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Table 3 Associations between group-status and primary healthcare usage. Separate multivariable Poisson models are fitted for the four outcomes: overall number of contacts, contacts with GP, physiotherapist, or chiropractor. Presented are estimated incidence rate ratios (IRR) with corresponding 95% confidence intervals (CI) for the children in the CHAMPS-Group against reference National Controls. Adjustment factors were Children’s gender, parents healthcarea use in the period before CHAMPS-study DK, and the equivalised disposable family incomeb

From: Does children’s healthcare seeking change after participation in a musculoskeletal study? A register-based study

 

National Controls

 

Contacts with physiotherapist

Contacts with chiropractor

Contacts with General Practice

Overall contacts

 

IRR

95% CI

p-value

IRR

95% CI

p-value

IRR

95% CI

p-value

IRR

95% C)

p-value

Period 1: Before (1997–2008)

Crude model

Constant (National controls)

0.02

0.02–0.03

< .001

0.03

0.03–0.03

< .001

5.84

(5.80–5.87)

< .001

5.89

5.85–5.92

< .001

Group (ref national controls)

0.44

0.25–0.77

.004

1.82

1.50–2.21

< .001

1.00

0.97–1.03

.94

1.00

0.98–1.03

.83

Adjusted model

Group (ref national controls)

0.44

0.25–0.78

<.005

1.54

1.27–1.86

< .001

0.99

0.96–1.01

.27

0.95

0.93–0.98

< .001

Gender (ref boys)

0.80

0.50–1.26

.33

0.84

0.76–0.93

< .001

0.94

0.93–0.95

< .001

0.95

0.94–0.96

< .001

Income (ref low)

            

Middle

1.09

0.64–1.87

.75

1.59

1.37–1.84

< .001

1.06

1.05–1.08

< .001

1.09

1.08–1.10

< .001

High

1.58

0.95–2.63

.08

1.82

1.57–2.10

< .001

1.05

1.03–1.06

< .001

1.10

1.09–1.11

< .001

Parents´ healthcare (ref low)

            

Middle

1.12

1.10–1.13

< .001

1.37

1.36–1.39

< .001

High

1.46

0.93–2.28

.10

3.92

3.54–4.34

< .001

1.42

1.40–1.44

< .001

1.82

1.80–1.85

< .001

Period 2: During (2009–2014)

Crude model

Constant (National controls)

0.11

0.10–0.12

< .001

0.05

0.05–0.05

< .001

2.73

2.71–2.75

< .001

2.89

2.87–2.92

< .001

Group (ref national controls)

0.53

0.39–0.72

< .001

2.75

2.30–3.30

< .001

0.85

0.82–0.88

< .001

0.87

0.84–0.90

< .001

Adjusted model

Group (ref national controls)

0.53

0.39–0.72

< .001

2.66

2.22–3.18

< .001

0.85

0.82–0.88

< .001

0.87

0.84–0.90

< .001

Gender (ref boys)

1.07

0.86–1.34

.52

1.19

1.07–1.34

<.002

1.15

1.13–1.17

< .001

1.15

1.13–1.17

< .001

Income (ref low)

            

Middle

1.03

0.75–1.42

.86

1.88

1.60–2.21

< .001

0.94

0.92–0.96

< .001

0.96

0.93–0.98

< .001

High

1.36

1.01–1.84

.04

2.30

1.98–2.67

< .001

0.91

0.90–0.93

< .001

0.94

0.92–0.96

< .001

Period 3: After (2014–2019)

Crude model

Constant (National controls)

0.18

0.17–0.19

< .001

0.09

(.09–0.10

< .001

3.71

3.68–3.74

< .001

3.99

3.95–4.02

< .001

Group (ref national controls)

0.69

0.58–0.83

< .001

2.29

1.93–2.71

< .001

0.86

0.83–0.90

< .001

0.89

0.86–0.92

< .001

Adjusted model

Group (ref national controls)

0.67

0.56–0.80

< .001

2.17

1.83–2.57

< .001

0.86

0.83–0.89

< .001

0.88

0.85–0.91

< .001

Gender (ref boys)

1.65

1.45–1.89

< .001

1.47

1.35–1.60

< .001

1.84

1.82–1.87

< .001

1.82

1.79–1.85

< .001

Income (ref low)

            

Middle

1.15

0.96–1.38

.12

1.75

1.56–1.97

< .001

0.90

0.88–0.92

< .001

0.92

0.90–0.94

< .001

High

1.29

1.09–1.52

< .01

2.12

1.90–2.38

< .001

0.87

0.85–0.89

< .001

0.90

0.88–0.92

< .001

  1. aTertiles were used to divide parents´ healthcare usage in low, middle, and high based on the children’s parent or guardian with the highest use of healthcare services who the child lived with
  2. bTertiles were used to divide the equivalised disposable income in low, middle, and high. Before: Low: < 141.742 d.kr, Middle: 141.742–181.649 d.kr., High: > 181.649 d.kr., During: Low: < 184.573 d.kr, Middle: 184.573–251.479 d.kr., High: > 249.471 d.kr., After: Low: < 193,409 d.kr, Middle: 193409–279,279 d.kr., High: > 279,279 d.kr