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 | (%) | (%) | OR | 95% CI | | OR | 95% CI | |
| Previously heard about cervical cancer | | | | | | | | | Yes | 155 (75.6) | 50 (24.4) | | | | | | | No | 24 (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) | | | | | | | | | Yes | 141 (89.8) | 16 (10.2) | 0.020 | [0.011–0.038] | | 0.069 | [0.020–0.231] | | No | 37 (15.2) | 206 (84.4) | | | | | | | Vaginal discharge | | | | | | | | | Yes | 60 (84.5) | 11 (15.5) | | | | | | | No | 119 (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) | | | | | | | | | Yes | 93 (89.4) | 11 (10.6) | | | | | | | No | 86 (29) | 211 (71) | 20.743 | [10.579–40.673] | | 1.956 | [0.483–7.926] | 0.347 | Knowledge of causes | | | | | | | | | Yes | 40 (95.2) | 2 (4.8) | 0.032 | [0.008–0.133] | | 0.094 | [0.016–0.546] | | No | 139 (38.7) | 220 (61.3) | | | | | | | Knowledge of Screening program | | | | | | | | | Yes | 142 (73.2) | 52 (26.8) | | | | | | | No | 37 (17.9) | 170 (82.1) | 12.546 | [7.788–20.210] | | 0.861 | [0.262–2.829] | 0.805 | Knowledge of transmission mode | | | | | | | | | Yes | 83 (79.8) | 21 (20.2) | | | | | | | No | 96 (32.3) | 201 (67.7) | 8.275 | [4.837–14.157] | | 0.687 | [0.258–1.831] | 0.453 | Knowledge of treatment | | | | | | | | | Yes | 138 (51.7) | 129 (48.3) | | | | | | | No | 41 (30.6) | 93 (69.4) | 2.426 | [1.564–3.762] | | 0.488 | [0.225–1.057] | 0.069 | History of pap smear | | | | | | | | | Never | 37 (15.7) | 199 (84.3) | | | | | | | More than 3 years | 86 (81.9) | 19 (18.1) | 0.041 | [0.022–0.075] | | 0.629 | [0.168–2.361] | 0.492 | During last 3 years | 56 (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 | | | | | | | | | Yes | 149 (84.2) | 28 (15.8) | | | | | | | No | 30 (13.4) | 194 (86.6) | 34.412 | [19.705–60.095] | | 4.517 | [1.295–15.762] | | Practice of screening test | | | | | | | | | Yes | 63 (87.5) | 9 (12.5) | | | | | | | No | 116 (35.3) | 213 (64.7) | 12.836 | [6.162–26.737] | | 2.430 | [0.757–7.804] | 0.136 |
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Model included variables that were significant on univariate analyses at (0.20 level). significant at value ≤ 0.05.
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