From: Delay along the care-seeking journey of patients with ocular surface squamous neoplasia in Kenya
Factor | 0.4–3.2 months (N = 38) | 3.3–7.0 months (N = 41) | 7.1–15.6 months (N = 40) | 15.7–190.5 months (N = 39) | Univariate ordered proportional OR (95% CI) | p- value | Adjusted ordered proportional OR (95% CI) | p- value |
---|---|---|---|---|---|---|---|---|
Distance from home (in 10 km units) to first health facility or study center, mean(SD) | 7.1 (10.2) | 6.3 (8.2) | 4.3 (5.0) | 6.6 (9.6) | 0.99 (0.95–1.02) | 0.53 | − | |
Total cost of care (in 100Ksh units), mean (SD) | 41.0 (6.0) | 40.0 (5.0) | 42.2 (15.9) | 42.9 (8.4) | 1.01 (0.99–1.04) | 0.32 | ||
Care pathway followed, No (%) | <0.001 | <0.001 | ||||||
Direct | 27 (30.7) | 25 (28.4) | 19 (21.6) | 17 (19.3) | 1.00 (REF) | 1.00 (REF)) | ||
1 facility visited | 11 (19.6) | 15 (26.8) | 18 (32.1) | 12 (21.4) | 1.56 (0.85–2.83) | 1.38 (0.75–2.54) | ||
2 or more facilities visited | 0 | 1 (7.1) | 3 (21.4) | 10 (74.1) | 12.93 (3.79–44.06) | 13.03 (3.78–44.94) | ||
Sex, No. (%) | 0.01 | |||||||
Male | 18 (32.1) | 18 (32.1) | 12 (21.4) | 8 (14.3) | 1.00 (REF) | − | 1.00 (REF) | |
Female | 20 (19.6) | 23 (23.6) | 28 (27.5) | 31 (30.4) | 2.29 (1.27–4.15) | 0.006 | 2.31 (1.25–4.24) | |
Age, mean(SD) y | 42 (13.0) | 40 (11.8) | 46 (13.6) | 39 (8.3) | 0.99 (0.97–1.02) | 0.69 | − | |
Marital status, No. (%) | 0.59 | − | ||||||
Single | 2 (8.0) | 11 (44.4) | 3 (12.0) | 9 (36.0) | 1.00 (REF) | |||
Married | 28 (26.9) | 24 (23.1) | 31 (29.8) | 21 (20.2) | 0.60 (0.28–1.31) | |||
Divorced or Separated | 1 (11.1) | 5 (55.6) | 1 (11.0) | 2 (22.2) | 061 (0.17–2.26) | |||
Widowed | 7 (35.0) | 1 (5.0) | 5 (25.0) | 7 (35.0) | 0.81 (0.27–2.45) | |||
Highest education level, No. (%) | 0.23 | − | ||||||
Completed secondary or higher | 14 (20.9) | 19 (28.4) | 15 (22.4) | 19 (28.4) | 1.00 (REF) | |||
Completed primary or some secondary | 12 (20.7) | 16 (27.6) | 14 (24.1) | 16 (27.6) | 1.01 (0.54–1.89) | |||
None or some primary | 12 (36.4) | 6 (18.2) | 11 (33.3) | 4 (12.1) | 0.55 (0.26–1.17) | |||
Occupation, No. (%) | 0.95 | − | ||||||
High income | 3 (21.4) | 3 (21.4) | 6 (42.9) | 2 (14.3) | 1.00 (REF) | |||
Low-Medium income | 31 (24.4) | 35 (27.6) | 30 (23.6) | 31 (234) | 0.96 (0.37–2.48) | |||
Unemployed | 4 (30.8) | 3 (23.1) | 3 (23.1) | 3 (23.1) | 0.82 (0.21–3.12) | |||
HIV infection & ART use, No. (%)a | 0.07 | − | ||||||
HIV- | 11 (34.4) | 10 (31.3) | 6 (18.8) | 5 (15.6) | 1.00 (REF) | |||
HIV+/ART- | 6 (20.7) | 11 (37.9) | 8 (27.6) | 4 (13.8) | 1.41 (0.58–3.40) | |||
HIV+/ART+ | 11 (22.5) | 9 (18.4) | 12 (24.5) | 17 (34.7) | 2.57 (1.13–5.88) | |||
Main symptom, No. (%) | 1.07 (0.94–1.21) | 0.32 | ||||||
Lump | 24 (23.8) | 24 (23.8) | 29 (28.7) | 24 (23.8) | ||||
Pain | 7 (41.2) | 5 (29.4) | 2 (11.8) | 3 (17.7) | ||||
Redness | 4 (28.6) | 4 (28.6) | 2 (14.3) | 4 (28.6) | ||||
Others | 3 (11.5) | 8 (30.8) | 7 (26.9) | 8 (308) |