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Table 3 Final logistic regression model identifying factors associated with the perception of delays and barriers to seeking care for hospital-based delivery

From: Effect of health insurance on delivery care utilization and perceived delays and barriers among southern Thai women

Factors

Delay in seeking care

N = 2390

Barrier to seeking care

N = 2818

 

Adjusted OR (95% CI)

p-value*

Adjusted OR (95% CI)

p-value*

Type of payment (Ref = Out-of-pocket)

   

   UCS

1.2 (0.9-1.6)

0.15

0.9 (0.7-1.2)

0.50

   SSS

1.2 (0.9-1.5)

0.29

0.9 (0.7-1.2)

0.39

   CSMBS

0.4 (0.3-0.7)

<0.001

0.6 (0.4-0.9)

0.006

Religion (Ref = Buddhism)

   

   Islam

1.24 (1.01-1.5)

0.04

  

Education (Ref = Secondary school or higher)

   

   Primary school or less

  

1.8 (1.5-2.2)

<0.001

Monthly family income (Ref = More than 330 USD)

  

   330 or less

1.4 (1.1-1.6)

0.003

1.6 (1.4-2.0)

<0.001

Parity (Ref = Nulliparous)

   

   Multiparous

0.8 (0.6-0.9)

0.007

  

   Grand multiparous

1.2 (0.5-2.9)

0.63

  

Willingness to seek care at delivery place (Ref = Yes)

  

   No

1.7 (1.04-2.7)

0.03

2.1 (1.3-3.3)

0.003

Chief complaints (Ref = None)

   

   Labor pain

0.4 (0.2-1.0)

0.06

  

   Rupture of membranes

0.4 (0.2-0.9)

0.02

  

   Mucous bloody show

0.2 (0.1-0.6)

0.002

  

   Indicated conditions*

0.5 (0.2-1.2)

0.12

  

Family support for hospital-base delivery (Ref = Yes)

  

   No

  

2.6 (1.4-4.8)

0.002

Concern about civil unrest (Ref = No)

   

   Yes

2.0 (1.2-3.3)

0.01

  

Transportation difficulty if symptoms occurred at night (Ref = No)

 

   Yes

1.9 (1.4-2.6)

<0.001

  

Worry about the cost of delivery care

  

   Yes

0.5 (0.3-0.6)

<0.001

2.6 (2.0-3.3)

<0.001

Consider type of hospital for delivery (Ref = No)

  

   Yes

  

1.4 (1.2-1.8)

<0.001

Proximity of hospital (Ref = Far from home)

   

   Near to home

0.8 (0.6-1.0)

0.02

0.6 (0.5-0.7)

<0.001

Hospital regulations supporting delivery care (Ref = no)

  

   Yes

0.5 (0.4-0.7)

<0.001

0.8 (0.6-1.0)

0.03

Permission to perform religious rituals (Ref = No)

  

   Yes

0.6 (0.4-0.8)

<0.001

  
  1. †Not asking for perception of delay to seek care due to no time of decision with appointment for admission or admission at/after ANC (n = 429; missing data, n = 3)
  2. *Indicated conditions: fresh bleeding per vagina/decreased fetal movement/postterm
  3. UCS: Universal Coverage Scheme; SSS: Social Security Scheme; CSMBS: Civil Servant Medical Benefit Scheme; OR: Odds ratio; CI: Confidence Interval
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