Factors associated with diagnostic delay (>30 days) among patients with oesophageal cancer from February 2019 to August 2020, Addis Ababa, Ethiopia (n=326)
| Patient characteristics | Diagnostic delay | Unadjusted | Adjusted | |||
| Yes (%) | No (%) | PR (95% CI) | P value | PR (95% CI) | P value | |
| Age of participants (years) | ||||||
| <35 | 17 (77.2) | 5 (22.8) | Reference | Reference | ||
| 35–44 | 33 (75.0) | 11 (25.0) | 0.94 (0.84 to 1.04) | 0.24 | 0.96 (0.86 to1.07) | 0.45 |
| 45–54 | 75 (87.2) | 11 (12.8) | 1.01 (0.92 to 1.09) | 0.92 | 1.02 (0.93 to 1.11) | 0.69 |
| >55 | 140 (80.5) | 34 (19.5) | 0.97 (0.89 to 1.05) | 0.45 | 0.97 (0.89 to 1.06) | 0.53 |
| Marital status of participants during the data collection time | ||||||
| Single | 78 (88.6) | 10 (11.4) | 1.80 (1.74 to 1.85) | 0.0001 | 1.2 (1=.1 to 2.10)** | 0.04 |
| Married | 189 (79.4) | 49 (20.6) | Reference | Reference | ||
| Monthly family income (US$) | ||||||
| <53 | 139 (82.7 | 29 (17.3) | 0.95 (0.89 to 1.01) | 0.11 | 0.98 (0.88 to 1.09) | 0.69 |
| 53–141 | 80 (74.8) | 27 (25.2) | 0.91 (0.85 to 0.99) | 0.008 | 0.91 (0.82 to 1.002) | 0.05 |
| 141.4–230 | 20 (80.0) | 5 (20.0) | 1.02 (0.95 to 1.09) | 0.57 | 1.01 (0.93 to 1.09) | 0.84 |
| >230 | 19 (73.1) | 7 (26.9) | Reference | Reference | ||
| Cost of one-way transport (US$) | ||||||
| <7 | 67 (73.6) | 24 (26.4) | Reference | |||
| >7 | 200 (85.1) | 35 (14.9) | 1.07 (1.06 to 1.13) | 0.03 | 1.2 (1.12 to 1.54)** | 0.04 |
| First medical consultation | ||||||
| Health post | 35 (87.5) | 5 (12.5) | 0.99 (0.94 to 1.07) | 0.96 | 1.01 (0.94 to 1.08) | 0.83 |
| Health centre | 123 (77.4) | 36 (22.6) | 0.93 (0.88 to 0.99) | 0.015 | 1.4 (1.2 to 2.30)** | 0.049 |
| Private clinic | 38 (88.4) | 5 (11.6) | 0.99 (0.94 to 1.06) | 0.78 | 1.01 (0.94 to 1.08) | 0.87 |
| Private hospital | 24 (72.7) | 9 (27.3) | 0.91 (0.82 to 1.002) | 0.054 | 0.92 (0.83 to 1.02) | 0.10 |
| Public hospital | 46 (90.2) | 5 (9.8) | Reference | Reference | ||
| Number of health facilities visited for diagnosis | ||||||
| <3 | 13 (72.2) | 5 (27.8) | Reference | Reference | ||
| 3–6 | 153 (80.5) | 37 (19.5) | 0.93 (0.87 to 0.99) | 0.02 | 0.93 (0.87 to 1.22) | 0.054 |
| 7–10 | 67 (81.7) | 15 (18.3) | 0.93 (0.87 to 1.004) | 0.06 | 0.94 (0.87 to 1.01) | 0.108 |
| >10 | 29 (82.9) | 6 (17.1) | 0.94 (0.86 to 1.026) | 0.17 | 0.94 (0.86 to 1.03) | 0.19 |
| Source of medical expenses | ||||||
| Free medical care | 57 (79.2) | 15 (20.8) | Reference | |||
| Government insurance | 11 (61.1) | 7 (38.9) | 0.90 (0.78 to 1.044) | 0.16 | 1.22 (1.13 to 2.40)* | 0.048 |
| Out of pocket | 199 (84.3) | 37 (15.7) | 1.03 (0.97 to 1.09) | 0.34 | 1.03 (0.98 to 1.09) | 0.26 |
*level of confidence
PR, prevalence ratio.