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Table 3 The number, proportion and adjusted odds ratios of social and demographic characteristics associated with accessing specialist palliative care (n = 12817)

From: A retrospective population based cohort study of access to specialist palliative care in the last year of life: who is still missing out a decade on?

 

Accessed any SPC

Adjusted model 1a

Adjusted model 2b

 

N

%

p-value

OR

95 % CI

p-value

OR

95 % CI

p-value

Age at death (years)

         

  < 60

1,042

62.9

<0.001

3.3

2.8 − 3.9

<0.001

1.4

1.2 − 1.7

<0.001

 60–69

1,207

60.0

2.8

2.4 − 3.3

<0.001

1.3

1.1 − 1.5

0.009

 70–79

1,719

53.6

2.4

2.0 − 2.7

<0.001

1.4

1.2 − 1.6

<0.001

 80–89

1,595

37.8

1.5

1.3 − 1.8

<0.001

1.1

1.0 − 1.3

0.095

 90+

369

21.4

1

ref

1

ref

Sex

         

 Male

3,363

48.4

<0.001

1

ref

1

ref

 Female

2,569

43.7

1.1

1.1 − 1.2

0.002

1.2

1.1 − 1.3

<0.001

Partner

         

 No or unknown

2,646

38.6

<0.001

1

ref

1

ref

 Yes

3,286

55.2

1.2

1.1 − 1.3

<0.001

1.2

1.1 − 1.3

0.001

Accessibility index

         

 Major cities

4,234

48.2

<0.001

1

ref

1

ref

 Inner regional

896

42.3

0.8

0.7 − 0.9

<0.001

0.8

0.7 − 0.9

<0.001

 Outer regional

562

46.2

0.9

0.8 − 1.0

0.061

0.9

0.8 − 1.1

0.266

 Remote

167

39.0

0.6

0.5 − 0.8

<0.001

0.6

0.5 − 0.7

<0.001

 Very remote

65

27.9

0.4

0.3 − 0.6

<0.001

0.4

0.3 − 0.6

<0.001

IRSD of area of residence

         

 1 (most disadvantaged)

1,217

43.7

<0.001

1

ref

1

ref

 2

1,298

46.7

1.1

1.0 − 1.2

0.239

1.1

0.9 − 1.2

0.404

 3

1,160

44.5

1.1

1.0 − 1.2

0.213

1.0

0.9 − 1.1

0.950

 4

1,047

48.1

1.2

1.0 − 1.3

0.015

1.1

0.9 − 1.2

0.345

 5 (least disadvantaged)

1,203

49.5

1.2

1.1 − 1.4

0.001

1.1

1.0 − 1.3

0.064

Residence at death

         

 Private residence

5,472

55.9

<0.001

1

ref

1

ref

 RACF

406

14.9

0.2

0.2 − 0.2

<0.001

0.3

0.2 − 0.3

<0.001

 Non-aged care facility

25

15.9

0.2

0.1 − 0.3

<0.001

0.3

0.2 − 0.5

<0.001

 Other/unknown

29

20.9

0.3

0.2 − 0.4

<0.001

0.4

0.2 − 0.6

<0.001

  1. SPC specialist palliative care (hospital and/or community-based), IRSD Index of relative social disadvantage, RACF Residential aged care facility, OR Odds Ratio
  2. aAdjusted model 1 included all social and demographic variables simultaneously; bAdjusted model 2 was identical to Adjusted Model 1 except it also included the principal cause of death conditions (OR shown in results section text)