1.15)

1.02 (0.9,1.15)

1.01 (0.89,1.15)

West

 

0.62** (0.55,0.7)

0.64*** (0.56,0.72)

0.64 ***(0.56,0.72)

0.63*** (0.56,0.72)

South

 

1.12*** (1,1.26)

1.2** (1.06,1.35)

1.2 **(1.06,1.35)

1.19** (1.06,1.34)

Multimorbidity # Age group

Yes # Aged 45–59 years

   

Ref

 

No # Aged 45–59 years

   

0.77* (0.59,0.99)

 

No # Aged over 60 years

   

0.69* (0.54,0.89)

 

Yes # Aged over 60 years

   

0.83** (0.71,0.98)

 

Multimorbidity # Gender

Yes # Women

    

Ref

No # Women

    

0.88 (0.72,1.08)

No # Men

    

0.87 (0.71,1.05)

Yes # Men

    

1.21** (1.02,1.43)

Pseudo R2

 

0.0011

0.0153

0.262

0.263

0.264

  1. Model 1: Unadjusted model
  2. Model 2: Adjusted for individual along with household factors (age, gender, place of residence, education, marital status, working status, wealth quintile, religion, living arrangements, region)
  3. Model 3: Adjusted for model 2 and health and behavioral factors (functional disability of ADL & IADL, SRH, smoking and alcohol use, physical activity, and nutritional status)
  4. Model 4: Adjusted model showing interaction of multimorbidity and age group
  5. Model 5: Adjusted model showing interaction of multimorbidity and gender
  6. % Percentage, aOR adjusted Odds Ratio, CI Confidence interval, MPCE Monthly per capita expenditure, ADL Activities of daily living, IADL Instrumental activities of daily living, SRH Self-Rated Health
  7. * p < 0.05; **p < 0.005; ***p < 0.001