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Table 3 Odds ratio (95% CI) of frequent emergency contacts to the health care system

From: Socioeconomic position and prediagnostic health care contacts in children with cancer in Denmark: a nationwide register study

 

Leukemia

Lymphoma

CNS tumors

Bone tumors and soft tissue sarcomas

Other non-CNS solid tumors

All cancers

(N = 905)

(N = 314)

(N = 805)

(N = 321)

(N = 698)

(N = 3043)

OR (95% CI)

OR (95% CI)

OR (95% CI)

OR (95% CI)

OR (95% CI)

OR (95% CI)

Highest parental education in household

 Long

1 (Ref.)

1 (Ref.)

1 (Ref.)

1 (Ref.)

1 (Ref.)

1 (Ref.)

 Medium

1.02 (0.76–1.37)

0.98 (0.59–1.61)

1.22 (0.89–1.68)

0.81 (0.48–1.36)

0.98 (0.70–1.38)

1.03 (0.87–1.21)

 Short

1.03 (0.64–1.64)

2.59 (1.27–5.29)

1.62 (0.99–2.66)

1.31 (0.61–2.79)

1.19 (0.72–1.99)

1.39 (1.07–1.80)

Household cohabitation status

 Parents as couple

1 (Ref.)

1 (Ref.)

1 (Ref.)

1 (Ref.)

1 (Ref.)

1 (Ref.)

 Single parent

0.88 (0.59–1.32)

0.95 (0.51–1.74)

1.02 (0.68–1.53)

1.89 (1.00–3.57)

0.94 (0.59–1.49)

1.02 (0.81–1.27)

Highest parental income in household

 Fifth quintile

1 (Ref.)

1 (Ref.)

1 (Ref.)

1 (Ref.)

1 (Ref.)

1 (Ref.)

 Fourth quintile

1.14 (0.80–1.63)

1.12 (0.60–2.10)

1.21 (0.81–1.79)

1.07 (0.58–1.97)

0.88 (0.58–1.34)

1.08 (0.88–1.31)

 Third quintile

0.90 (0.60–1.34)

1.55 (0.79–3.04)

1.10 (0.72–1.66)

0.81 (0.39–1.68)

1.00 (0.66–1.54)

1.03 (0.82–1.28)

 Second quintile

0.79 (0.51–1.23)

1.28 (0.61–2.70)

1.13 (0.70–1.82)

0.87 (0.40–1.90)

0.74 (0.43–1.26)

0.91 (0.70–1.17)

 First quintile

1.22 (0.61–2.44)

1.58 (0.59–4.23)

0.79 (0.38–1.65)

1.19 (0.36–3.92)

0.97 (0.49–1.94)

1.06 (0.74–1.51)

Household affiliation to work market

 At work

1 (Ref.)

1 (Ref.)

1 (Ref.)

1 (Ref.)

1 (Ref.)

1 (Ref.)

 Mixed

1.31 (0.89–1.93)

0.88 (0.45–1.72)

1.08 (0.71–1.64)

1.60 (0.82–3.11)

1.48 (1.00–2.20)

1.26 (1.02–1.56)

 Unemployed/not in work force

0.86 (0.52–1.43)

1.32 (0.64–2.72)

0.91 (0.53–1.54)

1.80 (0.85–3.81)

1.09 (0.62–1.91)

1.06 (0.79–1.42)

Country of origin for household parent(s)

 Denmark

1 (Ref.)

1 (Ref.)

1 (Ref.)

1 (Ref.)

1 (Ref.)

1 (Ref.)

 Western countries

1.53 (0.49–4.79)

a

11.50 (1.35–97.64)

1.62 (0.26–10.03)

0.86 (0.26–2.85)

1.82 (0.94–3.50)

 Non-Western countries

1.37 (0.80–2.32)

a

1.05 (0.63–1.75)

2.07 (0.99–4.33)

2.10 (1.27–3.49)

1.49 (1.15–1.94)

 Mixed

0.66 (0.35–1.26)

a

0.56 (0.25–1.25)

3.65 (0.95–14.04)

1.71 (0.75–3.88)

0.93 (0.62–1.38)

Number of children in household

 1

1 (Ref.)

1 (Ref.)

1 (Ref.)

1 (Ref.)

1 (Ref.)

1 (Ref.)

 2

0.83 (0.58–1.17)

0.76 (0.39–1.47)

1.15 (0.79–1.68)

0.63 (0.33–1.19)

0.95 (0.65–1.40)

0.93 (0.76–1.13)

  ≥ 3

0.93 (0.62–1.38)

0.63 (0.30–1.33)

0.59 (0.38–0.92)

0.68 (0.35–1.32)

1.74 (1.14–2.65)

0.92 (0.74–1.14)

Depression in household parents

 No

1 (Ref.)

1 (Ref.)

1 (Ref.)

1 (Ref.)

1 (Ref.)

1 (Ref.)

 Yes

1.02 (0.66–1.57)

1.08 (0.53–2.22)

2.13 (1.41–3.23)

1.29 (0.63–2.61)

0.97 (0.59–1.59)

1.30 (1.03–1.64)

Somatic or major psychiatric disease in household parents

 No

1 (Ref.)

1 (Ref.)

1 (Ref.)

1 (Ref.)

1 (Ref.)

1 (Ref.)

 Yes

1.28 (0.80–2.06)

0.97 (0.50–1.90)

1.43 (0.84–2.42)

0.36 (0.14–0.98)

1.00 (0.59–1.69)

1.07 (0.83–1.37)

  1. Frequent contacts are defined as 2 or more contacts to GPs on call in primary care sector and emergency room contacts during the last 3 months before child’s cancer diagnosis; OR Odds Ratio, CI confidence interval. For each socioeconomic variable, the models are adjusted for sex, diagnostic group (as an interaction term in the model, where we estimate the OR for each diagnostic group), diagnosis period and age at diagnosis (continuous), highest parental education in the household and household cohabitation status. a Due to few observations, logistic regression analysis did not reach convergence.