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Table 3 Logistic regression model for oral health-seeking behaviour of Malaysian adults who self-reported dental problems, stratified by location

From: Oral healthcare seeking behavior of Malaysian adults in urban and rural areas: findings from the National Health and Morbidity Survey 2019

Factors

Sought treatment from HCP

Self-medicated

Model I – Urban

Model II—Rural

Model III—Urban

Model IV—Rural

Crude Odds Ratio, OR (95% CI)

p-value

Adjusted Odds Ratio, OR (95% CI)

p-value

Crude Odds Ratio, OR (95% CI)

p-value

Adjusted Odds Ratio, OR (95% CI)

p-value

Crude Odds Ratio, OR (95% CI)

p-value

Adjusted Odds Ratio, OR (95% CI)

p-value

Crude Odds Ratio, OR (95% CI)

p-value

Adjusted Odds Ratio, OR (95% CI)

p-value

Sex

 Male

1.00 (ref)

   

1.00 (ref)

   

1.00 (ref)

   

1.00

   

 Female

1.24 (0.67—2.27)

0.481

  

1.50 (0.70 – 3.19)

0.290

  

0.95 (0.48—1.85)

0.882

  

0.59 (0.19—1.78)

0.348

  

Ethnicity

 Malaya

2.03 (1.07 – 3.83)

0.029

2.11 (1.10 – 4.03)

0.023

0.94 (0.43 – 2.01)

0.863

  

2.55 (1.24 – 5.24)

0.011

2.62 (1.26 – 5.45)

0.010

0.90 (0.34 – 2.38)

0.836

  

 Non-Malay

1.00 (ref)

 

1.00 (ref)

 

1.00 (ref))

   

1.00 (ref)

 

1.00 (ref)

 

1.00 (ref)

   

Age (years)

 18–34

1.00 (ref)

 

1.00 (ref)

 

1.00 (ref)

   

1.00 (ref)

   

1.00

   

 35–59

1.49 (0.79—2.81)

0.212

1.33 (0.73 – 2.43)

0.352

0.60 (0.23—1.55)

0.293

  

0.97 (0.46 – 2.04)

0.941

  

1.06 (0.33—3.42)

0.911

  

 60 + 

1.88 (0.84—4.20)

0.120

1.42 (0.58 – 3.50)

0.435

0.70 (0.20 – 2.38)

0.572

  

0.85 (0.30 – 2.39)

0.760

  

0.92 (0.25—3.33)

0.901

  

Education level

 No formal

1.00 (ref)

   

1.00 (ref)

   

1.00 (ref)

 

1.00 (ref)

 

1.00 (ref)

 

1.00 (ref)

 

 Primary

1.66 (2.81—9.88)

0.574

  

1.08 (0.30 – 3.85)

0.909

  

0.25 (0.04 – 1.55)

0.137

0.32 (0.05 – 1.85)

0.199

0.43 (0.10 – 1.93)

0.271

0.36 (0.08 – 1.58)

0.174

 Secondary

2.03 (0.38 – 11.00)

0.406

  

0.77 (0.22 – 2.61)

0.667

  

0.81 (0.14 – 4.56)

0.808

0.67 (0.13 – 3.38)

0.625

0.37 (0.07 – 1.99)

0.244

0.25 (0.04 – 1.47)

0.124

 Tertiary

1.97 (0.34—11.26)

0.445

  

2.01 (0.45 – 9.13)

0.361

  

1.02 (0.18 – 5.98)

0.980

0.70 (0.13 – 3.83)

0.678

0.01 (0.00—0.07)

 < 0.001

0.01 (0.00 – 0.03)

 < 0.001

Marital status

 Single

0.54 (0.24—1.22)

0.142

0.70 (0.32—1.50)

0.352

2.15 (0.79 – 5.82)

0.129

1.86 (0.67 – 5.16)

0.234

1.90 (0.81 – 4.41)

0.135

2.01 (0.86 – 4.72)

0.108

0.60 (0.16—2.13)

0.428

  

 Married

1.00 (ref)

 

1.00 (ref)

 

1.00 (ref)

 

1.00 (ref)

 

1.00 (ref)

 

1.00 (ref)

 

1.00 (ref)

   

 Not marriedb

1.68 (0.70—4.03)

0.242

1.43 (0.56—3.66)

0.458

1.12 (0.38 – 3.31)

0.831

1.58 (0.38 – 6.55)

0.526

0.59 (0.20 – 1.70)

0.334

0.90 (0.25 – 3.29)

0.875

1.53 (0.44—5.29)

0.495

  

Employment status

 Public employee

1.54 (0.69 – 3.41)

0.291

  

0.73 (0.15 – 3.52)

0.692

0.41 (0.08 – 2.10)

