Table 3.
Determinants of delay in reaching an appropriate health facility from onset of symptoms among acute cardiac and stroke deaths in District Faridabad.
Parameter | Within 1 h N = 47, n (%) | After 1 h N = 388, n (%) | Crude OR (95%CI) | Adjusted OR (95%CI) |
---|---|---|---|---|
Age in years | ||||
≤60 | 28 (12.1) | 204 (87.9) | 0.75 (0.41–1.39) | 0.80 (0.41–1.57) |
>60 | 19 (9.4) | 184 (90.6) | Reference | Reference |
Gender | ||||
Male | 34 (11.6) | 259 (88.4) | 0.77 (0.39–1.50) | 1.10 (0.51–2.36) |
Female | 13 (9.2) | 129 (90.9) | Reference | Reference |
Place of residence | ||||
Rural | 10 (8.9) | 102 (91.1) | Reference | Reference |
Urban | 37 (11.5) | 286 (88.5) | 0.76 (0.36–1.58) | 2.70 (0.91–7.97) |
Education of head of the family | ||||
Primary & illiterate | 13 (6.2) | 196 (93.8) | Reference | Reference |
Above primary | 34 (15.0) | 192 (85.0) | 0.37 (0.19–0.73) | 0.52 (0.24–1.11) |
Occupation of head of family | ||||
Professional/semi-professional/clerical | 21 (14.5) | 124 (85.5) | 0.58 (0.31–1.07) | 0.60 (0.31–1.16) |
Skilled/semi-skilled/unskilled worker | 26 (9.0) | 264 (91.0) | Reference | Reference |
Monthly family income (INR) | ||||
≤270 US$ | 14 (6.2) | 213 (93.8) | Reference | Reference |
>270 US$ | 33 (15.9) | 175 (84.1) | 0.35 (0.18–0.67) | 0.44 (0.21–0.93) |
Type of Family | ||||
Nuclear | 16 (11.4) | 125 (88.7) | Reference | Reference |
Joint | 31 (10.5) | 263 (89.5) | 1.09 (0.57–2.06) | 1.56 (0.75–3.23) |
Own a transport vehicle | ||||
Four-wheeler/Two-wheeler | 42 (12.2) | 302 (87.8) | 0.42 (0.16–1.09) | 0.63 (0.22–1.81) |
None | 5 (5.5) | 86 (94.5) | Reference | Reference |
Health insurance status | ||||
Private/Govt. insurance | 27 (13.2) | 177 (86.8) | 0.62 (0.34–1.15) | 0.87 (0.44–1.69) |
None | 20 (8.7) | 211 (91.3) | Reference | Reference |
Time of onset of symptom | ||||
6:00 am–9:59 pm | 31 (9.5) | 296 (90.5) | 1.66 (0.87–3.17) | 1.42 (0.71–2.85) |
10:00 pm–5:59 am | 16 (14.8) | 92 (85.2) | Reference | Reference |
Distance to Appropriate Health Facility (in km), median (IQR) | 4.1 (2.2, 6.8) | 5.2 (3.1, 7.8) | 1.10(1.01–1.20) | 1.12 (1.01–1.25) |
Consulted a local practitioner | ||||
Yes | 4 (4.7) | 82 (95.4) | 2.88 (1.01–8.26) | 2.39 (0.79–7.21) |
No | 43 (12.3) | 306 (87.7) | Reference | Reference |