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Table 5 Logistic Model estimating likelihood of incurring catastrophic health expenditure (n = 1773)

From: “It is like an umbrella covering you, yet it does not protect you from the rain”: a mixed methods study of insurance affordability, coverage, and financial protection in rural western Kenya

Characteristic

Unadjusted Estimates

Adjusted Estimates

ORa

95% CIa

p-value

ORa

95% CIa

p-value

Age

      

  18–24

0.33

(0.11, 0.79)

0.024

0.51

(0.15, 1.47)

0.2

  25–44

0.29

(0.19, 0.45)

 < 0.001

0.53

(0.28, 1.01)

0.052

  45–64

0.53

(0.35, 0.80)

0.003

0.90

(0.53, 1.54)

0.7

  ˃64

  

  

Sex

      

  Female

  

  

  Male

1.03

(0.72, 1.44)

0.9

1.54

(0.99, 2.38)

0.053

Marital status

      

  Divorced/separated

  

  

  Married/ living together

0.89

(0.49, 1.75)

0.7

1.06

(0.53, 2.30)

0.9

  Never married/never lived together

0.82

(0.31, 2.04)

0.7

0.95

(0.33, 2.67)

 > 0.9

  Widowed

1.55

(0.82, 3.13)

0.2

0.88

(0.40, 2.04)

0.8

Ever attended school

      

  Yes

0.56

(0.39, 0.81)

0.002

0.90

(0.54, 1.52)

0.7

  No

  

  

Have health insurance

      

  Yes

0.41

(0.18, 0.80)

0.017

0.40

(0.17, 0.85)

0.027

  No

  

  

Wealth quintile

      

  Q1

  

  

  Q2

0.78

(0.50, 1.20)

0.3

0.90

(0.54, 1.48)

0.7

  Q3

0.49

(0.29, 0.79)

0.004

0.55

(0.30, 0.98)

0.044

  Q4

0.24

(0.12, 0.43)

 < 0.001

0.34

(0.16, 0.70)

0.004

  Q5

0.25

(0.13, 0.44)

 < 0.001

0.42

(0.18, 0.96)

0.044

Below poverty line

      

  Yes

3.73

(2.56, 5.56)

 < 0.001

3.14

(1.84, 5.51)

 < 0.001

  No

  

  

Member of financial group chama

      

  Yes

1.03

(0.73, 1.44)

0.9

1.47

(0.96,2.22)

0.71

  No

  

  

Admitted last 12 m

      

  Yes

3.75

(2.31, 5.91)

 < 0.001

3.18

(1.78, 5.55)

 < 0.001

  No

  

  

Outpatient visits last 4w

      

  Yes

3.72

(2.94, 4.75)

 < 0.001

4.09

(3.13, 5.39)

 < 0.001

  No

     

Presence of chronic ailment

      

  Yes

1.98

(1.41, 2.81)

 < 0.001

1.43

(0.94, 2.17)

0.10

  No

  

  
  1. aOR Odds Ratio(natural odds), CI Confidence Interval