Introduction
Materials and methods
Study design, setting and population
Sampling methods
Questionnaire and data collection
Statistical analysis
Results
Participant characteristics
Characteristic | Total (n = 7058) | Gaza strip (n = 2655) | WBJ (n = 4403) |
---|---|---|---|
Age, median [IQR] | 32 [24, 42] | 30 [24, 39] | 33 [24, 44] |
Age group, n (%) | |||
18–20 | 756 (10.7) | 249 (9.4) | 507 (11.5) |
21–40 | 4331 (61.4) | 1809 (68.1) | 2522 (57.3) |
41 or older | 1971 (27.9) | 597 (22.5) | 1374 (31.2) |
Educational level, n (%) | |||
Illiterate | 127 (1.8) | 37 (1.4) | 90 (2.0) |
Primary | 409 (5.8) | 127 (4.8) | 282 (6.4) |
Preparatory | 1064 (15.1) | 378 (14.2) | 686 (15.6) |
Secondary | 2293 (32.5) | 955 (36.0) | 1338 (30.4) |
Diploma | 766 (10.9) | 303 (11.4) | 463 (10.5) |
Bachelor | 2261 (32.0) | 817 (30.8) | 1444 (32.8) |
Postgraduate | 138 (1.9) | 38 (1.4) | 100 (2.3) |
Occupation, n (%) | |||
Housewife | 4647 (65.8) | 2008 (75.6) | 2639 (59.9) |
Employed | 1476 (20.9) | 348 (13.1) | 1128 (25.6) |
Retired | 69 (1.0) | 11 (0.4) | 58 (1.3) |
Student | 866 (12.3) | 288 (10.9) | 578 (13.2) |
Monthly income ≥ 1450 NIS, n (%) | 4666 (66.1) | 693 (26.1) | 3973 (90.2) |
Having a chronic disease, n (%) | 1397 (19.8) | 417 (15.7) | 980 (22.3) |
Knowing someone with cancer, n (%) | 4083 (57.9) | 1483 (55.9) | 2600 (59.1) |
Marital status, n (%) | |||
Single | 1657 (23.4) | 527 (19.8) | 1130 (25.6) |
Married | 5058 (71.7) | 2025 (76.3) | 3033 (68.9) |
Divorced | 154 (2.2) | 45 (1.7) | 109 (2.5) |
Widowed | 189 (2.7) | 58 (2.2) | 131 (3.0) |
Site of data collection | |||
Public spaces, n (%) | 2695 (38.2) | 863 (32.5) | 1832 (41.7) |
Hospitals, n (%) | 1890 (26.8) | 642 (24.2) | 1248 (28.3) |
Primary healthcare centers, n (%) | 2473 (35.0) | 1150 (43.3) | 1323 (30.0) |
Good knowledge and its associated factors
Level | Total n (%) | Gaza strip n (%) | WBJ n (%) | p value |
---|---|---|---|---|
Poor | 1140 (16.1) | 374 (14.1) | 766 (17.4) | < 0.001 |
Fair | 4248 (60.2) | 1611 (60.7) | 2637 (59.9) | |
Good | 1670 (23.7) | 670 (25.2) | 1000 (22.7) |
Characteristic | Good knowledge | ||||
---|---|---|---|---|---|
n (%) | COR (95% CI) | p value | AOR (95% CI)a | p value | |
Age group | |||||
18–20 | 157 (9.4) | Ref | Ref | Ref | Ref |
21–40 | 1016 (60.8) | 1.17 (0.97–1.41) | 0.11 | 1.17 (0.92–1.48) | 0.20 |
41 or older | 497 (29.8) | 1.29 (1.05–1.58) | 0.015 | 129 (0.98–1.69) | 0.07 |
