Table 3: Relationship between tuberculosis patient characteristics and delay in seeking health care, Republic of Armenia, September 2006–August 2007.

Characteristic 𝑁 = 2 1 8 Delayed (%) c O R a 95% C I a a O R a b 95% CI M o d e l c

Gender1
 Male19273 (38)1.27(0.64, 2.51)
 Female4816 (33.3)1

Age1
 0–244417 (38.6)1
 25–345016 (32)0.75(0.32, 1.75)
 35–444921 (42.9)1.19(0.52, 2.73)
 45–544622 (47.8)1.46(0.63, 3.37)
552913 (44.8)1.29(0.5, 3.34)

Marz1
 Aragatsotn135 (2.3)0.84(0.25, 2.87)
 Ararat2812 (5.5)1.01(0.41, 2.49)
 Armavir2713 (6)1.25(0.5, 3.1)
 Gegarkunik, Syuniq, & Vayots Dzor*187 (3.2)0.86(0.29, 2.51)
 Lori & Shirak*205 (2.3)0.45(0.16, 1.29)
 Kotayk3415 (6.9)1.06(0.46, 2.48)
 Tavush166 (2.8)0.81(0.26, 2.51)
 Yerevan6126 (11.9)1

Education1
 None/Elementary school199 (4.1)0.98(0.29, 3.31)
 Middle school9935 (16.1)0.6(0.24, 1.49)
 High school7734 (15.6)0.86(0.34, 2.19)
 University2311 (5)1

Marital status1
 Not married7228 (12.8)0.85(0.47, 1.53)
 Married12654 (24.8)1
 Divorced145 (2.2)0.74(0.23, 2.34)
 Live separately0000
 Widow62 (1)0.67(0.12, 3.77)

Employment status1
 Unemployed17974 (33.9)1.15(0.56, 2.33)
 Employed3915 (6.9)1

Payment policy change**1
 Before11346 (40.7)0.99(0.58, 1.7)
 After10543 (41)1

Type of facility where first sought care2
 Public16668 (41)0.86(0.38, 1.97)
 Private2712 (44.4)1

Symptoms2
 Cough16471 (43.3)1.53(0.80, 2.91)
 Fever15366 (43.1)1.39(0.76, 2.52)
 Hemoptysis4115 (36.6)0.8(0.4, 1.62)
 Fatigue16075 (46.9)2.77(1.41, 5.46)2.47(1.15, 5.29)
 Night sweats15161 (40.4)0.94(0.53, 1.69)0.48(0.24, 0.96)
 Weight loss15073 (48.7)3.08(1.62, 5.88)2.99(1.46, 6.14)
 Headaches/Dizziness72 (28.6)0.57(0.05, 3.59)
 Abdominal discomfort149 (64.3)2.79(0.90, 8.63)
 Insomnia53 (60)2.22(0.25, 26.94)
 Chest pain125 (41.7)1.04(0.25, 3.94)
 Back pain126 (50)1.48(0.38, 5.74)
 Leg Pain21 (50)1.46(0.09, 23.56)
 Other symptoms178 (47.1)1.32(0.49, 3.56)

Known contact with a TB case2
 Yes4724 (51.1)1.7(0.89, 3.26)
 No17165 (38)1

Reasons for delayed medical evaluation2
 Thought not serious10241 (40.2)0.95(0.55, 1.64)
 Thought something else3017 (56.7)2.11(0.97, 4.59) 2 . 6 3 (1.13, 6.12)
 Did not know where to go43 (75)6.02(0.58, 298.9)
 Did not have time104 (40)0.96(0.19, 4.21)
 Could not afford1410 (71.4)3.96(1.2, 13.04)3.13(0.93, 10.58)
 Did not want to go54 (80)6.02(0.58, 298.9)
 Fear of stigma31 (33)0.72(0.01, 14.08)

a Crude Odds Ratio, 95% Confidence Interval, and Adjusted Odds Ratios.
b Adjusted for the other variables in the logistic regression model.
c Backwards elimination model in which the variable was included.
*Stratification by marz produced < 5 cell counts in some cases. Where this occurred, marzes were combined with the nearest neighboring marz.
** As of January 1, 2007, all TB diagnostic and treatment services are free to the patient.
Significant at 𝛼 = . 0 5 .