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Table 3 Factors associated with up-to-date attendance 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

Up-to-date attendance

N (%)

Univariate analysis

Multivariate analysis

cOR (95% CI)

p value

aOR (95% CI)

p value

Socio-demographic and behavioral variables

Age (years)

 ≤ 30

8 (20.5)

2.618 (0.872–7.853)

0.086

2.192 (0.632–7.597)

0.216

 31–40

57 (35.4)

5.559 (2.398–12.889)

< 0.001

4.861 (1.937–12.200)

0.001

 41–50

42 (31.6)

4.681 (1.984–11.043)

< 0.001

4.489 (1.777–11.344)

0.001

 > 50

7 (9.0)

1.000

 

1.000

 

Marital status

 Single

7 (43.8)

2.130 (0.762–5.953)

0.149

——

 

 Divorced/widowed

42 (27.6)

1.046 (0.663–1.648)

0.848

  

 Married/cohabiting

65 (26.7)

1.000

   

Occupational status

 Employed

52 (25.1)

0.768 (0.498–1.185)

0.233

——

 

 Unemployed

62 (30.4)

1.000

   

Education

 ≤ Primary

24 (17.0)

1.000

 

1.000

 

 Secondary

72 (31.7)

2.265 (1.345–3.811)

0.002

2.150 (1.214–3.806)

0.009

 Tertiary

18 (41.9)

3.510 (1.661–7.418)

0.001

1.958 (0.773–4.963)

0.157

Annual household income (CNY)

 < 30,000

67 (24.4)

1.000

 

1.000

 

 30,000–59,999

27 (31.0)

1.397 (0.821–2.376)

0.217

1.195 (0.661–2.159)

0.555

 ≥ 60,000

20 (40.8)

2.141 (1.137–4.031)

0.018

1.119 (0.516–2.428)

0.776

Health insurance

 UEBMI

19 (43.2)

4.275 (1.637–11.164)

0.003

4.386 (1.406–13.681)

0.011

 URBMI

29 (31.9)

2.631 (1.100–6.291)

0.030

2.166 (0.833–5.632)

0.113

 NRCMS

58 (26.0)

1.977 (0.880–4.442)

0.099

2.000 (0.843–4.741)

0.116

 Not covered by national schemes

8 (15.1)

1.000

 

1.000

 

Current smoker

 Yes

6 (15.0)

1.000

 

1.000

 

 No

108 (29.1)

2.327 (0.950–5.703)

0.065

3.130 (1.206–8.126)

0.019

Current use of contraception

 Yes

99 (28.7)

1.368 (0.735–2.547)

0.322

——

 

 No

15 (22.7)

1.000

   

Parity

 0

24 (37.5)

2.212 (1.167–4.193)

0.015

1.701 (0.812–3.566)

0.159

 1

58 (29.4)

1.539 (0.937–2.528)

0.089

1.144 (0.654–2.000)

0.638

 ≥ 2

32 (21.3)

1.000

 

1.000

 

Clinical variables related to HIV infection

Duration of ART (years)

 < 2

11 (13.6)

1.000

 

1.000

 

 ≥ 2

79 (30.6)

2.809 (1.411–5.592)

0.003

2.411 (1.129–5.151)

0.023

 No record

24 (33.3)

3.182 (1.426–7.100)

0.005

2.414 (0.964–6.041)

0.060

Most recent CD4 count (cells/µL)

 < 500

32 (21.2)

1.000

 

1.000

 

 ≥ 500

68 (31.6)

1.720 (1.059–2.793)

0.028

1.600 (0.933–2.744)

0.088

 No record

14 (31.1)

1.679 (0.800–3.527)

0.171

2.040 (0.785–5.306)

0.144

Most recent HIV VL (copies/mL)

 ≤ 50

98 (28.3)

2.569 (0.569–11.592)

0.220

——

 

 > 50

2 (13.3)

1.000

   

 No record

14 (28.0)

2.528 (0.504–12.667)

0.259

  
  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