Educational level | |||||
Illiterate | 40 (2.4) | Ref | Ref | Ref | Ref |
Primary | 112 (6.7) | 0.82 (0.53–1.26) | 0.37 | 0.75 (0.48–1.17) | 0.21 |
Preparatory | 260 (15.6) | 0.70 (0.47–1.05) | 0.08 | 0.67 (0.44–1.00) | 0.051 |
Secondary | 513 (30.7) | 0.63 (0.43–0.92) | 0.018 | 0.63 (0.42–0.94) | 0.023 |
Diploma | 162 (9.7) | 0.58 (0.39–0.88) | 0.010 | 0.63 (0.41–0.97) | 0.035 |
Bachelor | 540 (32.3) | 0.68 (0.46–1.00) | 0.053 | 0.76 (0.50–1.14) | 0.19 |
Postgraduate | 43 (2.6) | 0.98 (0.59–1.66) | 0.95 | 1.17 (0.67–2.04) | 0.57 |
Occupation | |||||
Housewife | 1144 (68.5) | Ref | Ref | Ref | Ref |
Employed | 316 (18.9) | 0.83 (0.72–0.96) | 0.012 | 0.81 (0.68–0.96) | 0.016 |
Retired | 13 (0.8) | 0.71 (0.39–1.30) | 0.27 | 0.76 (0.40–1.43) | 0.39 |
Student | 197 (11.8) | 0.90 (0.76–1.07) | 0.24 | 1.05 (0.82–1.35) | 0.71 |
Monthly income | |||||
< 1450 NIS | 619 (37.1) | Ref | Ref | Ref | Ref |
≥ 1450 NIS | 1051 (62.9) | 0.83 (0.74–0.93) | 0.002 | 0.85 (0.72–0.99) | 0.038 |
Marital status | |||||
Single | 362 (21.7) | Ref | Ref | Ref | Ref |
Married | 1226 (73.4) | 1.14 (1.00–1.31) | 0.047 | 1.06 (0.89–1.26) | 0.55 |
Divorced | 39 (2.3) | 1.21 (0.83–1.78) | 0.32 | 1.17 (0.79–1.74) | 0.44 |
Widowed | 43 (2.6) | 1.05 (0.74–1.51) | 0.78 | 0.85 (0.57–1.26) | 0.41 |
Residency | |||||
Gaza strip | 670 (40.1) | Ref | Ref | Ref | Ref |
WBJ | 1000 (59.9) | 0.87 (0.78–0.97) | 0.016 | 0.97 (0.83–1.13) | 0.66 |
Having a chronic disease | |||||
No | 1314 (78.7) | Ref | Ref | Ref | Ref |
Yes | 356 (21.3) | 1.13 (0.99––1.30) | 0.07 | 1.05 (0.90–1.22) | 0.58 |
Knowing someone with cancer | |||||
No | 611 (36.6) | Ref | Ref | Ref | Ref |
Yes | 1059 (63.4) | 1.34 (1.20–1.51) | < 0.001 | 1.34 (1.19–1.50) | < 0.001 |
Site of data collection | |||||
Public spaces | 636 (38.1) | Ref | Ref | Ref | Ref |
Hospitals | 442 (26.5) | 0.99 (0.86–1.14) | 0.87 | 0.94 (0.81–1.10) | 0.45 |
Primary healthcare centers | 592 (35.4) | 1.02 (0.90–1.16) | 0.78 | 0.96 (0.84–1.10) | 0.58 |
Recognition of CC risk factors in the Gaza strip versus the WBJ
Risk factor | Total (n = 7058) n (%) | Gaza strip (n = 2655) n (%) | WBJ (n = 4403) n (%) | p value |
---|---|---|---|---|
Having a weakened immune system | 5458 (77.3) | 2139 (80.6) | 3319 (75.4) | < 0.001 |
Infection with a sexually transmitted infection | 5388 (76.3) | 2132 (80.3) | 3256 (73.9) | < 0.001 |
Infection with human papillomavirus (HPV) | 4693 (66.5) | 1977 (74.5) | 2716 (61.7) | < 0.001 |
