Table 3.
Socio-demographic and clinical factors associated with delays among the study participants
| Characteristics | Median Patient delay (IQR)** | PR *(prevalence ratio) | 95% CI | P | Median Systems delay (IQR)** | PR* | 95% CI | P |
|---|---|---|---|---|---|---|---|---|
| Age group (in years) | ||||||||
| Age*** | 45 (15.00-120.00) | 1 | 0.99-1.02 | 0.675 | 19 (7.00-35.00) | 1 | 0.99-1.01 | 0.619 |
| Religion | ||||||||
| Hindu | 90 (60.0-255.0) | Ref | 27.5 (15.75-45.00) | Ref | ||||
| Muslims | 365 (360-365) | 0.7 | 0.35-1.39 | 0.314 | 32 (26.0-95.5) | 1.36 | 1.10-1.68 | 0.005 |
| Other | 37.5 (36.25-38.75) | 1.12 | 0.49-2.53 | 0.778 | 16 (15.5-16.5) | 0.67 | 0.44-2.23 | 0.983 |
| Caste | ||||||||
| Open | 75.5 (60.0-247.5) | Ref | 24 (14.5-33.5) | Ref | ||||
| OBC | 90 (60.0-365.0) | 0.93 | 0.67-1.3 | 0.69 | 31 (20.00-63.50) | 0.91 | 0.71-1.16 | 0.476 |
| SC/ST | 120 (60.0-135.0) | 0.86 | 0.52-1.39 | 0.532 | 35 (17-50) | 0.82 | 0.56-1.21 | 0.328 |
| Other | 60 (NA)# | 1 | - | - | 20 (20-20) | 1 | ||
| Education | ||||||||
| None | 60.5 (60.0-232.5) | 1.28 | 0.73-2.23 | 0.386 | 20 (14.50-31.50) | 0.67 | 0.40-1.11 | 0.12 |
| Primary education | 120 (60.0-315.0) | 1.35 | 0.82-2.23 | 0.241 | 33 (15.5-93.0) | 1.03 | 0.75-1.43 | 0.843 |
| Secondary education | 90 (60.0-272.5) | 1.15 | 0.68-1.95 | 0.603 | 24.5 (18.25-36.25) | 1.06 | 0.77-1.47 | 0.692 |
| HSC and Above | 90 (48.75-333.75) | Ref | 37 (28.5-66.0) | Ref | ||||
| Place of residence district | ||||||||
| <100 Kms distance | 60 (60.0-105.0) | 0.75 | 0.54-1.05 | 0.098 | 22 (13.75-37.25) | 0.93 | 0.73-1.19 | 0.593 |
| >100 Kms distance | 120 (60.0-365.0) | Ref | 32 (20.00-50.00) | Ref | ||||
| Socioeconomic class | ||||||||
| Upper class | 212.5 (136.2-288.8) | Ref | 96 (NA)# | Ref | ||||
| middle class | 95 (60.0-365.0) | 1.14 | 0.42-3.09 | 0.793 | 27 (19.0-39.5) | 2.9 | 0.53-15.90 | 0.22 |
| Lower class | 90 (60-120) | 1.21 | 0.44-3.35 | 0.711 | 29.5 (14.25-112.00) | 2.66 | 0.48-14.80 | 0.262 |
| Marital Status | ||||||||
| Unmarried/widow | 90 (60.0-150.0) | Ref | 24.5 (15.75-53.50) | Ref | ||||
| Married | 90 (60.0-365.0) | 0.79 | 0.53-1.18 | 0.259 | 29 (19.00-45.00) | 1.15 | 0.91-1.46 | 0.23 |
| How did you notice the symptoms | ||||||||
| Accidental findings | 90 (60.0-363.8) | 1.05 | 0.76-1.45 | 0.748 | 27 (19.00-47.50) | 1.22 | 0.93-1.61 | 0.143 |
| Other reasons | 90 (60.0-187.5) | Ref | 29.5 (14.25-43.75) | Ref | ||||
| First diagnosis at current facility | ||||||||
| Yes | 60 (60.0-120.0) | Ref | 19.5 (13.75-34.75) | Ref | ||||
| No | 120 (60.0-365.0) | 1.15 | 0.82-1.61 | 0.429 | 30 (20.00-63.00) | 1.23 | 0.93-1.63 | 0.148 |
| Number of visits to this health facility | ||||||||
| No of visits *** | 45 (15.00-120) | 0.98 | 0.91-1.06 | 0.699 | 19 (7.00-35.00) | 0.92 | 0.92-0.92 | 0 |
| Time required to travel to nearest health facility | ||||||||
| Time required in mins *** | 45 (15.00-120) | 1.003 | 1.002-1.003 | 0 | 19 (7.00-35.00) | 1.002 | 1.001-1.002 | 0 |
| Heard of breast cancer | ||||||||
| Yes | 120 (60.0-365.0) | Ref | 25 (15.25-40.00) | Ref | ||||
| No | 90 (60-225) | 1.26 | 0.93-1.71 | 0.133 | 32 (20.00-47.50) | 0.85 | 0.68-1.07 | 0.168 |
| Checked breast by SBE | ||||||||
| Yes | 240 (60.0-365.0) | Ref | 35 (28.0-105.0) | Ref | ||||
| No | 90 (60.0-195.0) | 0.73 | 0.54-0.99 | 0.042 | 25 (15.00-45.00) | 0.78 | 0.62-0.98 | 0.036 |
| Comorbidities | ||||||||
| Yes | 75 (60.0-180.0) | Ref | 33.5 (16.25-59.25) | Ref | ||||
| No | 90 (60.0-365.0) | 0.95 | 0.68-1.34 | 0.778 | 27 (17.50-42.50) | 1.21 | 0.88-1.66 | 0.243 |
| Number of children you have | ||||||||
| No. of children *** | 45 (15.00-120) | 1.17 | 1.12-1.21 | 0 | 19 (7.00-35.00) | 1.02 | 0.92-1.12 | 0.701 |
| Family history of breast cancer | ||||||||
| Yes | 90 (90-90) | Ref | 25 (17.0-34.5) | Ref | ||||
| No | 90 (60.0-360.0) | 1.69 | 0.83-3.47 | 0.15 | 29 (17.50-56.50) | 0.97 | 0.68-1.38 | 0.867 |
| Health insurance | ||||||||
| None | 90 (60.0-270.0) | Ref | 29.5 (16.75-46.25) | Ref | ||||
| govt | 180 (82.5-365.0) | 1.23 | 0.89-1.69 | 0.196 | 26.5 (15.00-74.25) | 0.97 | 0.72-1.29 | 0.819 |
| Private | 90 (60.0-105.0) | 1.17 | 0.72-1.92 | 0.51 | 25 (20.00-35.00) | 1.19 | 0.87-1.62 | 0.283 |
*Univariate analysis. **Interquartile range. ***continuous variable. #NA (single value, hence no IQR)