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Table 4 Associations of predisposing, enabling, need and health behaviour characteristics with use of CAM (N = 1500): odds ratios (OR) and 95 % confidence intervals (CI)

From: Determinants of use of care provided by complementary and alternative health care practitioners to pregnant women in primary midwifery care: a prospective cohort study

 

Crude OR (95 % CI)

Adjusted OR (95 % CI)a

Predisposing variables

Age (years)

  

≤20

0.78 (0.10–6.06)

≥36

1.15 (0.71–1.88)

21–35

1.00 (ref.)

Ethnicity

  

Non-western

1.01 (0.42–2.40)

Western non-Dutch

1.43 (0.79–2.61)

Native Dutch

1.00 (ref.)

Marital status

  

Living alone

1.28 (0.44–3.72)

Married or living together

1.00 (ref.)

Occupation

  

Unemployed

1.14 (0.70–1.86)

Disabled

1.46 (0.32–6.60)

Employed

1.00 (ref.)

Educational level

  

Middle

1.25 (0.63–2.50)

High

1.62 (0.84–3.12)

Low

1.00 (ref.)

Intended place of delivery

  

Hospital/birth centre midwifery-led

1.19 (0.83–1.71)

Hospital consultant-led

1.99 (0.56–7.10)

Home

1.00 (ref.)

Religion

  

No

1.11 (0.77–1.60)

Yes

1.00 (ref.)

Enabling variables

Basic and supplementary health care insurance

  

Basic and supplementary

2.92 (1.34–6.36)

3.11 (1.41–6.85)

Basic

1.00 (ref.)

1.00 (ref.)

Net household income

  

> €2000

1.65 (0.86–3.14)

< €2000

1.00 (ref.)

Accessibility of care (phone)

  

Problems

1.05 (0.66–1.66)

No problems

1.00 (ref.)

Accessibility of care (getting to and from the practice)

  

Problems

1.04 (0.44–2.48)

No problems

1.00 (ref.)

Need variables

General self-rated health

  

Excellent/Very good

1.07 (0.72–1.60)

1.29 (0.91–1.82)

Bad/Fair

2.81 (1.78–4.43)

2.63 (1.65–4.21)

Good

1.00 (ref.)

1.00 (ref.)

Quality of life (EuroQol)

  

Poor health status

1.84 (1.26–2.70)

 

Good health status

1.00 (ref.)

 

Chronic illnesses or handicaps

  

Yes

2.36 (1.44–3.87)

1.93 (1.14-3.27)

No

1.00 (ref.)

1.00 (ref.)

PRAQ*-Child

  

Fear

1.08 (0.75–1.56)

 

No fear

1.00 (ref.)

 

PRAQ*-Delivery

  

Fear

1.78 (0.51–6.24)

 

No fear

1.00 (ref.)

 

PRAQ*-Body

  

Fear

1.26 (0.86–1.84)

 

No fear

1.00 (ref.)

 

Planned and wantedness of pregnancy**

  

Wanted, not planned

1.18 (0.74–1.89)

 

Planned and wanted

1.00 (ref.)

 

BMI

  

≤18.5

1.67 (0.68–4.09)

 

25–< 30

1.02 (0.64–1.61)

 

≥30

0.73 (0.29–1.85)

 

18.5–< 25

1.00 (ref.)

 

Parity

  

Primi/multiparous

1.11 (0.78–1.58)

 

Nulliparous

1.00 (ref.)

 

Difference between number of pregnancies and number of births

  

≥2

1.15 (0.77–1.71)

 

1

1.00 (ref.)

 

Health behaviour variables

  

Locus of control

  

No

0.77 (0.42–1.40)

 

Yes

1.00 (ref.)

 

Folic acid use

  

No

0.91 (0.44–1.89)

 

Yes, inadequately

1.20 (0.83–1.72)

 

Yes, adequately

1.00 (ref.)

 

Smoking

  

Yes

1.88 (1.08–3.27)

1.88 (1.06–3.33)

No

1.00 (ref.)

1.00 (ref.)

Passive smoking

  

Yes

1.22 (0.62–2.42)

 

No

1.00 (ref.)

 

Alcohol use

  

Yes

2.28 (1.46–3.56)

2.30 (1.46-3.63)

No

1.00 (ref.)

1.00 (ref)

Health care utilization in Midwifery Practice

  

Inadequate

1.16 (0.76–1.76)

 

Adequate plus

0.66 (0.28–1.55)

 

Adequate

1.00 (ref.)

 
  1. a = Corrected for all other variables in the adjusted model, predictors were considered in the final model if p-value was < 0.05
  2. *PRAQ = Pregnancy Related Anxiety Questionnaire
  3. **category ‘not wanted, not planned’ removed due to empty cells