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Table 2 Multivariate regression analysis of factors associated with the use of alternative medical services by people critically ill during the first wave of the COVID-19 pandemic (N = 5186)

From: A multi-country survey on access to healthcare and treatment services among individuals with critical medical care needs during the first wave of the pandemic

Variables

Total N = 5156 n (%)

Used alternative medical services

AOR; 95% CI; p value

Yes = 1433 (27.8%) n (%)

No = 3723 (72.2%) n (%)

Age mean (SD)

36.08 (12.5)

35.6 (12.1)

36.2 (12.6)

0.994; 0.987–1.002; p = 0.127

Economic region

 LICs

141 (2.7)

64 (45.4)

77 (54.6)

2.121; 1.373–3.277; p = 0.001

 LMICs

2960 (57.4)

791 (26.7)

2169 (73.3)

1.161; 0.950–1.419; p = 0.145

 UMICs

1045 (20.3)

281 (26.9)

764 (73.1)

0.957; 0.756–1.210; p = 0.711

 HICs

1010 (19.6)

297 (29.4)

713 (70.6)

1.000

Sex at birth

 Male

2205 (42.8)

617 (28.0)

1588 (72.0)

0.909; 0.783–1.057; p = 0.214

 Female

2951 (57.2)

816 (27.7)

2135 (72.3)

1.000

Level of education

 None

44 (0.9)

17 (38.6)

27 (61.4)

1.649; 0.775–3.507; p = 0.194

 Primary

94 (1.8)

40 (42.6)

54 (57.4)

1.843; 1.099–3.091; p = 0.020

 Secondary

875 (17.0)

218 (24.9)

657 (75.1)

0.736; 0.598–0.906; p = 0.004

 College/University

4143 (80.4)

1158 (28.0)

2985 (72.0)

1.000

Employment status

 Retiree

179 (3.5)

43 (24.0)

136 (76.0)

0.540; 0.345–0.845; p = 0.007

 Student

881 (17.1)

235 (26.7)

646 (73.3)

1.066; 0.845–1.346; p = 0.590

 Unemployed

876 (17.0)

252 (28.8)

624 (71.2)

0.939; 0.768–1.149; p = 0.544

 Employed

3220 (62.5)

903 (28.0)

2317 (72.0)

1.000

Living with HIV

 Yes

504 (9.8)

151 (30.0)

353 (70.0)

0.562; 0.433–0.730; p < 0.001

 No

4652 (90.2)

1282 (27.6)

3370 (72.4)

1.000

Use drugs

 Yes

374 (7.3)

190 (50.8)

184 (49.2)

2.093; 1.609–2.721; p < 0.001

 No

4782 (92.7)

1243 (26.0)

3539 (74.0)

1.000

Transact sex

 Yes

277 (5.4)

139 (50.2)

138 (49.8)

1.639; 1.198–2.241; p = 0.002

 No

4879 (94.6)

1294 (26.5)

3585 (73.5)

1.000

Risk for severe COVID-19

 Might be at increased risk

939 (18.2)

619 (65.9)

320 (34.1)

1.211; 1.005–1.459; p = 0.044

 At increased risk

345 (6.7)

193 (55.9)

152 (44.1)

1.511; 1.134–20.13; p = 0.005

 Little or no risk

3872 (75.1)

2911 (75.2)

961 (24.8)

1.000

Challenges accessing usual medical health care

 Yes

1922 (37.3)

1090 (56.7)

832 (43.3)

9.047; 7.744–10.571; p < 0.001

 No

3234 (62.7)

343 (10.6)

2891 (89.4)

1.000

Difficulty with obtaining medication

 Yes

1410 (27.3)

718 (50.9)

692 (49.1)

2.164; 1.843–2.541; p < 0.001

 No

3746 (72.7)

715 (19.1)

3031 (80.9)

1.000

  1. AOR Adjusted odds ratio, CI Confidence interval