Having a relative with cervical cancer | 4250 (60.2) | 1538 (57.9) | 2712 (61.6) | 0.002 |
Long term use of the contraceptive pill | 4236 (60.0) | 1620 (61.0) | 2616 (59.4) | 0.18 |
Smoking any cigarettes at all | 4167 (59.0) | 1600 (60.3) | 2567 (58.3) | 0.10 |
Not going for regular smear (Pap) tests | 3543 (50.2) | 1507 (56.8) | 2036 (46.2) | < 0.001 |
Having a husband who is not circumcised | 2818 (39.9) | 1127 (42.4) | 1691 (38.4) | < 0.001 |
Having a husband with many previous partners | 2562 (36.3) | 842 (31.7) | 1720 (39.1) | < 0.001 |
Being married at a young age (before age 17) | 2197 (31.1) | 779 (29.3) | 1418 (32.2) | 0.012 |
Having many children (five or more) | 1597 (22.6) | 559 (21.1) | 1038 (23.6) | 0.014 |
Association between recognizing CC risk factors and socioeconomic status
Characteristic | Having a weakened immune system (n = 5458) | Infection with a sexually transmitted infection (n = 5388) | Infection with HPV (n = 4693) | ||||||
---|---|---|---|---|---|---|---|---|---|
n (%) | AOR (95% CI)a | p value | n (%) | AOR (95% CI)a | p value | n (%) | AOR (95% CI)a | p value | |
Age group | |||||||||
18–20 | 560 (10.3) | Ref | Ref | 607 (11.3) | Ref | Ref | 574 (12.2) | Ref | Ref |
21–40 | 3355 (61.5) | 0.97 (0.77–1.22) | 0.81 | 3329 (61.8) | 0.71 (0.56–0.91) | 0.006 | 2878 (61.3) | 0.76 (0.61–0.96) | 0.018 |
41 or older | 1543 (28.3) | 1.16 (0.89–1.51) | 0.29 | 1452 (26.9) | 0.74 (0.56–0.97) | 0.029 | 1241 (26.4) | 0.81 (0.63–1.04) | 0.10 |
Educational level | |||||||||
Illiterate | 78 (1.4) | Ref | Ref | 80 (1.5) | Ref | Ref | 73 (1.6) | Ref | Ref |
Primary | 294 (5.4) | 1.42 (0.93–2.19) | 0.11 | 265 (4.9) | 1.00 (0.66–1.53) | 0.99 | 241 (5.1) | 1.08 (0.71–1.63) | 0.73 |
Preparatory | 828 (15.2) | 2.01 (1.34–3.00) | 0.001 | 801 (14.9) | 1.62 (1.09–2.41) | 0.018 | 664 (14.1) | 1.22 (0.83–1.80) | 0.31 |
Secondary | 1805 (33.1) | 2.44 (1.64–3.62) | < 0.001 | 1787 (33.2) | 1.90 (1.28–2.81) | 0.001 | 1513 (32.2) | 1.29 (0.88–1.89) | 0.18 |
Diploma | 559 (10.2) | 2.08 (1.37–3.17) | 0.001 | 563 (10.4) | 1.84 (1.21–2.81) | 0.004 | 511 (10.9) | 1.52 (1.01–2.28) | 0.043 |
Bachelor | 1777 (32.6) | 2.92 (1.94–4.39) | < 0.001 | 1778 (33.0) | 2.40 (1.60–3.60) | < 0.001 | 1589 (33.9) | 1.69 (1.14–2.50) | 0.009 |
Postgraduate | 117
(2.1) | 4.63 (2.48–8.65) | < 0.001 | 114 (2.1) | 3.64 (1.99–6.66) | < 0.001 | 102 (2.2) | 2.47 (1.42–4.28) | 0.001 |
