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Table 2 Factors associated with awareness of cervical cancer screening

From: Awareness, attendance, and attitudes toward cervical cancer screening among HIV-positive Chinese women in Yunnan province: a cross-sectional study

Variables

Awareness

N (%)

Univariate analysis

Multivariate analysis

cOR (95% CI)

p value

aOR (95% CI)

p value

Socio-demographic and behavioral variables

Age (years)

 ≤ 30

32 (82.1)

4.343 (1.713–11.013)

0.002

2.365 (0.758–7.374)

0.138

 31–40

121 (75.2)

2.874 (1.625–5.082)

< 0.001

1.989 (0.967–4.092)

0.062

 41–50

94 (70.7)

2.290 (1.282–4.090)

0.005

1.536 (0.766–3.080)

0.227

 > 50

40 (51.3)

1.000

 

1.000

 

Marital status

 Unmarrieda

125 (74.4)

1.453 (0.939–2.251)

0.094

1.522 (0.886–2.614)

0.128

 Married/cohabiting

162 (66.7)

1.000

 

1.000

 

Occupational status

 Employed

138 (66.7)

0.738 (0.483–1.127)

0.160

——

 

 Unemployed

149 (73.0)

1.000

   

Education

 ≤ Primary

71 (50.4)

1.000

 

1.000

 

 Secondary

176 (77.5)

3.402 (2.161–5.357)

< 0.001

2.587 (1.545–4.333)

< 0.001

 Tertiary

40 (93.0)

13.146 (3.886–44.474)

< 0.001

5.162 (1.339–19.906)

0.017

Annual household income (CNY)

 < 30,000

176 (64.0)

1.000

 

1.000

 

 30,000–59,999

65 (74.7)

1.662 (0.966–2.859)

0.066

1.233 (0.667–2.280)

0.503

 ≥ 60,000

46 (93.9)

8.625 (2.615–28.453)

< 0.001

3.130 (0.874–11.217)

0.080

Health insurance

 UEBMI

37 (84.1)

2.954 (1.104–7.900)

0.031

1.885 (0.583–6.095)

0.290

 URBMI

76 (83.5)

2.831 (1.287–6.230)

0.010

2.454 (0.950–6.338)

0.064

 NRCMS

140 (62.8)

0.943 (0.505–1.759)

0.853

1.038 (0.499–2.156)

0.921

 Not covered by national schemes

34 (64.2)

1.000

 

1.000

 

Current smoker

 Yes

27 (67.5)

1.000

 

——

 

 No

260 (70.1)

1.128 (0.561–2.266)

0.736

  

Current use of contraception

 Yes

251 (72.8)

2.225 (1.298–3.816)

0.004

1.673 (0.865–3.235)

0.126

 No

36 (54.5)

1.000

 

1.000

 

Parity

 0

54 (84.4)

4.478 (2.121–9.456)

< 0.001

2.096 (0.872–5.041)

0.098

 1

151 (76.6)

2.722 (1.717–4.315)

< 0.001

1.554 (0.895–2.697)

0.117

 ≥ 2

82 (54.7)

1.000

 

1.000

 

Clinical variables related to HIV infection

Duration of ART (years)

 < 2

45 (55.6)

1.000

 

1.000

 

 ≥ 2

195 (75.6)

2.476 (1.469–4.174)

0.001

1.906 (1.005–3.612)

0.048

 No record

47 (65.3)

1.504 (0.782–2.892)

0.221

1.216 (0.523–2.827)

0.650

Most recent CD4 count (cells/µL)

 < 500

97 (64.2)

1.000

 

1.000

 

 ≥ 500

163 (75.8)

1.745 (1.106–2.754)

0.017

1.236 (0.712–2.147)

0.451

 No record

27 (60.0)

0.835 (0.422–1.653)

0.605

0.997 (0.253–3.920)

0.996

Most recent HIV VL (copies/mL)

 ≤ 50

250 (72.3)

3.906 (1.354–11.269)

0.012

3.144 (0.787–12.557)

0.105

 > 50

6 (40.0)

1.000

 

1.000

 

 No record

31 (62.0)

2.447 (0.752–7.967)

0.137

2.995 (0.536–16.748)

0.212

  1. aOR adjusted odds ratio, ART antiretroviral therapy, CD4 cluster of differentiation 4, CI confidence interval, CNY Chinese Yuan, cOR crude odds ratio, HIV human immunodeficiency virus, NRCMS new rural cooperative medical scheme, UEBMI urban employee basic medical insurance, URBMI urban resident basic medical insurance, VL viral load
  2. aThe unmarried category is composed of single and divorced/widowed to avoid zero-cell count