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Table 2 Unadjusted odds ratio (OR) for variables considered in multivariable logistic regression

From: Multi-level determinants of breast cancer screening among Malay-Muslim women in Singapore: a sequential mixed-methods study

Sociodemographic Characteristic

Ever gone (n = 270)†

Regular (n = 230)‡

 

OR (95%CI)

P-value

OR (95%CI)

P-value

Age (ne = 267, nr = 230)

1.04 (1.00, 1.09)

 < 0.10

0.99 (0.93, 1.05)

0.62

Household Income (ne = 236, nr = 199)

    

 < S$2,000

Ref

0.45

Ref

 < 0.01

S$2,000–S$3,999

1.24 (0.67, 2.32)

 

1.19 (0.55, 2.56)

 

S$4,000–S$5,999

1.36 (0.64, 2.89)

 

2.89 (1.19, 7.02)

 

 ≥ S$6,000

2.05 (0.82, 5.08)

 

4.33 (1.66, 11.29)

 

Highest Education Level (ne = 269, nr = 229)

    

Primary Education

Ref

0.15

Ref

 < 0.05

Secondary Education

1.38 (0.81, 2.35)

 

2.00 (1.05, 3.79)

 

Tertiary Education

2.23 (0.96, 5.19)

 

4.00 (1.52, 10.55)

 

Type of Housing (ne = 270, nr = 230)

    

HDB 1–2 Rooms

Ref

0.38

Ref

 < 0.10

HDB 3 Rooms

0.69 (0.29, 1.65)

 

3.18 (0.97, 10.43)

 

HDB 4 Rooms

1.10 (0.48, 2.49)

 

1.97 (0.62, 6.26)

 

HDB 5 Rooms/Others

1.23 (0.49, 3.08)

 

3.84 (1.13, 13.02)

 

Personal Doctor (ne = 269, nr = 230)

    

Yes

2.86 (1.37, 5.96)

 < 0.01

4.21 (1.23, 14.47)

 < 0.05

Family History (ne = 269, nr = 230)

    

Yes

1.80 (0.91, 3.54)

 < 0.10

3.13 (1.57, 6.26)

 < 0.01

Attended a prayer in the mosque in the last 1 year (ne = 270, nr = 230)

    

Yes

1.94 (1.13, 3.32)

 < 0.05

1.50 (0.79, 2.83)

0.22

Grouped Variables

    

Interpersonal Level:

    

HBM Perceived Barriers, Interpersonal (ne = 248, nr = 210)

    

Low

Ref

 < 0.01

Ref

 < 0.10

Moderate

0.45 (0.25, 0.83)

 

0.51 (0.26, 1.00)

 

High

0.34 (0.17, 0.67)

 

0.48 (0.22, 1.04)

 

Community Level:

    

PMIR Punishing Allah Reappraisal (ne = 255, nr = 216)

    

Low

Ref

 < 0.05

Ref

 < 0.10

Moderate

0.45 (0.24, 0.83)

 

0.73 (0.38, 1.43)

 

High

0.51 (0.27, 0.98)

 

0.41 (0.19, 0.86)

 

RHFQ Divine Provision (ne = 259, nr = 222)

    

Low

Ref

0.15

Ref

 < 0.01

Moderate

0.57 (0.31, 1.04)

 

0.36 (0.18, 0.74)

 

High

0.90 (0.48, 1.66)

 

0.38 (0.19, 0.77)

 

Environmental Level:

    

HBM Perceived Barriers, Structural (ne = 266, nr = 226)

    

Low

Ref

 < 0.01

Ref

 < 0.01

Moderate

0.46 (0.25, 0.83)

 

0.38 (0.19, 0.75)

 

High

0.40 (0.21, 0.74)

 

0.20 (0.09, 0.45)

 

Variables as Single Items

    

Intrapersonal Level:

    

HBM Perceived Benefit: Breast cancer if detected early can be cured (ne = 268, nr = 230)

    

Agree

Ref

 < 0.01

Ref

0.64

Neutral

0.23 (0.08, 0.61)

