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Table 2 Individual and community-level determinants of cervical cancer screening

From: Individual and community-level determinants of cervical cancer screening in Zimbabwe: a multi-level analyses of a nationwide survey

Fixed effects

Model 2 including individual-level determinants

Model 3 including community-level determinants

OR

(95% CI)

OR

(95% CI)

Individual-level characteristics

Age group

 ≤30 (Ref)

    

 31–49

2.01

(1.72–2.34)***

2.01

(1.72–2.34)***

Religion

 Christians (Ref)

 Non-Christians

0.93

(0.69–1.26)

0.94

(0.70–1.26)

Education level

 ≤Primary school (Ref)

    

 Secondary school

1.36

(1.12–1.65)**

1.31

(1.08–1.59)**

 Post-secondary

1.68

(1.27–2.23)***

1.63

(1.23–2.16)**

Employment status

 No (Ref)

    

 Yes

1.35

(1.17–1.55)***

1.35

(1.17–1.55)***

Covered by health insurance

 No (Ref)

    

 Yes

1.94

(1.61–2.33)***

1.95

(1.63–2.34)***

Ever used modern contraceptives

 No (Ref)

    

 Yes

1.54

(1.25–1.90)***

1.51

(1.22–1.86)***

Total children ever born

 ≤3 (Ref)

    

 ≥4

1.08

(0.91–1.29)

1.08

(0.90–1.29)

Age at first sex

 Never had sex (Ref)

 ≤17

34.42

(14.92–79.36)***

34.66

(15.03–79.93)***

 18–22

31.09

(13.52–71.51)***

30.99

(13.47–71.29)***

 23–37

34.74

(14.86–81.24)***

33.81

(14.46–79.05)***

Wealth index

 Poorest (Ref)

 Poor

0.99

(0.71–1.38)

0.95

(0.68–1.32)

 Middle

1.32

(0.96–1.81)

1.17

(0.85–1.62)

 Rich

2.41

(1.78–3.24)***

1.52

(1.06–2.20)*

 Richest

2.88

(2.09–3.96)***

1.64

(1.09–2.47)*

Amount of media exposure

 None (Ref)

 Single

1.11

(0.90–1.36)

1.12

(0.91–1.39)

 Multiple

1.23

(1.01–1.54)*

1.27

(1.03–1.58)*

Household size

 1–4 (Ref)

    

 5–8

1.03

(0.90–1.18)

1.05

(0.91–1.20)

 9+

1.00

(0.77–1.30)

1.03

(0.79–1.35)

Place of delivery

 Health facility (Ref)

 Home

0.49

(0.34–0.70)***

0.50

(0.35–0.72)***

 Never given birth

1.00

(0.87–1.16)

1.00

(0.86–1.15)

Community-level determinants

 Women with favorable attitude towards IPV against women

 Low (Ref)

    

 High

  

1.21

(1.04–1.41)*

 Women with high decision making autonomy

 Low (Ref)

    

 High

  

0.94

(0.80–1.10)

 Women with a non-poor wealth index

 Low (Ref)

    

 High

  

1.54

(1.14–2.05)**

 Difficulty in access to healthcare

 Low (Ref)

    

 High

  

0.81

(0.65–1.02)

Type of residence

 Rural (Ref)

    

 Urban

  

1.03

(0.76–1.40)

  1. *p < 0.05; **p < 0.01; ***p < 0.001, Ref = Reference Category, OR = Odds Ratios, CI = Confidence Interval