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Table 4 Factors associated with pre-treatment intervals:

From: Diagnostic and pre-treatment intervals among patients with cervical cancer attending care at the Uganda Cancer Institute: a cross-sectional study

Factor

Early Treatment

(PTI ≤ 1 month)

n = 81 (20.1%)

Late Treatment (PTI > 1 month)

n = 322 (79.9%)

Unadjusted Prevalence Ratio (95%CI)

Adjusted Prevalence Ratio (95%CI)

Age/years

    

< 40

11 (13.9)

68 (86.1)

1.00

1.00

40-<50

28 (21.5)

102 (78.5)

1.54 (0.82–2.93)

1.80 (0.97–3.34)

50-<60

19 (17.6)

89 (82.4)

1.26 (0.64–2.50)

1.25 (0.66–2.38)

≥ 60

23 (26.7)

63 (73.3)

1.92 (1.00-3.68)

2.44 (1.18–5.03)*

Region of country patient comes from

    

Central

46 (26.0)

131 (74.0)

1.00

1.00

Eastern

14 (14.7)

81 (85.3)

0.57 (0.32–0.98)

0.54 (0.28–1.03)

Northern

5 (12.8)

34 (87.2)

0.49 (0.21–1.16)

0.67 (0.21–2.17)

Western

16 (17.4)

76 (82.6)

0.67 (0.40–1.11)

0.68 (0.31–1.51)

Marital Status

    

Single

6 (30.0)

14 (70.0)

1.00

1.00

Divorced

15 (25.4)

44 (74.6)

0.85 (00.38–1.89)

0.86 (0.40–1.87)

Married

34 (17.0)

166 (83.0)

0.57 (0.27–1.18)

0.59 (0.29–1.18)

Widowed

26 (21.0)

98 (79.0)

0.69 (0.33–1.48)

0.67 (0.31–1.43)

Residence

    

Rural

40 (17.8)

185 (82.2)

1.00

1.00

Urban

41 (23.0)

137 (77.0)

1.30 (0.88–1.91)

1.05 (0.67–1.64)

Education

    

None

19 (22.1)

67 (77.9)

1.00

1.00

Primary

27 (18.1)

122 (81.9)

0.82 (0.49–1.39)

0.67 (0.39–1.15)

Secondary

24 (19.2)

101 (80.8)

0.87 (0.51–1.49)

0.75 (0.39–1.42)

Tertiary

11 (25.6)

32 (74.4)

1.16 (0.61–2.21)

1.08 (0.51–2.29)

Formal employment Status

    

Unemployed

55 (19.2)

232 (80.8)

1.00

1.00

Employed

26 (22.4)

90 (77.6)

1.17 (0.77–1.77)

1.08 (0.67–1.74)

Prior Information on Cervical cancer

    

No

8 (12.5)

56 (87.5)

1.00

 

Yes

73 (21.5)

266 (78.5)

1.72 (0.87–3.40)

1.88 (0.95–3.69)

Family History of Cervical cancer

    

No/Don’t know

72 (19.4)

300 (80.6)

1.00

1.00

Yes

9 (29.0)

22 (71.0)

1.50 (0.83–2.70)

1.61 (0.88–2.97)

Level of Referring health facility (HF)

    

Level0(Self-referral)

17 (24.3)

53 (75.7)

1.00

1.00

Private Clinics

3 (12.0)

22 (88.0)

0.49 (0.16–0.37)

0.79 (0.25–2.48)

Level4 (HCIVs)

3 (14.3)

18 (85.7)

0.59 (0.19–1.82)

0.70 (0.22–2.26)

Level5 (DHs)

9 (17.3)

43 (82.7)

0.71 (0.35–1.47)

0.81 (0.38–1.74)

Level6 (RRHs)

20 (14.0)

123 (86.0)

0.58 (0.322–1.03)

0.65 (0.35–1.22)

Level7 (NRHs)

29 (31.5)

63 (68.5)

1.30 (0.78–2.17)

1.36 (0.79–2.35)

Distance to UCI

    

0-<100 km

34 (23.9)

108 (76.1)

1.00

1.00

100-<200 km

18 (20.9)

68 (79.1)

0.87 (0.53–1.45)

1.50 (0.89–2.55)

200-<300 km

17 (19.1)

72 (80.9)

0.80 (0.48–1.34)

1.98 (0.90–4.36)

≥ 300 km

12 (13.9)

74 (86.1)

0.58 (0.32–1.06)

1.30 (0.55–3.06)

No of Pre-referral Visits

    

≤ 2 times

22 (25.3)

65 (74.7)

1.00

1.00

> 2times

59 (18.7)

257 (81.3)

0.74 (0.48–1.13)

0.63 (0.41–0.98)*

Composite stage

    

I/II

52 (21.5)

190 (78.5)

1.00

1.00

III/IV

29 (18.0)

132 (82.0)

0.81 (0.56–1.26)

0.76 (0.50–1.15)

Duration before seeking care

    

< 3months

32 (39.5)

123 (38.2)

1.00

1.00

3-6months

12 (14.8)

85 (26.4)

0.59 (0.32–1.11)

0.52 (0.29–0.95)*

> 6months

37 (45.7)

114 (35.4)

1.19 (0.78–1.80)

1.19 (0.78–1.82)

  1. UCI = Uganda Cancer Institute
  2. Bold *=Significant at multivariate level with P < 0.05. All factors in the table were adjusted for each other