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. 2021 Dec 14;11(11):2476–2488. doi: 10.34172/ijhpm.2021.171

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.