Healthcare-seeking behavior among pregnant women in the Chinese hierarchical medical system: a cross-sectional study

Liu, Guihao; Xue, Yunlian; Qian, Zhenzhu; Yang, Liuna; Yang, Yunbin; Geng, Qingshan; Wang, Xin

doi:10.1186/s12939-019-1037-8

International Journal for Equity in Health

Table 2 Multinomial logistic regression analysis of factors associated with pregnant women attending different levels of hospital in Guangdong, China (n = 1393)

From: Healthcare-seeking behavior among pregnant women in the Chinese hierarchical medical system: a cross-sectional study

	Secondary vs primary hospital			Tertiary vs primary hospital
	B	P-value	OR [95% CI]	B	P-value	OR [95% CI]
Overall	−1.551	0.035		1.602	0.016
Distance to hospital, vs > 10 km
< 5 km	−0.296	0.148	0.74 [0.50,1.11]	− 0.490	0.022	0.61 [0.40,0.93]
5–10 km	−0.419	0.032	0.66 [0.45,0.96]	−0.474	0.017	0.62 [0.42,0.92]
Waiting time to see the doctor, vs > 60 min
< 15 min	−0.435	0.385	0.65 [0.24,1.73]	−1.731	< 0.001	0.18 [0.07,0.44]
15–30 min	0.037	0.939	1.04 [0.40,2.70]	− 0.642	0.139	0.53 [0.23,1.23]
31–60 min	0.528	0.304	1.7 [0.62,4.63]	−0.170	0.713	0.84 [0.34,2.09]
Mode of transport vs on foot
Private car	0.024	0.900	1.02 [0.71,1.49]	0.419	0.059	1.52 [0.98,2.35]
Public transport	−0.117	0.547	0.89 [0.61,1.3]	0.735	0.001	2.09 [1.35,3.22]
Taxi	−0.037	0.904	0.96 [0.53,1.75]	0.982	0.002	2.67 [1.45,4.92]
Annual per capita household income, < vs ≥ 50,000¥	0.281	0.064	1.32 [0.98,1.78]	−0.277	0.082	0.76 [0.56,1.04]
Urban vs rural living	0.328	0.033	1.39 [1.03,1.88]	0.456	0.006	1.58 [1.14,2.18]
Planned pregnancy, yes vs no	0.072	0.659	1.08 [0.78,1.48]	0.424	0.020	1.53 [1.07,2.19]
History of complicated pregnancy, yes vs no	0.456	0.101	1.58 [0.92,2.72]	0.852	0.001	2.35 [1.43,3.86]
Necessity for maternal healthcare, yes vs no	0.549	0.019	1.73 [1.1,2.74]	−0.239	0.268	0.79 [0.52,1.20]
Previously participated in medical examination before pregnancy, yes vs no	0.187	0.190	1.21 [0.91,1.59]	0.108	0.473	1.11 [0.83,1.50]
Number of previous pregnancies, vs ≥ 3
1	0.466	0.224	1.59 [0.75,3.38]	0.143	0.729	1.15 [0.51,2.59]
2	0.585	0.070	1.80 [0.95,3.38]	0.674	0.058	1.96 [0.98,3.94]
Number of prior abortions, vs ≥ 2
None	0.709	0.140	2.03 [0.79,5.2]	−0.526	0.239	0.59 [0.25,1.42]
1	0.768	0.067	2.16 [0.95,4.90]	−0.939	0.014	0.39 [0.19,0.83]
Age, < 35 vs ≥ 35 years	−0.351	0.271	0.70 [0.38,1.32]	−0.975	0.001	0.38 [0.21,0.68]
Decision-making power of delivery, yes vs no	0.369	0.043	1.45 [1.01,2.07]	0.221	0.254	1.25 [0.85,1.82]
Highest education level, vs college or above
Junior high school or below	−0.687	0.001	0.5 [0.34,0.75]	−1.171	< 0.001	0.31 [0.2,0.49]
High school	−0.779	< 0.001	0.46 [0.33,0.65]	−0.966	< 0.001	0.38 [0.27,0.55]

Note. B Estimated multinomial logistic regression coefficients for the models; CI Confidence interval, OR Odds ratio

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