The impact of hypertension follow-up management on the choices of signing up family doctor contract services: does socioeconomic status matter?

Wang, Xuehong; Chu, Jie; Zhao, Dan; Gao, Tingting; Luo, Jingjing; Wang, Xueqing; Chai, Shujun; Li, Jiayan; Sun, Jingjie; Li, Peilong; Zhou, Chengchao

doi:10.1186/s12875-024-02383-8

Table 2 Association between regular hypertension follow-up management and family doctor contract services status among older adults with hypertension in Shandong, China, 2018

From: The impact of hypertension follow-up management on the choices of signing up family doctor contract services: does socioeconomic status matter?

Characteristics	Model 1^a		Model 2^b		Model 3^c		Model 4^d
	OR (95%CI)	P-value	OR (95%CI)	P-value	OR (95%CI)	P-value	OR (95%CI)	P-value
Main terms
Follow-up management (Irregular ^Ref)
Regular	1.28 (1.04, 1.58)	0.018	1.07 (0.81, 1.41)	0.642	1.77 (1.21, 2.61)	0.004	1.65 (1.27, 2.15)	<0.001
Education (Illiteracy ^Ref)
Primary or below	0.74 (0.60, 0.91)	0.005	0.74 (0.59, 0.91)	0.005	0.89 (0.56, 1.43)	0.637	0.73 (0.59, 0.91)	0.005
Secondary school or above	0.58 (0.46, 0.74)	<0.001	0.58 (0.45, 0.74)	<0.001	0.97 (0.60, 1.57)	0.907	0.58 (0.45, 0.74)	<0.001
Region (Urban ^Ref)
Rural	0.62 (0.52. 0.74)	<0.001	0.43 (0.29, 0.64)	<0.001	0.62 (0.52, 0.74)	<0.001	0.61 (0.51, 0.73)	<0.001
Annual household income (Low ^Ref)
High	0.81 (0.67, 0.98)	0.027	0.81 (0.67, 0.98)	0.030	0.81 (0.67, 0.97)	0.024	1.35 (0.91, 1.99)	0.131
Interaction term
Follow-up management×Region
Regular×Rural			1.55 (1.02, 2.35)	0.041
Follow-up management×Education
Regular×Primary or below					0.80 (0.47, 1.34)	0.391
Regular×Secondary school or above					0.53 (0.32, 0.88)	0.015
Follow-up management×Income
Regular×High							0.53 (0.35, 0.81)	0.003
Control variables
Gender (Male ^Ref)
Female	0.62 (0.50, 0.77)	<0.001	0.62 (0.50, 0.76)	<0.001	0.62 (0.50, 0.76)	<0.001	0.61 (0.49, 0.76)	<0.001
Age			0.99 (0.97, 1.00)	0.032	0.99 (0.97, 1.00)	0.033	0.99 (0.97, 1.00)	0.033
Marital status^e (Single ^Ref)
Married	1.09 (0.83, 1.44)	0.538	1.08 (0.82, 1.43)	0.569	1.07 (0.81, 1.42)	0.622	1.07 (0.81, 1.41)	0.627
Need caregiving (No ^Ref)
Yes	0.83 (0.64, 1.06)	0.137	0.82 (0.64, 1.06)	0.125	0.82 (0.64, 1.06)	0.130	0.83 (0.64, 1.06)	0.142
Cigarette smoking (No ^Ref)
Yes	0.81 (0.63, 1.04)	0.096	0.81 (0.63, 1.04)	0.103	0.81 (0.63, 1.05)	0.114	0.81 (0.63, 1.04)	0.100
Alcohol drinking (No ^Ref)
Yes	0.78 (0.62, 0.99)	0.040	0.78 (0.62, 1.00)	0.041	0.78 (0.61, 0.98)	0.036	0.78 (0.61, 0.98)	0.035
Health screening (No ^Ref)
Yes	2.92 (2.43, 3.50)	<0.001	2.90 (2.41, 3.48)	<0.001	2.91 (2.43, 3.50)	<0.001	2.89 (2.41, 3.48)	<0.001
Living arrangements (With others ^Ref)
Alone	0.99 (0.72, 1.36)	0.966	0.99 (0.72, 1.36)	0.958	0.98 (0.72, 1.35)	0.922	0.98 (0.72, 1.35)	0.918
Blood pressure situation (Abnormal ^Ref)
Normal	1.36 (1.16, 1.60)	<0.001	1.36 (1.15, 1.60)	<0.001	1.36 (1.16, 1.61)	<0.001	1.35 (1.15, 1.60)	<0.001
Medication (Irregular ^Ref)
Regular	0.98 (0.81, 1.19)	0.858	0.98 (0.81, 1.19)	0.860	0.98 (0.81, 1.19)	0.860	0.98 (0.81, 1.19)	0.844

^aAdjusted for all control variables
^bAdjusted for model 2 criteria and the interaction between hypertension follow-up management and region
^cAdjusted for model 3 criteria and the interaction between hypertension follow-up management and education
^dAdjusted for model 4 criteria and the interaction between hypertension follow-up management and household income
^eSingles include those who are unmarried (27, 0.87%), divorced (8, 0.26%), widowed (520, 16.71%) and others (2, 0.06%)

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