Table 6.
Factors | OR | 95%CI | p-value | ORadj | 95%CI | p-value |
---|---|---|---|---|---|---|
Sex | ||||||
Male | 1.00 | |||||
Female | 0.63 | 0.40–1.02 | 0.061 | |||
Age (year) | ||||||
< 31 | 1.19 | 0.58–2.44 | 0.625 | |||
31–50 | 1.92 | 1.18–3.13 | 0.009a | |||
> 50 | 1.00 | |||||
Education | ||||||
Illiterate | 1.00 | |||||
Primary | 0.44 | 0.20–0.94 | 0.036a | |||
Secondary | 1.40 | 0.80–2.45 | 0.228 | |||
Tertiary | 0.97 | 0.45–2.07 | 0.945 | |||
Occupation | ||||||
Employed/retired | 1.00 | |||||
Unemployed | 2.03 | 1.00–4.12 | 0.049a | |||
Annual household income (NRsb) | ||||||
No income | 1.00 | |||||
< 1,00,000 | 0.82 | 0.46–1.46 | 0.505 | |||
≥ 1,00,000 | 0.72 | 0.38–1.35 | 0.310 | |||
Marital status | ||||||
Single | 1.10 | 0.44–2.73 | 0.824 | |||
Married | 0.87 | 0.44–1.71 | 0.697 | |||
Widow/ Divorced | 1.00 | |||||
Ethnicity | ||||||
Brahmin | 1.00 | |||||
Chhetri | 0.54 | 0.27–1.07 | 0.080 | |||
Madheshi | 0.33 | 0.15–0.73 | 0.006a | |||
Janjati | 0.35 | 0.19–0.65 | 0.001a | |||
Dalit | 0.36 | 0.13–0.97 | 0.045a | |||
Religion | ||||||
Hindu | 6.17 | 1.87–20.28 | 0.003a | |||
Buddhist | 1.33 | 0.28–6.26 | 0.716 | |||
Christian | 1.00 | |||||
Place of residence | ||||||
Village | 1.00 | 1.00 | ||||
City | 1.94 | 1.23–3.06 | 0.004a | 1.98 | 1.05–3.72 | 0.033a |
Duration of illness (years) | ||||||
< 1 | 2.93 | 1.84–4.69 | < 0.001a | |||
≥ 1 | 1.00 | |||||
Stages of CKD | ||||||
Stage I-IV | 4.42 | 2.74–7.13 | < 0.001a | 28.33 | 10.47–76.62 | < 0.001a |
Stage V | 1.00 | 1.00 | ||||
Taking hemodialysis | ||||||
Yes | 1.00 | 1.00 | ||||
No | 3.73 | 2.33–5.97 | < 0.001a | 3.70 | 1.83–7.51 | < 0.001a |
Duration of hemodialysis (months) | ||||||
< 10 | 1.00 | |||||
10–12 | 2.00 | 0.84–4.73 | 0.114 | |||
> 12 | 0.00 | 0.00 | 0.995 | |||
History of kidney transplantation | ||||||
Yes | 0.57 | 0.16–1.99 | 0.385 | |||
No | 1.00 | |||||
Taking to a hospital | ||||||
Family members | 1.00 | |||||
Others (myself)/friends | 3.00 | 1.74–5.19 | < 0.001a | |||
Support for medical expenses | ||||||
Family members | 1.00 | |||||
Myself/friends/others | 0.70 | 0.35–1.42 | 0.332 | |||
Having health insurance | ||||||
Yes | 2.82 | 1.65–4.82 | < 0.001a | 5.34 | 2.47–11.54 | < 0.001a |
No | 1.00 | 1.00 | ||||
Frequency to see a doctor per month | ||||||
Irregular | 3.73 | 2.33–5.97 | < 0.001a | |||
8–12 | 1.00 | |||||
Distance of hospital (km) | ||||||
< 10 | 1.00 | |||||
10–30 | 3.23 | 1.22–8.51 | 0.018a | |||
> 30 | 1.97 | 0.85–4.55 | 0.109 | |||
Medical expenses per visit (NRsb) | ||||||
< 1001 | 1.00 | 1.00 | ||||
1001-5000 | 1.02 | 0.59–1.76 | 0.919 | 0.43 | 0.17–1.03 | 0.061 |
> 5000 | 2.01 | 1.15–3.52 | 0.014a | 0.23 | 0.08–0.62 | 0.004a |
Facing problem for medical expenses | ||||||
Yes | 1.00 | 1.00 | ||||
No | 2.80 | 1.76–4.48 | < 0.001a | 2.66 | 1.47–4.81 | < 0.001a |
Hypertension | ||||||
Yes | 1.00 | |||||
No | 1.18 | 0.53–2.65 | 0.675 | |||
Diabetes mellitus | ||||||
Yes | 1.00 | |||||
No | 2.22 | 1.15–4.29 | 0.017a | |||
Heart disease | ||||||
Yes | 1.00 | |||||
No | 3.54 | 1.23–10.14 | 0.018a |
a Significant level at α = 0.05; bNRs Nepali rupees