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Table 4 Multivariate Analysis of factors associated with the utilization of health insurance services

From: Factors affecting health insurance utilization among insured population: evidence from health insurance program of Bhaktapur district of Nepal

Variables

Category

Utilization of health insurance (n = 173)

N (%)

OR (95% CI)

P value

AOR     (95% CI)

P value

Literacy

Illiterate

30 (17.3%)

Ref

0.225

Ref

0.25

 

Literate

143(82.7%)

0.63 (0.24–1.64)

 

1.75 (0.48–6.3)

 

Types of family

Joint/Extended

58 (33.5%)

Ref

0.175

Ref

0.141

 

Nuclear

115(66.5%)

0.75 (0.44–1.25)

 

1.64 (0.74–3.63)

 

Number of Elderly

  

2.86 (2.39–3.43) *

0.0003

2.7 (1.09–7.07) *

0.040

Expenditure in Health

  

1.02 (0.98–1.06)

0.1106

1.00 (0.96–1.05)

0.658

Presence of Chronic Illness

No

57 (32.9%)

Ref

0.002

Ref

0.025

 

Yes

116(67.1%)

8.3 (4.32–16.09) *

 

5.10 (1.48–17.56) *

 

Knowledge about health insurance

No

136 (78.6%)

Ref

0.182

Ref

0.200

 

Yes

37 (21.4%)

2.44 (0.47–12.7)

 

2.02 (0.51–8.02)

 

Last annual contribution amount Paid

  

1.00 (1.00–1.00)

0.0430

1.00 (0.99-1.00)

0.112

Willingness to continue

No

12(6.9%)

Ref

0.101

Ref

0.008

 

Yes

161(93.1%)

2.13 (0.76–5.99)

 

2.18 (1.47–3.25) *

 

Membership duration

  

1.15 (1.05–1.24)

0.0128

1.14(1.05–1.24) *

0.013

  1. * statistically significant at p < 0.05