 

0.59 (0.19, 1.85)

 

Disagree

0.11 (0.03, 0.41)

 

0.82 (0.25, 2.71)

 

HBM Perceived Benefit: If breast cancer is detected early, chances of cure are very high (ne = 269, nr = 230)

    

Agree

Ref

 < 0.01

Ref

0.40

Neutral

0.24 (0.07, 0.82)

 

0.44 (0.09, 2.12)

 

Disagree

0.15 (0.05, 0.46)

 

0.57 (0.18, 1.80)

 

HBM Perceived Benefit: There are medical tests now that can detect breast cancer in its very early stage (ne = 267, nr = 228)

    

Agree

Ref

 < 0.01

Ref

0.61

Neutral

0.33 (0.16, 0.67)

 

0.64 (0.26, 1.57)

 

Disagree

0.36 (0.10, 1.31)

 

0.86 (0.21, 3.43)

 

HBM Perceived Benefit: Cancer is like a death sentence; if you get it, you will surely die from it (ne = 266, nr = 228)

    

Disagree

Ref

0.77

Ref

 < 0.10

Neutral

0.79 (0.42, 1.49)

 

0.99 (0.49, 2.02)

 

Agree

0.95 (0.52, 1.73)

 

0.45 (0.22, 0.93)

 

HBM Perceived Susceptibility: I worry about getting breast cancer all the time (ne = 267, nr = 229)

    

Disagree

Ref

0.29

Ref

 < 0.05

Neutral

1.32 (0.69, 2.52)

 

1.97 (0.94, 4.12)

 

Agree

1.59 (0.90, 2.81)

 

0.74 (0.38, 1.43)

 

HBM Perceived Susceptibility: I can prevent myself from getting breast cancer (ne = 265, nr = 228)

    

Agree

Ref

 < 0.05

Ref

0.87

Neutral

0.49 (0.28, 0.86)

 

1.18 (0.61, 2.27)

 

Disagree

0.47 (0.21, 1.04)

 

1.15 (0.48, 2.75)

 

EHBM Consideration of Future Consequences: I only act to satisfy my immediate concerns, the future will take care of itself (ne = 252, nr = 217)

    

Disagree

Ref

0.13

Ref

 < 0.05

Neutral

0.46 (0.22, 0.98)

 

0.81 (0.36, 1.82)

 

Agree

0.64 (0.32, 1.26)

 

0.43 (0.21, 0.89)

 

EHBM Perceived Importance: It is important for me to go for a mammogram to screen for breast cancer (ne = 255, nr = 218)

    

Agree

Ref

 < 0.01

Ref

 < 0.01

Neutral

0.16 (0.07, 0.36)

 

0.15 (0.03, 0.65)

 

Disagree

0.06 (0.01, 0.25)

 

0.12 (0.02, 0.94)

 

IDI: All mammogram screening are done by women (ne = 266, nr = 227)

    

Agree

Ref

 < 0.05

Ref

0.14

Neutral

0.30 (0.14, 0.66)

 

0.45 (0.15, 1.39)

 

Disagree

0.49 (0.18, 1.31)

 

0.32 (0.07, 1.46)

 

IDI: I am too old to go for mammogram (ne = 268, nr = 229)

    

Disagree

Ref

0.17

Ref

 < 0.01

Neutral

0.63 (0.31, 1.27)

 

0.28 (0.10, 0.76)

 

Agree

0.59 (0.31, 1.12)

 

0.19 (0.07, 0.50)

 

IDI: I must have symptoms first before I decide to go for mammogram (ne = 267, nr = 229)

    

Disagree

Ref

 < 0.01

Ref

 < 0.01

Neutral

0.29 (0.13, 0.62)

 

0.39 (0.16, 0.98)

 

Agree

0.30 (0.17, 0.53)

 

0.17 (0.08, 0.38)

 

Interpersonal Level

    

HBM Cues to Action: My friends have told me to go for mammogram (ne = 266, nr = 228)

    

