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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