0.281

1.58 (0.62 – 4.02)

0.339

  

0.78 (0.01 – 7.68)

0.827

  

 Private employee

0.78 (0.41 – 1.50)

0.452

  

1.12 (0.42 – 2.97)

0.818

0.95 (0.35 – 2.55)

0.912

0.99 (0.47 – 2.13)

0.989

  

1.37 (0.36 -5.29)

0.644

  

 Self-employed

1.18 (0.59 – 2.37)

0.633

  

0.48 (0.20 – 1.19)

0.112

0.44 (0.19 – 1.05)

0.064

0.56 (0.20 – 1.55)

0.263

  

1.70 (0.58 – 4.99)

0.329

  

 Unemployed

1.00 (ref)

   

1.00 (ref)

 

1.00 (ref)

 

1.00 (ref)

   

1.00 (ref)

   

Income

 Q1 (RM0 – RM1,100)

1.00 (ref)

   

1.00 (ref)

 

1.00 (ref)

 

1.00 (ref)

 

1.00 (ref)

 

1.00 (ref)

 

1.00 (ref)

 

 Q2 (RM1,108 – RM2,100)

1.17 (0.40 – 3.37)

0.777

  

3.46 (1.37 – 8.73)

0.009

3.64 (1.38 – 9.58)

0.009

0.85 (0.23 –3.13)

0.808

0.71 (0.17 – 3.00)

0.641

1.13 (0.29 – 4.46)

0.860

2.02 (0.54 – 7.52)

0.292

 Q3 (RM2,103 – RM3,400)

1.65 (0.61 –4.50)

0.326

  

1.06 (0.40 – 2.78)

0.903

1.53 (0.58 – 4.06)

0.388

1.81 (0.59 – 5.56)

0.296

1.43 (0.42 – 4.85)

0.569

1.85 (0.48 – 7.08)

0.366

3.43 (0.84 – 13.96)

0.085

 Q4 (RM3,410 – RM5,900)

0.90 (0.39—2.10)

0.809

  

3.76 (1.35 – 10.49)

0.012

5.64 (1.76 – 18.11)

0.004

0.81 (0.27 – 2.45)

0.710

0.68 (0.19 – 2.46)

0.560

0.18 (0.02—1.25)

0.082

0.33 (0.04 – 2.60)

0.293

 Q5 (RM5,930 – RM70,000)

1.41 (0.57 – 3.49)

0.460

  

8.03 (1.66 – 38.78)

0.010

14.0 (2.89 – 67.56)

0.001

2.25 (0.79 – 6.43)

0.129

1.47 (0.47 – 4.59)

0.504

1.22 (0.20 – 7.37)

0.825

6.86 (1.00 – 46.90)

0.05

Supplemental financial coverage

 Yes

0.94 (0.53—1.68)

0.858

  

0.75 (0.33—1.70)

0.498

  

1.18 (0.61 – 2.26)

0.616

  

0.64 (0.20—2.05)

0.455

  

 No

1.00 (ref)

   

1.00 (ref)

   

1.00 (ref)

   

1.00 (ref)

   

Self-rated health

 Good to excellent

1.00 (ref)

 

1.00 (ref)

 

1.00 (ref)

 

1.00 (ref)

 

1.00 (ref)

   

1.00 (ref)

   

 Very poor to fair

1.51 (0.83—2.73)

0.174

1.42 (0.74—2.70)

0.289

1.81 (0.80 – 4.13)

0.156

1.94 (0.84 – 4.51)

0.118

0.69 (0.36 – 1.31)

0.251

  

1.17 (0.43—3.15)

0.757

  

Presence of at least one non-communicable diseases

 Yes

1.26 (0.69—2.31)

0.436

  

0.80 (0.36 – 1.76)

0.589

  

0.80 (0.41—1.54)

0.506

  

1.37 (0.52—3.55)

0.515

  

 No

1.00 (ref)

   

1.00 (ref)

   

1.00 (ref)

   

1.00 (ref)

   
  1. Model I assessed the factors associated with sought healthcare treatment among self-reported dental problems adults in urban location; Model II assessed the factors associated with sought healthcare treatment among self-reported dental problems adults in rural location; Model III assessed the factors associated with self-medicated among self-reported dental problems adults in urban location; Model IV assessed the factors associated with self-medicated among self-reported dental problems adults in rural location. Total n for Model I and III: 6,071; Model II and IV: 4,063. Area under ROC curve for Model I: Urban = 0.5572; Model II: Rural = 0.6777; Model III: Urban = 0.6160; Model IV: Rural = 0.6494. OR Crude Odd Ratios CI Confidence Interval, Q Quintile
  2. aMalay includes Orang Asli
  3. bNot married includes divorced, separated or never married