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Table 1 Synthesized effect size of associated factors for adherence to cervical cancer screening

From: Associated factors and global adherence of cervical cancer screening in 2019: a systematic analysis and modelling study

 

No. of studies

Odds ratio (95%CI)

Heterogeneity

I2, %

Q test-P value

Demographic characteristics

 Associated factor 1: Marital status

  Married vs Not married

15

1.34 (1.23–1.46)

98.3

< 0.001

  Married vs Single

12

1.62 (1.36–1.93)

92.8

< 0.001

  Partnered vs Not partnered

9

1.41 (1.13–1.75)

78.6

< 0.001

  Currently married vs Never married

3

3.76 (2.61–5.44)

0.0

0.548

  Previously married vs Never married

3

2.63 (1.66–4.15)

0.0

0.403

  Married vs Divorced/Widowed/Separated

5

1.14 (1.02–1.28)

98.7

< 0.001

  Divorced/Widowed/Separated vs Single

5

1.51 (1.22–1.87)

91.5

< 0.001

Social determinants of health

 Associated factor 2: Education level

  High school vs less than high school

53

1.31 (1.24–1.38)

93.8

< 0.001

  Higher than high school vs less than high school

47

1.44 (1.35–1.53)

95.1

< 0.001

 Associated factor 3a: Healthcare-Insurance

8

1.64 (1.43–1.88)

3.9

0.400

 Associated factor 3b: Healthcare-Healthcare coverage

4

2.07 (1.59–2.69)

83.5

< 0.001

 Associated factor 4: Employment status

20

1.05 (0.97–1.13)

95.3

< 0.001

Lifestyle factors

 Associated factor 5: Body-mass index

  Obesity: BMI ≥30.0 kg/m2 vs Non-obesity

9

0.78 (0.72–0.83)

0.0

0.920

  Underweight: BMI < 18.5 kg/m2 vs Normal: BMI 18.5–24.9 kg/m2

8

0.76 (0.58–1.00)

73.9

< 0.001

  Overweight: BMI 25.0–30.0 kg/m2 vs Normal: BMI 18.5–24.9 kg/m2

12

0.98 (0.90–1.06)

52.6

0.017

  Obesity: BMI ≥30.0 kg/m2 vs Normal: BMI 18.5–24.9 kg/m2

12

0.85 (0.74–0.97)

84.1

< 0.001

 Associated factor 6: Smoking

  Smoker vs Non-smoker

14

0.87 (0.75–1.01)

84.6

< 0.001

  Current vs Former/Never

5

0.64 (0.54–0.76)

32.8

0.203

  Current vs Never

11

0.89 (0.78–1.02)

90.4

< 0.001

  Former vs Never

7

1.20 (1.07–1.34)

84.9

< 0.001

 Associated factor 7: Alcohol drinking

12

1.02 (0.86–1.21)

80.5

< 0.001

 Associated factor 8: Physical activity

11

1.19 (1.05–1.36)

88.8

< 0.001

Personal history

 Associated factor 9: Parity

11

1.07 (1.01–1.12)

92.5

< 0.001

 Associated factor 10: Mental illness

3

1.07 (0.92–1.25)

90.0

< 0.001

 Associated factor 11: Chronic disease

9

1.17 (1.04–1.32)

80.2

< 0.001

  1. Abbreviations: BMI body-mass index, CI confidence interval. The definitions of some associated factors varied slightly across studies. Odds ratios for binary variable associated factors indicated better adherence to cervical cancer screening compared with those without the associated factor, except for married (vs not married), married (vs single), partnered (vs not partnered), currently married (vs never married), previously married (vs never married), married (vs divorced/widowed/separated), divorced/widowed/separated (vs single), high school (vs less than high school), higher than high school (vs less than high school), underweight/BMI < 18.5 kg/m2 (vs normal/BMI 18.5–24.9 kg/m2), overweight/BMI 25.0–30.0 kg/m2 (vs normal/BMI 18.5–24.9 kg/m2), obesity/BMI ≥ 30.0 kg/m2 (vs normal/BMI 18.5–24.9 kg/m2), and smoker (vs non-smoker), current smoker (vs former/never), current smoker (vs never), former smoker (vs never)