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Occup Environ Med 65:392-397 doi:10.1136/oem.2007.035808
  • Original article

Inequities in reporting asbestos-related lung cancer: influence of smoking stigma and physician’s specialty, workload and role perception

Table 3 Factors associated with “recommending that the patient file a compensation claim for lung cancer” (case vignette): multiple logistic regression (n  486 physicians)
Explanatory variables* Model (1) including the variable“physician speciality”† Model (2) not including the variable“physician speciality”‡
Odds ratio (95 CI) Odds ratio (95 CI)§
Speciality GPs 1.00 (–) – (–)
Pulmonologist 4.46 (2.38 to 8.37)
Mean age (continuous) 0.99 (0.96 to 1.02) 0.98 (0.95 to 1.01)
Gender () Women 1.00 (–) 1.00 (–)
Men 0.97 (0.60 to 1.57) 0.95 (0.59 to 1.52)
Vignette¶ Smoker 1.00 (–) 1.00 (–)
Non-smoker 3.15 (2.11 to 4.70) 3.08 (2.07 to 4.57)
Number of daily consultations >25 1.00 (–) 1.00 (–)
⩽25 1.83 (1.17 to 2.88) 2.12 (1.37 to 3.31)
Has taken a CME course in occupational health** No – (–) 1.00 (–)
Yes 1.80 (1.09 to 2.98)
Has had patients with asbestos-related cancers No 1.00 (–) 1.00 (–)
Yes 1.93 (1.07 to 3.47) 2.32 (1.31 to 4.12)
Thinks that not knowing reporting criteria is a No – (–) 1.00 (–)
barrier to reporting OD†† Yes 0.61 (0.38 to 0.97)
Agrees that completing OD medical certificates is No 1.00 (–) 1.00 (–)
part of role†† Yes 2.00 (1.22 to 3.27) 2.23 (1.37 to 3.62)
  • *Other variables tested in simple logistic regressions and not significant at p  0.20 were not entered in either model: size of urban unit, asks questions about past working conditions, number of occupational disease medical certificates completed in the past 5 years, feels able to answer patients’ questions about OH, thinks that lack of knowledge of administrative procedures is a barrier to reporting OD, thinks that complexity of the lists of compensable occupational diseases is a barrier to reporting OD, thinks that lack of time is a barrier to reporting OD, thinks that detecting an occupational disease is part of role; †Hosmer and Lemeshow test: p  0.88; ‡Hosmer and Lemeshow test: p  0.56; §95 CI, 95 confidence interval; ¶A: smoker, B: non-smoker; **CME, continuing medical education; ††occupational diseases.

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