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Table 4 Factors associated with choice of GP as the first contact for SCI-specific care

From: First contact of care for persons with spinal cord injury: a general practitioner or a spinal cord injury specialist?

Factors

Univariate

OR (95% CI)

Multivariable

OR (95% CI)

Sociodemographic factors

 Males, (ref: females)

0.86 (0.66–1.12)

0.97 (0.70–1.35)

 Age groups, (ref: 16–29 years)

  30–44 years

0.99 (0.50–1.95)

1.08 (0.52–2.23)

  45–59 years

1.50 (0.79–2.85)

1.41 (0.69–2.89)

  60–74 years

2.14 (1.12–4.08) *

1.62 (0.76–3.47)

   ≥ 75 years

5.11 (2.47–10.61) ***

4.44 (1.85–10.69) **

 Marrieda, (ref: single)

1.29 (1.01–1.64) *

1.07 (0.79–1.45)

 Informal caregiver, (ref: paid assistance or none)b

0.84 (0.66–1.07)

0.80 (0.59–1.09)

 Born in Switzerland, (ref: foreign born)

1.02 (0.73–1.41)

1.22 (0.83–1.80)

 Years of education, (ref: < 10 years)

  10–12 years

0.80 (0.46–1.39)

0.94 (0.50–1.76)

  13–15 years

0.68 (0.40–1.16)

0.85 (0.47–1.54)

   ≥ 16 years

0.44 (0.25–0.77) **

0.70 (0.38–1.31)

 Employed, (ref: unemployed)

0.59 (0.46–0.75) ***

0.90 (0.64–1.26)

 Subjective social status, (ref: low SSS [1–3])c

  Middle SSS (4–7)

0.64 (0.44–0.91) *

0.73 (0.47–1.13)

  High SSS (8–10)

0.65 (0.41–1.02)

0.81 (0.46–1.43)

 Income in Swiss Francsd, (ref: less than 2000)

  Between 2000 and 2999

1.20 (0.64–2.23)

1.12 (0.55–2.27)

  Between 3000 and 3999

0.92 (0.50–1.69)

0.93 (0.47–1.83)

  Between 4000 and 4999

0.73 (0.40–1.35)

0.81 (0.40–1.63)

  Between 5000 and 6000

0.62 (0.33–1.14)

0.62 (0.31–1.26)

  More than 6000

0.61 (0.34–1.11)

0.70 (0.34–1.41)

Geographical factors

 Language, (ref: German)

  French

1.10 (0.83–1.45)

0.99 (0.72–1.37)

  Italian

2.44 (1.35–4.43) **

5.06 (2.44–10.47) ***

 Travel distancee to personal GP, (ref: > 25 min)g

   ≤25 min to personal GP

1.14 (0.81–1.61)

1.22 (0.82–1.81)

 Travel distancee to SCI centre, (ref: > 25 min)

   ≤ 25 min to nearest SCI centre

0.88 (0.67–1.14)

0.69 (0.51–0.93) *

Injury-related factors

 Time since injury

0.99 (0.99–1.00)

1.01 (0.99–1.02)

 Lesion status, (ref: paraplegia)

  Tetraplegia

0.95 (0.73–1.22)

0.94 (0.68–1.29)

 Severity of injury, (ref: complete)

  Incomplete

2.60 (1.99–3.37) ***

2.39 (1.71–3.35) ***

 Cause of SCI, (ref: non-traumatic)

  Traumatic

0.55 (0.41–0.73) ***

0.75 (0.52–1.07)

Secondary health conditions factors h

 SCI-SCS score

0.97 (0.95-0.98) ***

0.92 (0.86-0.99) *

 Genitourinary and bowel

  Bowel dysfunction

0.73 (0.58–0.93) *

0.86 (0.60–1.23)

  Bladder dysfunction

0.80 (0.63–1.02)

1.21 (0.84–1.76)

  Sexual dysfunction

0.69 (0.55–0.88) **

1.09 (0.74–1.59)

  Urinary tract infections

0.76 (0.59–0.98) *

1.10 (0.77–1.56)

 Muscle structure and pain

  Contractures

0.91 (0.71–1.16)

1.05 (0.73–1.51)

  Pain

1.00 (0.79–1.26)

1.47 (1.04–2.09) *

  Muscle spasm (spasticity)

0.71 (0.55–0.90) **

0.95 (0.68–1.34)

 Skin, breathing and metabolism

  Pressure injuries

0.87 (0.63–1.20)

1.10 (0.71–1.70)

  Diabetes mellitus

2.22 (1.35–3.64) **

1.85 (1.05–3.27) *

  Respiratory problems

0.97 (0.64–1.47)

1.14 (0.68–1.90)

  Injury due to loss of sensation

0.79 (0.52–1.20)

1.23 (0.72–2.07)

 Circulatory/autonomic problems

  Autonomic dysreflexia

0.68 (0.47–0.97) *

1.08 (0.65–1.79)

  Postural hypotension

0.71 (0.45–1.11)

0.88 (0.48–1.60)

  Circulatory problems

0.89 (0.65–1.22)

1.11 (0.73–1.68)

  Heterotopic bone ossification

1.33 (0.72–2.45)

1.62 (0.77–3.42)

 Other chronic conditions

  Coronary heart disease

1.59 (1.07–2.35) *

1.22 (0.76–1.93)

  Cancer

1.30 (0.80–2.11)

0.95 (0.56–1.64)

  Depression

1.11 (0.80–1.55)

1.33 (0.89–1.98)

  Sleep problems

0.83 (0.64–1.06)

1.00 (0.70–1.41)

  1. OR: Odd ratios of logistic regression, *P-value < 0.05, **P-value < 0.01, ***P-value < 0.001
  2. CI confidence interval, SCI spinal cord injury, GP general practitioner, ref: reference
  3. SCI-SCS score: Spinal cord injury secondary conditions scale total score (0 to 48). Higher scores reflect a greater number of secondary conditions
  4. a Married includes persons in a registered partnership
  5. b Informal caregiver is a family member or friend who provides unpaid care
  6. c SSS is the subjective social status based on MacArthur Scale classification
  7. d Represents the household’s total net income from all sources divided by its equivalent size
  8. e Represents motor vehicle driving distance
  9. g Represents those who are at > 25 min motor vehicle driving distance from their GP or report having no personal GP
  10. h Reference is non-existent or mild