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Table 2 Logistic regression analyses for factors associated with medical help-seeking

From: Household income and medical help-seeking for fertility problems among a representative population in Japan

 

Univariable (n = 2225)

Multivariable (complete case analysis) (n = 1867)

Multivariable (multiple imputation) (n = 2253)

Odds ratio

95% CI

p

Odds ratio

95% CI

p

Odds ratio

95% CI

p

Household incomea

 Low

Ref

  

Ref

  

Ref

  

 Lower-middle

1.31

0.99–1.73

0.06

1.30

0.92–1.83

0.14

1.28

0.95–1.73

0.10

 Upper-middle

1.44

1.09–1.90

0.01

1.44

1.01–2.06

0.04

1.37

1.00–1.86

0.05

 High

1.90

1.46–2.48

< 0.001

1.92

1.32–2.78

0.001

1.78

1.29–2.47

< 0.001

Wife’s age, years

 ≤ 29

Ref

  

Ref

  

Ref

  

 30–34

1.53

1.01–2.31

0.05

1.15

0.71–1.86

0.58

1.15

0.74–1.79

0.52

 35–39

1.80

1.21–2.66

0.003

1.14

0.71–1.86

0.59

1.16

0.74–1.79

0.52

 ≥ 40

2.42

1.67–3.51

< 0.001

1.22

0.74–2.01

0.45

1.28

0.81–2.02

0.29

Husband’s age, years

 ≤ 29

Ref

  

–

–

–

–

–

–

 30–34

1.38

0.84–2.27

0.20

–

–

–

–

–

–

 35–39

1.99

1.24–3.19

0.004

–

–

–

–

–

–

 ≥ 40

2.76

1.76–4.32

< 0.001

–

–

–

–

–

–

Length of the marriage, years

 ≤ 4

Ref

  

Ref

  

Ref

  

 5–9

1.55

1.20–2.01

0.001

1.85

1.34–2.55

< 0.001

1.74

1.30–2.33

< 0.001

 10–14

2.02

1.55–2.63

< 0.001

2.33

1.61–3.38

< 0.001

2.30

1.63–3.23

< 0.001

 ≥ 15

2.05

1.60–2.62

< 0.001

2.42

1.61–3.64

< 0.001

2.47

1.70–3.59

< 0.001

Wife’s educational level

 High school education or less

Ref

  

Ref

  

Ref

  

 Vocational or junior college education

1.27

1.04–1.54

0.02

1.13

0.89–1.43

0.32

1.11

0.90–1.38

0.32

 University education or higher

1.31

1.05–1.63

0.02

1.11

0.83–1.48

0.48

1.16

0.89–1.51

0.27

Husband’s educational level

 High school education or less

Ref

  

Ref

  

Ref

  

 Vocational or junior college education

1.27

1.01–1.62

0.05

1.28

0.98–1.69

0.07

1.25

0.97–1.61

0.08

 University education or higher

1.46

1.21–1.76

< 0.001

1.22

0.96–1.56

0.10

1.27

1.02–1.59

0.03

Wife’s employment status

 Full-time worker

Ref

  

Ref

  

Ref

  

 Part-time worker

1.10

0.88–1.36

0.41

1.28

0.98–1.69

0.07

1.23

0.96–1.59

0.10

 Self-employed

1.04

0.70–1.55

0.84

1.14

0.71–1.83

0.60

1.03

0.66–1.60

0.89

 Unemployed

1.11

0.90–1.39

0.33

1.48

1.12–1.95

0.01

1.39

1.08–1.79

0.01

Husband’s employment status

 Full-time worker

Ref

  

Ref

  

Ref

  

 Part-time worker

0.87

0.62–1.24

0.45

0.79

0.53–1.18

0.24

0.85

0.58–1.25

0.41

 Self-employed

1.00

0.76–1.31

0.99

0.98

0.70–1.38

0.92

1.10

0.80–1.50

0.55

 Unemployed

0.97

0.45–2.08

0.94

1.11

0.47–2.63

0.82

1.33

0.59–3.00

0.49

Number of existing children

 0

Ref

  

Ref

  

Ref

  

 1

1.15

0.92–1.45

0.22

1.02

0.78–1.32

0.90

0.96

0.75–1.22

0.73

 2

0.96

0.77–1.20

0.74

0.62

0.46–0.84

0.002

0.62

0.47–0.82

0.001

 ≥ 3

0.73

0.52–1.00

0.05

0.48

0.31–0.74

0.001

0.46

0.31–0.67

 < 0.001

Living with parents

 No

Ref

  

Ref

  

Ref

  

 Yes

0.97

0.80–1.18

0.80

1.13

0.90–1.42

0.30

1.11

0.90–1.37

0.32

Desire to have a child

 No

Ref

  

Ref

  

Ref

  

 Yes

1.06

0.89–1.27

0.51

1.01

0.78–1.31

0.92

0.98

0.78–1.23

0.85

Residential region

 Hokkaido

Ref

  

Ref

  

Ref

  

 Tohoku

0.99

0.54–1.82

0.97

0.70

0.34–1.43

0.32

0.83

0.45–1.56

0.57

 Kanto

1.20

0.70–2.05

0.50

0.69

0.36–1.32

0.26

0.78

0.45–1.36

0.38

 Chubu

1.21

0.70–2.09

0.49

0.82

0.43–1.58

0.55

0.88

0.50–1.54

0.65

 Kinki

1.45

0.83–2.54

0.19

0.92

0.47–1.78

0.80

1.02

0.58–1.81

0.95

 Chugoku/Shikoku

1.40

0.79–2.51

0.25

0.94

0.47–1.87

0.86

1.12

0.62–2.03

0.72

 Kyushu/Okinawa

1.19

0.67–2.14

0.55

0.88

0.44–1.76

0.72

1.05

0.58–1.91

0.87

Population size and density

 Non-densely inhabited district

Ref

  

Ref

  

Ref

  

 < 200,000 inhabitants

0.94

0.75–1.19

0.63

0.93

0.70–1.22

0.58

0.95

0.74–1.22

0.68

 200,000 to 1,000,000 inhabitants

1.33

1.06–1.67

0.01

1.18

0.91–1.54

0.21

1.18

0.93–1.50

0.18

 > 1,000,000 inhabitants

1.24

0.97–1.59

0.08

1.07

0.79–1.44

0.68

1.09

0.83–1.43

0.56

  1. CI confidence interval, JPY Japanese Yen, ref reference
  2. aCategorized into four groups: low (< 4 million JPY), lower-middle (≥ 4 million JPY to < 6 million JPY), upper-middle (≥ 6 million JPY to < 8 million JPY), and high (≥ 8 million JPY)