Biomedical drugs and traditional treatment in care seeking pathways for adults with epilepsy in Masindi district, Western Uganda: a household survey

Table 5 Multivariable multinomial logistic regression showing association between choice of first provider, and respondent’s characteristics

Variables	Hospital			Church/ Mosque			Friend/ Neighbour
Variables	Adj. Coeff	95% CI	p-value	Adj. Coeff	95% CI	p-value	Adj. Coeff	95% CI	p-value
Reason shifted from first provider
Did not get better, hence sought better treatment	1			1			1
Nearer	2.16	0.74, 3.59	0.003**
Friend or neighbour’s advice	1.16	−1.42, 3.74	0.379	2.16	−0.45, 4.77	0.105	0.25	−2.31, 2.80	0.851
Age in completed years
18–25	1			1			1
26–35	2.51	−0.89, 5.90	0.148	2.54	−0.30, 5.38	0.079	1.45^&	−2.64, 5.54	0.488
36–45	2.13	−1.16, 5.41	0.205	2.39	−0.52, 5.31	0.108	1.38^&	−3.41, 6.17	0.573
46–55	2.82	−0.65, 6.30	0.111	2.80	−0.43, 6.03	0.090	5.83^&	0.67, 10.99	0.027*
56–65	2.56	−1.05, 6.17	0.164	0.85	−2.84, 4.54	0.653	3.76^&	−1.33, 8.86	0.147
> 65	2.16	−1.83, 6.16	0.289	0.84	−3.13, 4.82	0.678	6.56^&	0.98, 12.13	0.021*
Sex
Female	1			1			1
Male	0.33	−1.98, 2.64	0.780	−2.01	−4.29, 0.28	0.085	−1.60	−3.77, 0.57	0.147
Marital status
Married/ cohabiting	1			1			1
Separated/ Divorced	0.69	−1.75, 3.13	0.578	−2.35	−5.50, 0.80	0.144
Single/ Never married	0.98	−1.71, 3.66	0.475	−1.03	−4.10, 2.04	0.510	4.93^&	0.56, 9.30	0.027*
Widow/ Widower	0.37	−2.43, 3.18	0.793	−1.34	−4.18, 1.49	0.353	−0.23	−3.38, 2.91	0.884
Occupation
Farming	1			1			1
Government worker
Trading	2.50	0.39, 4.61	0.020*	1.29	−1.05, 3.63	0.281	2.87	0.71, 5.04	0.009**
Unemployed				1.66	−2.66, 5.97	0.451
Currently receiving anti-epileptic medicines
No	1			1			1
Yes	−0.52	−1.86, 0.83	0.451	−0.22	−1.58, 1.13	0.746	0.57	−0.91, 2.05	0.452
Perceived purpose of treatment
Control fits/seizures	1			1			1
Cure epilepsy	0.71	−0.49, 1.92	0.247	1.91	0.38, 3.43	0.014*	1.29	−0.01, 2.58	0.051

Coefficients are relative probabilities compared to attending the health centre as first choice provider. *Significant at P < 0.05, **p < 0.01, ^&Coefficient for bivariate analysis of choice of provider 1 as a traditional healer (not friend /neighbour), and occupation as predictor variable. Hosmer-Lemeshow goodness-of-fit Chi-square test is 30.51, df = 40, p = 0.860

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