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Table 2 Logistic regression analysis of willingness to join CBHI in West Gojjam Zone, 2017

From: Determinants of community-based health insurance implementation in west Gojjam zone, Northwest Ethiopia: a community based cross sectional study design

Variables

Enrollment

Crude OR (95% CI)

Adjusted OR (95% CI)

Marginal effects

Yes n (%)

No n (%)

District

Jabi-tehnan

276 (63)

162 (37)

   

Burie

104 (48.3)

111 (51.7)

0.55 (.395, .765)

.444(.257, .767)

−.190

Sex

Male

355 (60.5)

231 (39.5)

1.0

1.0

 

Female

19 (31.2)

42 (68.8)

0.294 (1.92, 5.98)

1.89(.683, 5.27)

.156

Age

  

1.02(.989, 1.01)

.990 (.970, 1.01)

−.002

Religion

Orthodox Christian

372 (58.2)

266 (41.8)

1.0

1.0

 

Others

2 (66.6)

1 (33.3)

1.43(.129, 15.8)

.610(.075, 4.96)

−.120

Marital status

Married

339 (61.8)

210 (38.2)

1.0

1.0

 

Single

10 (38.5)

16 (61.5)

.387(.172, .869)

1.71(.560, 5.22)

.116

Divorced

16 (39)

25 (61)

.396 (.207, .760)

1.11(.357, 3.48)

.025

Widowed

6 (25)

18 (75)

.206 (.081, .529)

.350(.085, 1.43)

−.256

Occupation

Farmers

365 (58.5)

259 (41.5)

1.0

1.0

 

Others

9 (40.9)

13 (59.1)

.491 (.207, 1.16)

.449(.175, 1.15)

−.196

Family size

  

1.245 (1.14, 1.35)

1.17 (1.02, 1.35)

.038

HH average health status

Poor

76 (61.2)

48 (38.8)

1.0

1.0

 

Medium

246 (57.4)

183 (42.6)

.849 (.564, 1.27)

.659 (.363, 1.19)

−.096

Good

57 (57.5)

42 (42.5)

.857 (.501, 1.46)

.380 (.179, .805)

−.235

chronic diseases

Do not exist

105 (79.5)

27 (20.5)

1.0

1.0

 

Exist

268 (53.3)

235 (46.7)

.293 (.186, .463)

3.42 (1.89, 6.19)

.252

Scheme benefit package adequacy

inadequate

318 (58)

230 (42)

1.0

1.0

 

adequate

57 (57.5)

42 (42.5)

.98 (.637, 1.51

2.17 (1.20,3.93)

.167

Institutional service quality

Poor

241 (56.8)

183 (43.2)

1.0

1.0

 

Medium

115 (61.5)

72 (38.5)

1.21 (.853, 1.72)

1.24 (.744, 2.07)

.050

Good

22 (55)

18 (45)

.928 (.484, 1.78)

1.84 (.709,4.78)

.131

Health service quality

Poor

141 (60.8)

91 (39.2)

1.0

1.0

 

Medium

189 (55.2)

153 (44.8)

0.797 (.568, 1.11)

3.20 (1.98, 5.15)

.269

Good

49 (62.8%)

29 (37.2)

1.09 (.642, 1.85)

3.69 (1.77, 7.69)

.255

CBHI awareness

Poor

22 (81.5)

5 (18.5)

1.0

1.0

 

Medium

30 (62.5)

18 (37.5)

0.37(.122, 1.17)

2.65(.735, 9.54)

.196

Good

327 (56.7)

250 (43.3)

0.29 (.111, .796)

4.90 (1.65, 14.4)

.376

HH social participation

Poor

8 (57.1)

6 (42.9)

1.0

1.0

 

Medium

85 (57.8)

62 (42.1)

1.02 (.340, 3.11)

.521(.093, 2.90)

−.157

Good

286 (58.3)

205 (41.7)

1.04 (.358, 3.06)

.748(.135, 4.13)

−.066

Social norm

Poor

31 (59.6)

21 (40.4)

1.0

1.0

 

Medium

173 (58)

125 (42)

.938 (.515, 1.70)

.868(.427, 1.76)

−.033

Good

172 (57.9)

125 (42.1)

.932(.512, 1.69)

1.02(.506, 2.09)

.006

Community solidarity

Poor

75 (50.3)

74 (49.7)

1.0

1.0

 

Medium

193 (63.9)

109 (36.1)

1.74 (1.17, 2.60)

3.02 (1.17, 2.60)

.252

Good

111 (55.2)

90 (44.8)

1.21 (.796, 1.86)

3.77(.796, 1.86)

.282

Community Trust

Poor

4 (66.6)

2 (33.3)

1.0

1.0

 

Medium

135 (58.2)

97 (41.8)

.696(.125, 3.87)

3.62(.634,20.7)

.280

Good

240 (57.9)

174 (42.1)

.690 (.125, 3.80)

5.65(.985, 32.4)

.401

Perceived living standard

Poor

351 (58.8)

246 (41.2)

1.0

1.0

 

Rich

27 (50)

27 (50)

.701(.401, 1.22)

1.15(.505, 2.63)

.033

HH wealth

 quintile1(poorest)

58 (39.5)

89 (60.5)

1.0

1.0

 

quintile2 (poor)

64 (58.2)

46 (41.8)

2.13 (1.29, 3.53)

2.05 (1.08, 3.91)

.156

quintile3 (medium)

78 (62.9)

46 (37.1)

2.60 (1.59, 4.25)

2.56 (1.36, 4.81)

.200

quintile4(rich)

75 (60.9)

48 (39.1)

2.39 (1.46, 3.91)

2.26 (1.17, 4.35)

.176

quintile5 (very rich)

95 (77.8)

27 (22.2)

5.39 (3.14, 9.27)

3.62 (1.67, 7.83)

.259

  1. *** significant at 1% confidence level **significant at 5% confidence level * significant at less than 10% confidence level