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. 2022 Dec 13;31(12):1690–1702. doi: 10.1089/jwh.2022.0128

Table 3.

Multinomial Regression of Self-Reported Pandemic Impact on Gynecologic Care Access Among Women, N = 1,236

Covariate Reported impact on gynecologic care access,a N = 207
Does not have gynecologic care provider,a N = 213
Type III p-values for backward selection
OR 95% CI p OR 95% CI p
Sexual minority              
 No (ref)              
 Yes 1.47 0.98–2.19 0.063 1.55 0.99–2.41 0.054 0.053
Income              
 $100,000+ (ref)             0.031
 $0–$19,999 1.34 0.68–2.64 0.399 1.29 0.60–2.77 0.508  
 $20,000–$49,999 1.55 0.96–2.49 0.073 2.34 1.25–4.37 0.008  
 $50,000–$74,999 1.33 0.83–2.14 0.235 2.68 1.44–5.01 0.002  
 $75,000 to $99,999 1.06 0.63–1.77 0.832 1.65 0.83–3.28 0.154  
Employment status             0.004
 Employed (ref)              
 Unemployed 0.89 0.49–1.61 0.703 2.09 1.24–3.52 0.006  
 Other 1.03 0.65–1.64 0.888 2.09 1.32–3.33 0.002  
Relationship status             <0.001
 All others (ref)              
 Married/partnered 1.45 1.03–2.05 0.034 0.57 0.40–0.82 0.002  
Insurance             <0.001
 No insurance (ref)              
 Public payer 0.95 0.54–1.69 0.870 0.26 0.16–0.44 <0.001  
 Private payer 1.18 0.68–2.05 0.548 0.44 0.28–0.70 0.001  
 Other 1.67 0.56–5.00 0.358 0.26 0.06–1.08 0.064  
Up to date on cervical cancer screening             <0.001
 No (ref)              
 Yes 0.96 0.68–1.36 0.829 0.19 0.13–0.28 <0.001  
Perceived HPV-related cancer risk, mean score 1.19 1.04–1.37 0.011 0.80 0.69–0.94 0.006 <0.001
Last health care visit              
 More than 5 years (ref)             <0.001
 <1 year 1.60 0.76–3.40 0.220 0.27 0.16–0.45 <0.001  
 1–2 years 2.83 1.30–6.15 0.009 0.52 0.31–0.90 0.020  
 3–5 years 2.36 1.01–5.56 0.049 0.73 0.39–1.34 0.307  
Cancer history             0.007
 No (ref)              
 Yes 2.34 1.35–4.08 0.003 1.84 0.88–3.85 0.106  
a

The base category for the multinomial regression was that the COVID-19 pandemic had no impact on gynecologic care provider visits, N = 816.