Table 4. Factors Associated With Dropout From Social Health Insurance in Bivariate and Multivariate Analyses .
Explanatory Variables | uOR (95% CI) | aOR (95% CI) |
Household size | ||
>5 members | 1.73 (1.08-2.78) | 2.19 (1.22-3.94)a |
≤5 members | Reference | Reference |
Gender of household head | ||
Female | 1.93 (1.20-3.11) | 1.49 (0.79-2.80) |
Male | Reference | Reference |
Ethnicity | ||
Underprivileged ethnic group | 1.74 (0.94-3.22) | 2.36 (1.08-5.17)a |
Privileged ethnic group | Reference | Reference |
Home ownership | ||
Rented | 3.12 (1.61-6.06) | 4.53 (1.87-10.95)b |
Self-owned | Reference | Reference |
Presence of family member with chronic illness | ||
No | 1.93 (1.20-3.12) | 1.95 (1.07-3.59)a |
Yes | Reference | Reference |
Perceived health status of the family | ||
Good | 3.02 (1.15-7.95) | 4.21 (1.21-14.65)a |
Poor | Reference | Reference |
Health facility as a first contact point | ||
Private | 2.17 (1.35-3.50) | 3.75 (1.93-7.27)b |
Public | Reference | Reference |
Waiting time | ||
>60 min | 0.24 (0.08-0.66) | 0.34 (0.10-1.22) |
30-60 min | 0.48 (0.17-1.37) | 0.87 (0.24-3.24) |
<30 min | Reference | Reference |
Availability of services under SHI | ||
Not available frequently | 2.16 (1.24-3.77) | 1.60 (0.78-3.28) |
Frequently available | Reference | Reference |
Availability of drugs under SHI | ||
Not available frequently | 6.94 (2.10-22.99) | 4.75 (1.19-18.95)a |
Frequently available | Reference | Reference |
Perceived behaviour of service providers | ||
Unfriendly | 7.29 (3.31-16.02) | 3.09 (1.01-9.49)a |
Acceptable (average) | 5.80 (2.49-13.50) | 2.03 (0.77-5.36) |
Friendly | Reference | Reference |
Perceived quality of services | ||
Not satisfactory | 2.61 (1.35-5.04) | 1.75 (0.76-4.06) |
Satisfactory | Reference | Reference |
Satisfaction with opening hours of health facility | ||
Not satisfactory | 2.62 (1.32-5.18) | 1.26 (0.49-3.25) |
Satisfactory | Reference | Reference |
Affordability of premium | ||
Difficult to afford | 1.92 (1.15-3.22) | 1.37 (0.74-2.53) |
Affordable | Reference | Reference |
Abbreviations: uOR, unadjusted odds ratio; aOR, adjusted odds ratio; CI, confidence interval; SHI, social health insurance.
a P < .05, bP < .001; aOR is adjusted for all variables in the table.