Research Article

Determinants of Patient Delay in Seeking Diagnosis and Treatment among Moroccan Women with Cervical Cancer

Table 5

Association between knowledge and practice and patient delay identified by multivariate analysis.

Categorial variables≤90
()
>90
()
Univariate analysis
Multivariate analysis
(%) (%)OR95% CIOR95% CI

Previously heard about cervical cancer
Yes155 (75.6)50 (24.4)
No24 (12.2)172 (87.8)22.217[13.039–37.855]2.707[0.834–8.753]0.098
Knowledge of symptoms
Abnormal vaginal bleeding (between periods, after sex, postmenopausal)
 Yes141 (89.8)16 (10.2)0.020[0.011–0.038]0.069[0.020–0.231]
 No37 (15.2)206 (84.4)
Vaginal discharge
 Yes60 (84.5)11 (15.5)
 No119 (36.1)211 (63.9)9.969[4.894–19.102]0.874[0.284–2.692]0.814
Pain (painful sex, pelvic pain, dysuria)
 Yes93 (89.4)11 (10.6)
 No86 (29)211 (71)20.743[10.579–40.673]1.956[0.483–7.926]0.347
Knowledge of causes
Yes40 (95.2)2 (4.8)0.032[0.008–0.133]0.094[0.016–0.546]
No139 (38.7)220 (61.3)
Knowledge of Screening program
Yes142 (73.2)52 (26.8)
No37 (17.9)170 (82.1)12.546[7.788–20.210]0.861[0.262–2.829]0.805
Knowledge of transmission mode
Yes83 (79.8)21 (20.2)
No96 (32.3)201 (67.7)8.275[4.837–14.157]0.687[0.258–1.831]0.453
Knowledge of treatment
Yes138 (51.7)129 (48.3)
No41 (30.6)93 (69.4)2.426[1.564–3.762]0.488[0.225–1.057]0.069
History of pap smear
Never37 (15.7)199 (84.3)
More than 3 years86 (81.9)19 (18.1)0.041[0.022–0.075]0.629[0.168–2.361]0.492
During last 3 years56 (93.3)4 (6.7)0.013[0.005–0.039]0.338[0.064–1.792]0.202
Gynecological examination during last 3 years
Yes149 (84.2)28 (15.8)
No30 (13.4)194 (86.6)34.412[19.705–60.095]4.517[1.295–15.762]
Practice of screening test
Yes63 (87.5)9 (12.5)
No116 (35.3)213 (64.7)12.836[6.162–26.737]2.430[0.757–7.804]0.136

Model included variables that were significant on univariate analyses at (0.20 level).
significant at value ≤ 0.05.