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Table 3 Factors influencing rate of polypharmacy in older patients with multilevel adjusted final models

From: Variation of polypharmacy in older primary care attenders occurs at prescriber level

Variables

Overall,

OR (95% CI)

Public sector,

OR (95% CI)

Private sector,

OR (95% CI)

Patient level

 Age, median (IQR)

0.99 (0.96–1.02)

1.00 (0.96–1.04)

0.99 (0.94–1.04)

 Gender

Reference: Male

 Female

1.49 (1.11–1.99)*

1.76 (1.17–2.65)*

1.08 (0.53–2.19)

 Ethnicity

Reference: Malay

  

 Chinese

0.94 (0.58–1.53)

0.93 (0.50–1.74)

1.65 (0.23–1.63)

 Indian

1.11 (0.56–2.18)

1.21 (0.53–2.77)

0.45 (0.06–3.29)

 Other

2.16 (0.49–9.52)

1.02 (0.35–3.02)

4.20 (0.62–28.24)

 Education level

Reference: No formal education

 Primary

1.61 (1.12–2.32)*

1.68 (1.00–2.83)

1.69 (0.61–4.67)

 Secondary

1.44 (0.93–2.23)

1.85 (0.99–3.46)

1.73 (0.59–5.05)

 Tertiary

1.08 (0.47–2.5)

1.62 (0.51–5.17)

0.60 (0.07–5.34)

 Multimorbidity

Reference: No

 Yes

14.21 (8.46–23.88)*

36.37 (17.39–76.09)*

5.54 (2.03–15.13)*

Prescriber level

 Experience

1.01 (0.97–1.05)

1.02 (0.96–1.09)

1.00 (0.96–1.06)

 Working hours

1.00 (0.97–1.03)

0.97 (0.92–1.02)

1.01 (0.97–1.04)

 Gender

Reference: Male

 Female

1.14 (0.63–2.04)

0.64 (0.32–1.29)

0.83 (0.27–2.55)

 FMS

Reference: No

 Yes

2.81 (0.79–9.91)

4.66 (1.11–19.5)*

 Place of graduation

Reference: Foreign

 Local

1.16 (0.76–1.78)

0.96 (0.52–1.80)

0.78 (0.31–1.97)

Practice level

 Workload

0.99 (0.97–1.00)

0.98 (0.97–1.00)

0.98 (0.96–1.01)

 Sector

Reference: Private

 Public

6.37 (1.17–34.71)*

Operation day per week

Reference: Five

 Six

1.35 (0.50–3.62)

1.31 (0.76–2.24)

2.22 (0.17–29.28)

 Seven

2.73 (0.88–8.45)

1.80 (0.20–16.27)

4.44 (0.29–67.57)

 Practice with FMS

Reference: No

 Yes

1.56 (0.63–3.84)

0.93 (0.41–2.09)

7.68 (0.72–82.32)

 Practice type

Reference: Group

 Solo

3.09 (0.94–10.11)

2.91 (0.16–53.1)

4.36 (0.98–19.31)

 Urban location

Reference: No

 Yes

0.74 (0.33–1.64)

0.78 (0.44–1.41)

0.82 (0.19–3.50)

  1. OR, odds ratio; CI, confidence interval; IQR, interquartile range; FMS, family medicine specialist; Multimorbidity refers to having 2 or more chronic conditions; * p-value < .05