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Table 3 Associations of socio demographic and clinical factors with patients’ delay among PTB patients, West Gojjam Zone, Ethiopia

From: Patients’ and health system’s delays in the diagnosis and treatment of new pulmonary tuberculosis patients in West Gojjam Zone, Northwest Ethiopia: a cross-sectional study

Variables

N

Delayed

n (%)

Crude OR

(95 % CI)

P value

Adjusted OR

(95 % CI)

P value

Sex

 Male

423

103 (24.3)

1.00

 

1.00

 

 Female

283

91 (32.2)

1.54 (1.09–2.19)

0.01*

1.25 (0.72–2.15)

0.43

Age

 15–24

197

39 (19.8)

1.00

 

1.00

 

 25–44

291

77 (26.5)

1.45 (0.93–2.28)

0.09

2.27 (0.96–5.38)

0.06

  ≥ 45

218

78 (35.8)

2.30 (1.45–3.64)

< 0.001*

2.99 (1.14–7.81)

0.03*

Education

 Literate

295

55 (18.6)

1.00

 

1.00

 

 Not literate

411

139 (33.8)

2. 22 (1.54–3.21)

< 0.001*

0.87 (0.44–1.72)

0.69

Occupation

 Civil servant

41

3 (7.3)

1.00

 

1.00

 

 Housewife

39

14 (35.9)

7.16 (1.82–28.08)

0.01*

1.04 (0.13–8.29)

0.97

 Student

76

18 (23.7)

4.33 (1.16–16.06)

0.03*

1.09 (0.15–7.75)

0.93

 Farmer

327

102 (31.2)

5.82 (1.73–19.61)

0.01*

0.87 (0.17–4.32)

0.87

 Day laborer

82

21 (25.6)

4.46 (1.22–16.24)

0.02*

0.61 (0.98–3.78)

0.59

 Merchant

47

9 (19.1)

2.97 (0.72–12.11)

0.13

0.58 (0.90–3.74)

0.57

 Others

94

27 (28.7)

5.46 (1.52–19.57)

0.01*

0.65 (0.99–4.33)

0.66

Marital status

 Married

386

109 (28.2)

1.00

 

1.00

 

 Single

205

44 (21.5)

0.72 (0.47–1.08)

0.12

1.02 (0.44–2.33)

0.96

 Divorced

73

24 (32.9)

1.27 (0.73–2.21)

0.39

1.23 (0.52–2.88)

0.64

 Widowed

42

17 (40.5)

1.92 (0.97–3.81)

0.06

2.01 (0.68–5.90)

0.20

Place of residence

 Urban

271

59 (21.8)

1.00

 

1.00

 

 Rural

435

135 (31.0)

1.61 (1.11–2.33)

0.01*

1.60 (0.87–2.94)

0.13

Monthly family income (Birr) a

 1–400

109

30 (27.5)

0.96 (0.57–1.63)

0.91

0.82 (0.27–2.45)

0.73

 401–800

84

28 (33.3)

1.22 (0.71–2.13)

0.46

0.76 (0.23–2.56)

0.66

  ≥ 801

264

67 (25.4)

0.82 (0.54–1.24)

0.36

0.61 (0.19–1.89)

0.39

 No regular income

249

69 (27.7)

1.00

 

1.00

 

HIV sero-status

      

 Negative

616

169 (27.4)

1.00

 

1.00

 

 Positive

82

24 (29.3)

1.06 (0.63–1.79)

0.82

0.76 (0.34–1.71)

0.52

knowledge about TB

 Good

351

58 (16.5)

1.00

 

1.00

 

 Poor

355

136 (38.3)

3.39 (2.33–4.95)

< 0.001*

2.33 (1.34–4.05)

0.01*

Perceived to be stigmatized

 No

618

167 (27.0)

1.00

 

1.00

 

 Yes

88

27 (30.7)

1.18 (0.71–1.98)

0.51

1.37 (0.66–2.84)

0.39

Time travelled to arrive at the nearest health facility

  ≤ 2 h

671

181 (27.0)

1.00

 

1.00

 

  > 2 h

35

13 (37.1)

1.64 (0.78–3.43)

0.18

0.65 (0.23–1.79)

0.40

First health care seeking action

 Visited formal health provider

433

24 (5.5)

1.00

 

1.00

 

 Visited non-formal health provider

223

152 (68.2)

39.73 (23.39–67.48)

< 0.001*

47.56 (26.31–85.99)

< 0.001*

 Self-treatment using various remedies at their homes

50

18 (36.0)

9.97 (4.79–20.76)

< 0.001*

10.11 (4.53–22.56)

< 0.001*

Types of PTB

 Smear -positive PTB

334

84 (25.1)

1.00

 

1.00

 

 Smear -negative PTB

372

110 (29.6)

1.30 (0.93–1.84)

0.13

1.32 (0.81–2.16)

0.26

  1. Estimated for random effect =0.384 (0.197–0 .746)
  2. Delayed more than 30 days, a 1 USD = 22.00 Ethiopian Birr *statistically significant association, PTB pulmonary tuberculosis, N number, OR odds ratio, CI confidence interval