Agree

Ref

 < 0.10

Ref

0.58

Neutral

0.47 (0.24, 0.93)

 

0.63 (0.27, 1.51)

 

Disagree

1.18 (0.63, 2.24)

 

0.87 (0.44, 1.76)

 

HBM Cues to Action: I would like to be accompanied by my family or friend to go for mammogram (ne = 267, nr = 229)

    

Agree

Ref

 < 0.01

Ref

 < 0.10

Neutral

0.94 (0.47, 1.88)

 

1.32 (0.56, 3.12)

 

Disagree

3.27 (1.81, 5.89)

 

2.04 (1.11, 3.76)

 

HBM Cues to Action: My personal doctor had recommended mammogram to me (ne = 269, nr = 230)

    

Agree

3.20 (1.92, 5.35)

 < 0.01

3.03 (1.58, 5.80)

 < 0.01

HBM Cues to Action: My nurse or other health care provider (other than the doctor) had recommended mammogram to me (ne = 269, nr = 230)

    

Agree

2.85 (1.72, 4.72)

 < 0.01

2.04 (1.14, 3.66)

 < 0.05

Community Level

    

PMIR Islamic Religious Internalization-identification: I pray because I find it satisfying (ne = 269, nr = 230)

    

Agree

0.14 (0.02, 1.10)

 < 0.10

0.68 (0.19, 2.49)

0.56

Modesty: When I am in a mixed gender gathering or outside of the home, I cover my entire body except my hands and face (ne = 266, nr = 226)

    

Agree

Ref

 < 0.05

Ref

0.22

Neutral

1.95 (0.83, 4.56)

 

1.26 (0.54, 2.96)

 

Disagree

0.52 (0.25, 1.07)

 

0.44 (0.16, 1.21)

 

Modesty: I have delayed seeking medical care when no woman doctor is available to see me (ne = 267, nr = 228)

    

Agree

Ref

 < 0.10

Ref

0.27

Neutral

0.43 (0.20, 0.93)

 

1.77 (0.74, 4.23)

 

Disagree

0.63 (0.33, 1.19)

 

0.99 (0.49, 2.01)

 

IDI: The breast should be ‘intact’ in my body so that I am complete when I leave this world (ne = 268, nr = 230)

    

Disagree

Ref

 < 0.10

Ref

0.25

Neutral

0.47 (0.24, 0.91)

 

0.65 (0.30, 1.40)

 

Agree

0.89 (0.50, 1.58)

 

0.60 (0.32, 1.12)

 

IDI: I prefer to go to my masseuse or traditional healer to screen for breast cancer (ne = 268, nr = 230)

    

Agree

Ref

 < 0.01

Ref

 < 0.10

Neutral

0.33 (0.16, 0.69)

 

0.48 (0.19, 1.23)

 

Disagree

0.30 (0.12, 0.81)

 

0.24 (0.05, 1.10)

 
  1. Ref Reference group. †One missing value. ‡41 missing values as only participants aged above 52 years old who are eligible for regular screening are included in this analysis. ne, sample size for ever gone. nr, sample size for regular mammogram. This table includes only variables with P-value < 0.10. Only these variables were considered in the final multivariable logistic regression analysis. HDB Housing Development Board. HBM Health Belief Model. PMIR Psychological Measure of Islam Religiousness. RHFQ Religious Health Fatalism Questionnaire. EHBM, Extended HBM. IDI, In-depth Interviews. HBM Perceived Barriers, Interpersonal is a composite score for 4 variables: i) I am afraid that I will be judged by my community if I go for mammogram, ii) It is difficult to find someone to take over my responsibilities at home if I have to go for mammogram, iii) It is difficult to find someone to accompany me for mammogram, and iv) I must ask my husband for permission before I go for mammogram. HBM Perceived Barriers, Structural is a composite score for 3 variables: i) Mammogram is expensive, ii) It is inconvenient for me to go to the clinic or hospital for mammogram, and iii) It is difficult for me to take time to go to the clinic or hospital for mammogram