Table 4 Mutually-Adjusted Prevalence Ratios (95% Confidence Intervals) For the Associations between Community Health Service Use and Socio-Demographic and Health Characteristics by Study Site

Cuba

0.97

(0.94-1.01)

0.93

(0.86-1.01)

1.06

(1.02-1.10)

1.09

(1.00-1.18)

1.05

(0.98-1.13)

0.91

(0.84-0.98)

Not applicable

1.11

(0.96-1.28)

0.87

(0.76-0.98)

1.23

(1.16-1.30)

0.83

(0.74-0.92)

Dominican

Republic

1.00

(0.96-1.04)

0.96

(0.87-1.07)

1.03

(0.98-1.08)

1.00

(0.90-1.12)

0.98

(0.89-1.07)

1.11

(1.01-1.22)

1.19

(1.07-1.32)

1.03

(0.91-1.17)

0.97

(0.83-1.12)

1.32

(1.23-1.41)

0.94

(0.84-1.05)

Puerto Rico

0.99

(0.97-1.01)

0.95

(0.91-1.00)

0.99

(0.98-1.01)

1.01

(0.96-1.06)

1.00

(0.95-1.04)

1.09

(1.03-1.15)

1.42

(1.19-1.71)

1.11

(1.04-1.18)

0.95

(0.89-1.02)

1.10

(1.07-1.14)

1.04

(0.99-1.09)

Peru urban

0.97

(0.92-1.02)

1.00

(0.89-1.11)

1.05

(0.99-1.12)

0.95

(0.85-1.07)

0.94

(0.84-1.05)

1.28

(1.14-1.44)

1.69

(1.39-2.05)

1.26

(1.07-1.48)

0.89

(0.72-1.09)

1.38

(1.07-1.48)

1.21

(1.03-1.41)

Peru rural

1.03

(0.91-1.16)

0.93

(0.70-1.22)

0.98

(0.85-1.13)

1.07

(0.80-1.43)

1.33

(0.99-1.80)

1.04

(0.78-1.38)

1.20

(0.87-1.65)

1.64

(1.09-2.47)

1.12

(0.72-1.75)

1.53

(1.25-1.87)

1.38

(0.97-1.96)

Venezuela

1.02

(0.99-1.06)

0.88

(0.81-0.96)

1.00

(0.96-1.04)

0.99

(0.91-1.07)

0.96

(0.89-1.04)

1.06

(0.98-1.14)

1.11

(1.04-1.19)

1.14

(1.03-1.27)

0.86

(0.73-1.00)

1.19

(1.14-1.25)

0.98

(0.89-1.09)

Mexico urban

1.04

(1.00-1.08)

0.89

(0.82-0.98)

1.02

(0.99-1.06)

1.06

(0.97-1.15)

1.03

(0.95-1.11)

0.95

(0.87-1.03)

1.19

(1.10-1.29)

1.03

(0.89-1.20)

0.92

(0.80-1.06)

1.12

(1.06-1.17)

1.10

(0.89-1.13)

Mexico rural

0.97

(0.93-1.02)

0.87

(0.79-0.96)

1.02

(0.96-1.08)

0.96

(0.87-1.05)

1.03

(0.94-1.13)

1.02

(0.92-1.12)

1.22

(1.12-1.34)

1.01

(0.82-1.25)

0.93

(0.78-1.12)

1.07

(1.01-1.14)

1.01

(0.89-1.09)

China urban

0.98

(0.91-1.05)

0.93

(0.80-1.08)

1.04

(0.98-1.10)

0.98

(0.84-1.16)

1.08

(0.94-1.24)

1.34

(1.16-1.55)

2.02

(1.36-3.00)

0.70

(0.16-3.00)

0.93

(0.72-1.20)

1.88

(1.70-2.08)

0.90

(0.72-1.14)

China rural

0.79

(0.60-1.03)

1.03

(0.62-1.73)

0.86

(0.64-1.16)

1.00

(0.60-1.65)

1.22

(0.66-2.25)

0.57

(0.32-1.03)

1.63

(0.84-3.16)

Too few exposed

1.62

(0.72-3.68)

3.02

(2.19-4.17)

2.44

(1.08-5.46)

India urban

1.00

(0.95-1.05)

0.86

(0.76-0.96)

1.02

(0.98-1.07)

1.46

(1.29-1.67)

1.14

(1.00-1.30)

1.44

(1.28-1.62)

1.02

(0.70-1.50)

1.20

(0.97-1.49)

0.93

(0.74-1.16)

1.51

(1.39-1.63)

1.15

(1.02-1.29)

India rural

0.95

(0.90-0.99)

1.04

(0.92-1.17)

1.03

(0.97-1.09)

1.00

(0.89-1.12)

0.97

(0.89-1.07)

0.93

(0.84-1.02)

Too few exposed

1.57

(1.47-1.67)

0.93

(0.82-1.07)

1.19

(1.13-1.26)

0.95

(0.85-1.07)

Nigeria

0.99

(0.91-1.08)

1.04

(0.84-1.29)

1.14

(1.06-1.24)

0.89

(0.72-1.11)

Not assessed

Not assessed

Too few exposed

2.32

(1.56-3.34)

1.16

(0.88-1.53)

2.00

(1.70-2.36)

0.94

(0.66-1.33)

Meta-analytical pooled effect

0.99

(0.98-1.00)

0.93

(0.91-0.96)

1.03 †

(1.01-1.05)

1.03 †

(0.98-1.09)

1.01

(0.99-1.04)

1.08 †

(1.00-1.17)

1.27 †

(1.16-1.38)

1.21†

(1.07-1.38)

0.93

(0.90-0.97)

1.37 †

(1.26-1.49)

1.02 †

(0.96-1.09)

Cochrane Q [df]

(p value)

18.1 [12]

(0.11)

13.4 [12]

(0.34)

27.9 [12]

(0.006)

38.5 [12]

(< 0.001)

13.9 [11]

(0.24)

81.4 [11]

(< 0.001)

28.8 [9]

(0.001)

100.0 [11]

(< 0.001)

7.8 [12]

(0.80)

244.0 [12]

(< 0.001)

38.3 [12]

(< 0.001)

I ² Higgins, % (95% CI)

45 (0 - 73)

11 (0-51)

0 (0-60)

72 (49-85)

26 (0-64)

88 (80-92)

60 (23-80)

88 (0-93)

0 (0-60)

94 (91-96)

73 (51-85)