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Table 5 Factors associated with the utilization of healthcare from SSK scheme and MTPs other than SSK

From: Factors affecting the healthcare utilization from Shasthyo Suroksha Karmasuchi scheme among the below-poverty-line population in one subdistrict in Bangladesh: a cross sectional study

Socio demographic factors

Healthcare utilization from SSK scheme

Adjusted OR (95% CI) a)

Healthcare utilization from MTPs other than SSK

Adjusted OR (95% CI) a)

Age group

 Fewer than 18 years

Ref

Ref

 18 to 34 years

3.002 (0.08,119.04)

3.195 (0.69,14.78)

 35 to 44 years

1.550 (0.04,67.86)

2.362 (0.47,11.98)

 45 to 60 years

1.870 (0.04,81.49)

2.217 (0.44,11.30)

  > 60 years

2.805 (0.06,134.33)

2.188 (0.39,12.38)

Sex

 Male

Ref

Ref

 Female

1.456 (0.56,3.81)

0.902 (0.52,1.57)

Marital status

 Married

Ref

Ref

 Unmarried

0.122 (0.01,2.48)

0.448 (0.14,1.39)

 Widowed/separated/destitute

0.306 (0.05,1.96)

1.153 (0.47,2.85)

 Not applicable (age <  = 5)

4.056 (0.08,204.21)

1.625 (0.28,9.32)

Education of members

 No institutional education

Ref

Ref

 Primary level (years 1–5)

1.335 (0.56,3.19)

1.278 (0.77,2.12)

 Secondary level and above

0.166* (0.03,0.90)

1.851* (1.05,3.25)

 Not applicable (age <  = 5)

1 (1.00,1.00)

1 (1.00,1.00)

Household size

 Less than 4 persons

Ref

Ref

 4—5 persons

0.498 (0.24,1.05)

1.161 (0.77,1.74)

 6 persons or more

0.909 (0.33,2.53)

0.949 (0.51,1.77)

Occupation

 Housewife

Ref

Ref

 Student

10.89 (0.13,882.57)

2.498 (0.41,15.36)

 Agricultural/labor

1.384 (0.38,5.05)

0.427* (0.21,0.87)

 Service worker

1.857 (0.31,11.06)

0.762 (0.29,2.00)

 Small business

1.152 (0.23,5.71)

0.526 (0.22,1.24)

 Unemployed

5.939* (1.42,24.81)

0.405 (0.16,1.03)

 Transport worker

0.968 (0.09,10.69)

0.099* (0.01,0.82)

 Not applicable (age <  = 5 years)

10.89 (0.13,882.57)

1 (1.00,1.00)

At least one household member heard about SSK

 No

Ref

Ref

 Yes

10.78** (2.45,47.50)

0.643* (0.44,0.95)

Current BPL status

 BPL

Ref

Ref

 non-BPL

2.275* (1.13,4.56)

1.110 (0.75,1.64)

Distance of health facility from union

 Nearer (less than 6 km)

Ref

Ref

 Medium (7 to 15 km)

0.479* (0.23,0.99)

1.632* (1.01,2.64)

 Far (More than 15 km)

0.238** (0.10,0.58)

1.267 (0.77,2.08)

Monthly income quintile (in BDT)

  <  = 8000

Ref

Ref

  > 8000 to <  = 10,250

4.523* (1.27,16.11)

0.662 (0.35,1.25)

  < 10,250 to <  = 14,000

1.985 (0.54,7.35)

1.058 (0.60,1.87)

  > 14,000 to <  = 18,500

2.991 (0.82,10.86)

1.505 (0.84,2.70)

  > 18,500

2.233 (0.62,7.98)

1.154 (0.64,2.07)

Self-reported illness/symptoms

 Non-communicable

Ref

Ref

 Communicable

2.166 (0.75,6.27)

0.826 (0.44,1.56)

 Accident/Injury

4.810* (1.22,19.00)

1.781 (0.71,4.46)

 Female reproductive problem

2.172 (0.35,13.45)

2.596 (0.97,6.92)

 Symptoms

1.156 (0.46,2.92)

0.668 (0.42,1.06)

 Others (e.g., Polip, scars)

1 (1.00,1.00)

0.791 (0.20,3.11)

Constant

0.00162** (0.00,0.14)

0.172 (0.03,1.16)

 N

766.00

781.00

 Loglikelihood

-146.30

-385.60

 Chi-square

82.34

72.04

p-value

0.000

0.000

 Pseudo-R2

0.220

0.085

  1. * p < 0.05; **p < 0.01; *** p < 0.001
  2. a Statistical model includes the following: age, marital status, education, household size, occupation, heard about SSK scheme, current BPL status, distance from facility, monthly household income, and self-reported illness