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Table 5 Determinants of catastrophic health payment

From: Effect of household and village characteristics on financial catastrophe and impoverishment due to health care spending in Western and Central Rural China: A multilevel analysis

Variables

Univariate analysis

Logistic regression

Mixed effected

logistic regression

 

Crude OR

(95% CI)

P-valueΔ

Adjusted OR

(95% CI)

P-valueΔ

Adjusted OR

(95% CI)

P-value**

Village-level variables

      

Village deprivation (Quartile)

 

<0.001*

 

<0.001*

 

<0.001*

2nd vs. Lowest deprived

0.89 (0.68-1.17)

 

1.24 (0.83-1.85)

 

1.19 (0.73-1.96)

 

3rd vs. Lowest deprived

0.41 (0.31-0.54)

 

0.67 (0.45-0.99)

 

0.64 (0.40-1.04)

 

Highest vs. Lowest deprived

0.28 (0.21-0.38)

 

0.41 (0.27-0.62)

 

0.39 (0.24-0.64)

 

Availability of health clinic

 

0.866

 

0.34

 

0.291

Yes vs. No

0.98 (0.81-1.17)

 

1.14 (0.87-1.5)

 

1.21 (0.85-1.70)

 

Household-level variables

      

Household per capita income (Quartile)

 

<0.001*

 

<0.001*

 

<0.001*

2nd vs. Lowest

0.33 (0.27-0.41)

 

0.34 (0.26-0.45)

 

0.33 (0.25-0.44)

 

3rd vs. Lowest

0.12 (0.09-0.16)

 

0.12 (0.09-0.17)

 

0.12 (0.08-0.16)

 

Highest vs. Lowest

0.04 (0.03-0.07)

 

0.04 (0.02-0.06)

 

0.04 (0.02-0.06)

 

Serious chronic illness proportion

 

<0.001*

 

<0.001*

 

<0.001*

≤0.5 vs.0

6.15 (5.01-7.57)

 

4.11 (3.2-5.29)

 

4.19 (3.24-5.42)

 

>0.5 vs.0

14.93 (11.04-20.18)

 

8.71 (5.99-12.68)

 

8.99(6.11-13.22)

 

Member hospitalization

 

<0.001

 

<0.001

 

<0.001

Yes vs. No

5.12 (4.2-6.25)

 

5.68 (4.33-7.46)

 

5.79 (4.39-7.63)

 

Household size

 

<0.001*

 

0.002*

 

0.003*

4-6 vs. ≤3

0.76 (0.63-0.91)

 

0.63 (0.49-0.82)

 

0.64 (0.49-0.83)

 

>6 vs. ≤3

1.66 (0.79-3.51)

 

0.57 (0.22-1.47)

 

0.54 (0.20-1.43)

 

Proportion of members aged over 65

 

<0.001*

 

<0.001*

 

<0.001*

≤0.5 vs.0

2.45 (1.96-3.05)

 

1.41 (1.05-1.89)

 

1.44 (1.06-1.94)

 

>0.5 vs.0

6.13 (4.64-8.11)

 

2.48 (1.67-3.7)

 

2.62 (1.74-3.94)

 

Occupation of household head

 

<0.001

 

0.008

 

0.013

Non-farmer vs. Farmer

0.42 (0.27-0.65)

 

0.76 (0.45-1.27)

 

0.75 (0.44-1.28)

 

Unemployed vs. Farmer

6.51 (4.81-8.81)

 

1.81 (1.2-2.73)

 

1.77 (1.16-2.70)

 

Intraclass correlation(ICC)

     

0.05

  1. * P-value for trend test was <0.05; Δ Likelihood ratio test; ** ANOVA test