Table 3.

Multivariable multinomial logistic regression model for factors associated with time from symptom onset to diagnosis among 4949 visceral leishmaniasis patients reported from January 2018 to July 2019 in Bihar State.

Characteristic	Duration of symptoms prior to VL diagnosis
	30-59 days		60-89 days		≥90 days
	aOR1 (95%CI)	p-value	aOR (95%CI)	p-value	aOR (95%CI)	p-value
Active Case Detection	0.88 (0.77-1.00)	0.06	0.56 (0.47-0.68)	<0.0001	0.42 (0.34-0.53)	<0.0001
Passive Case Detection	Referent		Referent		Referent
Age group
<15 years	0.69 (0.58-0.82)	<0.0001	0.64 (0.51-0.81)	0.0001	0.45 (0.34-0.58)	<0.0001
15 to 35 years	0.86 (0.73-1.01)	0.06	0.88 (0.71-1.09)	0.24	0.70 (0.56-0.89)	0.003
>35 years	Referent		Referent		Referent
Male	0.93 (0.82-1.06)	0.29	0.81 (0.68-0.97)	0.03	1.02 (0.83-1.26)	0.82
Female	Referent		Referent		Referent
Marginalized castes	1.28 (1.11-1.47)	0.0005	1.07 (0.88-1.29)	0.49	1.22 (0.98-1.51)	0.08
Non-marginalized castes	Referent		Referent		Referent
HIV-positive	0.91 (0.62-1.32)	0.61	1.28 (0.82-2.01)	0.28	1.89 (1.23-2.90)	0.004
HIV-negative	Referent		Referent		Referent

Eighty-nine patients with data missing for one or more variables are excluded from the model. Time intervals of 30-59, 60-89 and ≥90 days are compared to diagnosis <30 days after onset.

¹Odds ratio adjusted for all listed variables.