Table 2

Factors associated with not seeking treatment outside the home, by disease, baseline community case management (CCM) survey in 4 districts in Sierra Leone 2010*
Bivariate Multivariable logistic regression model
Variable N % not seeking healthcare Odds 95% confidence interval P value Adjusted odds ratio 95% confidence interval P value
Diarrhea 1511
District type:
Will not receive CCM Will receive 719 10.2%
CCM 792 16.5% 1.7 1.2,2.5 .0009 1.5 0.9,2.4 0.09
Age:
≥1 year 1167 13.7%
< 1 year 344 11.6% 0.8 0.7,2.1 0.5 0.7 0.4,1.2 0.2
Gender:
Male 772 12.6%
Female 739 13.9% 1.1 0.7,1.7 0.6 1.0 0.6,1.5 0.9
Tribe of household:
Other 315 16.1%
Temne 505 10.2% 0.6 0.3,1.1 0.6 0.3,1.5
Mende 691 14.3% 0.9 0.5,1.4 0.2 1.0 0.6,1.8 0.5
Religion:
Other 240 8.5%
Muslim 1089 14.1% 1.7 0.9,3.3 0.08 1.6 0.7,3.8 0.2
Polygamy:
No 1075 12.4%
Yes 436 15.2% 1.3 0.8,1.9 0.2 1.3 0.9,1.9 0.2
Household distance to nearest health facility:
< 5 Km 1071 12.4%
≥ 5 Km 13.9% 1.2 0.4,1.5 1.0 0.3,3.0
unknown 302 10.4% 0.8 0.3,1.7 0.6 1.0 0.4,2.7 1.0
138
Wealth quintile:
Other 1132 13.5%
lowest 379 12.3% 0.9 0.6,1.4 0.6 0.9 0.5,1.6 0.8
Atleast one women in household went to school
No 1012 11.1%
yes 347 13.5% 1.2 0.8,2.0 0.4 1.1 0.7,1.9 0.6
Traditional treatment
No 1003 11.2%
Yes 508 17.5% 1.7 1.2,2.5 .003 1.5 1.0,2.2 0.04
Homemade SSS:
No 527 9.1%
Yes 984 15.2% 2.0 1.2,2.5 .003 2.0 1.1,2.4 0.002
Disease:
Diarrhea only 246 20.8%
Also Fever or presumed pneumonia 909 12.9% 0.6 0.4,1.1 0.6 0.4,0.9
Also fever and presumed pneumonia 356 8.8% 0.4 0.2,0.7 .0003 0.4 0.2,0.7 0.005
Fever 3851
District type:
Will not receive CCM Will receive 1845 13.0%
CCM 2006 16.1% 1.3 1.0,1.7 .07 1.2 0.9,1.8 0.1
Age:
≥1 year 2922 15.0%
< 1 year 929 13.1% 1.2 0.9,1.6 0.3 0.9 0.6,1.3 0.6
Gender:
Male 1904 14.5%
Female 1947 14.5% 1.0 0.8,1.2 0.9 1.0 0.8,1.2 0.9
Tribe of household:
Other 712 15.1%
Temne 1287 14.9% 1.0 0.7,1.5 1.2 0.6,1.4
Mende 1852 14.0% 0.9 0.7,1.2 0.8 1.1 0.8,1.7 0.7
Religion:
Other 529 13.5%
Muslim 3322 14.7% 1.1 0.8,1.7 0.6 0.9 0.6,1.4 0.8
Polygamy:
No 2661 14.8%
Yes 1190 14.1% 0.9 0.7,1.2 0.6 0.9 0.6,1.4 0.7
Household distance to nearest health facility:
< 5 Km 2577 15.2%
≥ 5 Km 968 12.1% 0.8 0.4,1.4 0.6 0.3,1.2
unknown 306 15.7% 1.0 0.5,1.9 0.4 0.7 0.3,1.4 0.3
Wealth quintile:
Other 2957 15.6%
lowest 894 15.2% 1.0 0.5,1.9 0.2 0.7 0.5,1.0 0.08
Atleast one women in household went to school
No 2611 13.6%
yes 865 14.4% 1.1 0.8,1.4 0.6 1.1 0.8,1.4 0.5
Traditional treatment
No 2963 11.6%
Yes 888 24.7% 2.5 1.8,3.4 <0.001 2.9 2.1,4.0 <.0001
Disease:
Fever only 1934 15.8%
Also diarrhea or presumed pneumonia 1561 13.7% 0.7 0.4,1.2 0.8 0.6,1.1
Also diarrhea and presumed pneumonia 356 11.3% 0.8 0.4,1.4 0.2 0.6 0.3,1.2 0.2
Presumed Pneumonia 1078
District type:
Will not receive CCM Will receive 607 8.7%
CCM 408 12.5% 1.5 0.9,2.4 0.1 1.8 1.0,3.3 0.04
Age:
≥1 year 838 9.8%
< 1 year 240 11.4% 1.2 0.7,2.0 0.5 1.0 0.5,2.0 1.0
Gender:
Male 524 9.6%
Female 554 10.8% 1.1 0.7,2.0 0.6 0.9 0.5,1.7 0.8
Tribe of household:
Other 188 8.8%
Temne 262 12.3% 1.4 0.7,3.3 1.6 0.5,5.1
Mende 628 9.9% 1.1 0.6,2.5 0.6 1.1 0.5,2.5 0.7
Religion:
Other 155 7.3%
Muslim 923 10.7% 1.5 0.8,3.1 0.2 1.3 0.5,3.4 0.5
Polygamy:
No 732 9.2%
Yes 346 12.1% 1.4 0.8,2.5 0.3 1.2 0.7,2.3 0.4
Household distance to nearest health facility:
< 5 Km 798 11.0%
≥ 5 Km 209 6.3% 0.4 0.1,1.4 0.4 0.1,1.4
unknown 71 13.3% 1.2 0.4,3.4 0.2 0.5 0.1,1.9 0.3
Wealth quintile:
Other 795 13.9%
lowest 283 9.1% 0.6 0.3,1.0 0.05 0.5 0.3,0.8 0.008
Atleast one women in household went to school
No 777 8.8%
yes 183 14.6% 1.8 1.0,2.9 0.04 1.6 0.8,3.3 0.2
Traditional treatment
No 776 7.1%
Yes 302 18.4% 2.9 1.7,5.2 <.001 3.5 2.0,6.2 <.001
Disease:
Presumed Pneumonia only 48 14.1%
Also Fever or diarrhea 674 9.4% 0.8 0.3,2.2 0.6 0.2,1.8
Also fever and diarrhea 356 11.3% 1.2 0.6,2.4 0.6 0.7 0.2,2.4 0.7

Diaz et al.

Diaz et al. BMC Public Health 2013 13:157   doi:10.1186/1471-2458-13-157

Open Data