Table 6.
Factors Associated with Catastrophic Health Expenditure (n=305)
| Independent Variables | CHE | COR (95% CI) | AOR (95% CI) | p-value AOR | ||
|---|---|---|---|---|---|---|
| Yes (%) | No (%) | |||||
| Type of facility | Public | 213(81) | 50(19) | 1** | -- | -- |
| Private | 24 (57) | 18(43) | 0.3(0.2, 0.6) | 0.46(0.15, 1.3) | 0.17 | |
| Residence | Addis Ababa | 79 (61) | 50(39) | 1 ** | -- | -- |
| Outside A.Aa | 158(89.7) | 18(10.3) | 5.6(3.0, 10.2) | 2.4(1.1, 5.4) | 0.03* | |
| Cycle of chemo-therapy | 1–4 | 101(68.2) | 47(31.2) | 1** | -- | |
| 5–8 | 107(86) | 18(14) | 2.77(1.5, 5.1) | 4.0(1.8, 8.9) | <0.01* | |
| ≥9 | 29(90.6) | 3(9.4) | 4.5(1.3, 15.5) | 5.6(1.3, 23.6) | 0.02* | |
| Insurance enrolment | CBHI b | 131(75.7) | 42(24.3) | 1** | -- | -- |
| Private | 25(58) | 18(42) | 0.4(0.2, 0.9) | 0.7(0.3, 1.8) | 0.50 | |
| No insurance | 81(91) | 8(9) | 3.2(1.5, 7.3) | 5.6(2.0, 16.2) | <0.01* | |
| Length of hospital stay in days | 1–21 | 82(66) | 43(34) | 1** | -- | -- |
| 22–41 | 86(82) | 19(18) | 2.4(1.3, 4.4) | 1.8(0.8, 3.9) | 0.10 | |
| ≥42 | 69(92) | 6(8) | 9.0(2.4, 15.1) | 3.5(1.2, 10.6) | 0.02* | |
| Distance from hospital(km) | 0–300 | 170(72) | 66(28) | 1** | -- | |
| 301–600 | 49(98) | 1(2) | 3.9(2, 7.8) | 2.2(0.5, 9.4) | 0.30 | |
| >600 | 19(95) | 1(5) | 19.9(4.7, 84) | 12(1.6, 94.5) | 0.02* | |
| Educational status | Illiterate | 37(88) | 5 | 1** | -- | -- |
| Elementary | 78(83) | 16(17) | 0.7(0.2, 1.9) | 2(0.5, 7.4) | 0.30 | |
| Secondary | 60(83) | 12(17) | 0.7(0.2, 2) | 1.7(0.4, 6.9) | 0.5 | |
| Higher education | 62(63.9) | 35(38) | 0.2(0.1, 0.7) | 1.3(0.3, 5.2) | 0.7 | |
| Household income quintile | Highest | 39 (63) | 23(37) | 1** | -- | |
| Fourth | 42 (67.7) | 20(32.3) | 1.2(0.6, 2.6) | 1.2(0.4, 3.4) | 0.7 | |
| Third | 49 (80) | 12(20) | 2.4(1.1, 5.4) | 2.5(0.8, 7.6) | 0.1 | |
| Second | 54 (87) | 8(13) | 4.0(1.6, 9.8) | 4.1(1.2, 14.3) | 0.03* | |
| Lowest | 53 (91) | 5(9) | 6.3(2.2, 17.9) | 9.8(2.5, 37.9) | 0.01* | |
Notes: *Significant association, **Reference group, aAddis Ababa, bCommunity based health insurance.