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Table 2 Factors associated with BPG prophylaxis adherence in quantitative survey participants

From: Health system and patient-level factors serving as facilitators and barriers to rheumatic heart disease care in Sudan

Variable

Unadjusted analysis

Adjusted analysis

Odds ratio

P value

Odds ratio

P value

Age (per year)a

0.98 (0.97–1.00)

0.020*

0.973 (0.952–0.995)b

0.015

Female gender (Ref male)

1.94 (1.14–3.29)

0.014*

^

^

Employment status

    

Employed

Reference

 

Reference

 

Unemployed

0.90 (0.45–1.82)

0.770

  

Homemaker

1.37 (0.81–2.34)

0.243

^

^

Student

0.96 (0.31–2.97)

0.946

  

Household monthly income

    

 < 2000 SDG (Sudanese Pound)

Reference

 

Reference

 

2000–3999 SDG

2.02 (1.26–3.25)

0.004*

^

^

4000–7999 SDG

0.66 (0.21–2.06)

0.475

^

^

 > 8000 SDG

-

-

-

-

Educational level

    

No formal schooling

Reference

 

Reference

 

Primary School

1.25 (0.73–2.13)

0.412

^

^

Secondary School

1.45 (0.80–2.65)

0.222

^

^

University

2.15 (1.07–4.30)

0.032*

^

^

# of People in Householda

1.00 (0.94–1.07)

0.931

^

^

# of Rooms in Householda

1.14 (0.99–1.32)

0.069

^

^

Urban/rural residence

    

Rural

Reference

 

Reference

 

Urban

1.20 (0.78–1.87)

0.409

^

^

Suburban

0.36 (0.14–0.90)

0.028*

^

^

Insured status (Ref uninsured)

0.90 (0.56–1.44)

0.658

^

^

History of carditis (self-reported)c

1.36 (0.86–2.15)

0.189

^

^

History of heart valve surgery

1.25 (0.82–1.90)

0.308

^

^

Distance to healthcare facility in kma

0.997 (0.994–1.000)

0.051

^

^

Wait-time at healthcare facility (per minute)a

0.997 (0.994–0.999)

0.004*

0.995 (0.992–0.999)b

0.006

Perceived adequate staffing at healthcare facility (ref inadequate staffing)

2.07 (1.16–3.71)

0.014*

3.47 (1.48–8.17)b

0.004

Transportation costsa

0.999 (0.997–1.001)

0.469

^

^

Treatment costs (per Sudanese Pound)a

1.013 (1.002–1.025)

0.022*

1.015 (1.002–1.028)b

0.025

Reported primary barrier to treatment

    

None listed

Reference

 

Reference

 

Cost of medicine/treatment

0.60 (0.23–1.56)

0.293

^

^

Cost of travel to receive care

0.47 (0.15–1.45)

0.188

^

^

Distance to nearest healthcare facility

0.61 (0.20–1.86)

0.387

^

^

Fear of injection pain

0.38 (0.10–1.40)

0.145

^

^

Lack of understanding of RHD

0.22 (0.08–0.56)

0.002*

0.32 (0.16–0.62)b

0.001

  1. a Continuous variable
  2. b Adjusted for age, treatment costs, and wait-time at healthcare facility
  3. c History of carditis was self-reported with clinical expertise assistance from research team members
  4. *p value < 0.05 in unadjusted analysis
  5. ^ Excluded from final model by variable selection procedure
  6. - Insufficient data for regression
  7. Unadjusted and adjusted odds ratios for factors associated with BPG prophylaxis in a cohort of 397 patients with RHD who completed a quantitative survey in Khartoum, Sudan