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Table 5 Associations between medical consultation and indices of symptom severity

From: Health-care utilization for headache disorders in Nepal: a population-based door-to-door survey

Index

Overall

Specialist consultation

Bivariate analysis

Multivariate analysis

Bivariate analysis

Multivariate analysis

OR (95% CI)

p

AOR a (95% CI)

p

OR (95% CI)

p

AOR a (95% CI)

p

Headache frequency (d/m)

 < 1

Reference

–

Reference

–

Reference

–

Reference

–

 1–2

1.2 (0.9–1.5)

0.18

1.2 (0.9–1.5)

0.17

0.6 (0.4–0.9)

0.025

0.6 (0.4–0.9)

0.023

 3–14

1.8 (1.4–2.3)

< 0.001

1.9 (1.5–2.4)

< 0.001

0.7 (0.4–1.1)

0.14

0.7 (0.4–1.1)

0.12

 ≥ 15

2.7 (1.8–3.9)

< 0.001

2.6 (1.8–3.9)

< 0.001

2.2 (1.3–3.6)

0.002

2.1 (1.3–3.5)

0.004

Attack duration (hours)

 < 4

Reference

–

Reference

–

Reference

–

Reference

–

 4–12

2.0 (1.6–2.6)

< 0.001

2.1 (1.6–2.6)

< 0.001

1.5 (0.9–2.3)

0.13

1.4 (0.9–2.3)

0.14

 > 12

3.1 (2.5–4.3)

< 0.001

3.3 (2.3–4.1)

< 0.001

1.5 (0.9–2.2)

0.087

1.4 (0.9–2.4)

0.10

Headache intensity

 Mild

Reference

–

Reference

–

Reference

–

Reference

–

 Moderate

2.5 (2.0–3.2)

< 0.001

2.5 (2.0–3.2)

< 0.001

1.3 (0.8–2.3)

0.30

1.3 (0.8–2.3)

0.31

 Severe

3.8 (2.9–5.1)

< 0.001

3.6 (2.7–4.8)

< 0.001

2.6 (1.5–4.5)

0.001

2.7 (1.3–4.7)

< 0.001

Proportion of time in ictal state (pT) (%)

 < 1

Reference

–

Reference

–

Reference

–

Reference

–

 1–2

1.5 (1.1–2.0)

0.012

1.5 (1.1–2.0)

0.014

1.0 (0.6–1.7)

0.92

1.0 (0.5–1.7)

0.95

 2.1–8

1.6 (1.2–2.1)

0.001

1.6 (1.2–2.1)

0.001

0.5 (0.2–0.9)

0.023

0.5 (0.3–0.9)

0.021

 > 8

2.8 (2.2–3.5)

< 0.001

2.9 (2.3–3.7)

< 0.001

1.4 (0.9–2.1)

0.094

1.4 (0.9–2.0)

0.13

  1. OR odds ratio, CI confidence interval, AOR adjusted OR
  2. a adjusted for age, gender, household consumption, habitation and dwelling altitude
  3. Significant p-values (<0.05) are emboldened