Occupation | |||||||||
Housewife | 3653 (66.9) | Ref | Ref | 3591 (66.6) | Ref | Ref | 3043 (64.8) | Ref | Ref |
Employed | 1122 (20.6) | 0.92 (0.78–1.09) | 0.35 | 1083 (20.1) | 0.72 (0.61–0.85) | < 0.001 | 945 (20.1) | 0.80 (0.69–0.93) | 0.004 |
Retired | 39 (0.7) | 0.38 (0.22–0.65) | < 0.001 | 32 (0.6) | 0.28 (0.17–0.47) | < 0.001 | 34 (0.7) | 0.53 (0.32–0.88) | 0.014 |
Student | 644 (11.8) | 1.09 (0.85–1.40) | 0.49 | 682 (12.7) | 0.89 (0.69–1.15) | 0.38 | 671 (14.3) | 1.31 (1.03–1.67) | 0.027 |
Monthly income | |||||||||
< 1450 NIS | 1867 (34.2) | Ref | Ref | 1851 (34.4) | Ref | Ref | 1700 (36.2) | Ref | Ref |
≥ 1450 NIS | 3591 (65.8) | 1.22 (1.03–1.44) | 0.020 | 3537 (65.6) | 1.19 (1.01–1.40) | 0.041 | 2993 (63.8) | 0.97 (0.84–1.13) | 0.74 |
Residency | |||||||||
Gaza Strip | 2139 (39.2) | Ref | Ref | 2132 (39.6) | Ref | Ref | 1977 (42.1) | Ref | Ref |
WBJ | 3319 (60.8) | 0.70 (0.59–0.82) | < 0.001 | 3256 (60.4) | 0.67 (0.57–0.79) | < 0.001 | 2716 (57.9) | 0.53 (0.46–0.61) | < 0.001 |
Having a chronic disease | |||||||||
No | 4358 (79.8) | Ref | Ref | 4344 (80.6) | Ref | Ref | 3815 (81.3) | Ref | Ref |
Yes | 1100 (20.2) | 1.17 (0.99–1.38) | 0.07 | 1044 (19.4) | 1.12 (0.96–1.31) | 0.15 | 878 (18.7) | 0.99 (0.86–1.14) | 0.88 |
Knowing someone with cancer | |||||||||
No | 2180 (39.9) | Ref | Ref | 2206 (40.9) | Ref | Ref | 1891 (40.3) | Ref | Ref |
Yes | 3278 (60.1) | 1.41
(1.25–1.58) | < 0.001 | 3182 (59.1) | 1.15 (1.03–1.29) | 0.015 | 2802 (59.7) | 1.23 (1.11–1.37) | < 0.001 |
Marital status | |||||||||
Single | 1183 (21.7) | Ref | Ref | 1229 (22.8) | Ref | Ref | 1168 (24.9) | Ref | Ref |
Married | 4021 (73.7) | 1.55 (1.30–1.83) | < 0.001 | 3918 (72.7) | 1.38 (1.17–1.64) | < 0.001 | 3306 (70.4) | 1.08 (0.92–1.26) | 0.36 |
Divorced | 112 (2.1) | 1.18 (0.80–1.74) | 0.40 | 114 (2.1) | 1.25 (0.84–1.85) | 0.27 | 102 (2.2) | 1.11 (0.77–1.60) | 0.59 |
Widowed | 142 (2.6) | 1.51 (1.02–2.23) | 0.039 | 127 (2.4) | 1.05 (0.73–1.51) | 0.79 | 117 (2.5) | 1.06 (0.75–1.50) | 0.75 |
Site of data collection | |||||||||
Public spaces | 2015 (36.9) | Ref | Ref | 2113 (39.2) | Ref | Ref | 1966 (41.9) | Ref | Ref |
Hospitals | 1423 (26.1) | 1.04 (0.89–1.20) | 0.64 | 1362 (25.3) | 0.72 (0.62–0.84) | < 0.001 | 1216 (25.9) | 0.73 (0.64–0.84) | < 0.001 |
Primary healthcare centers | 2020 (37.0) | 1.41 (1.22–1.63) | < 0.001 | 1913 (35.5) | 0.86 (0.75–0.99) | 0.040 | 1511 (32.2) | 0.56 (0.49–0.64) | < 0.001 |
Characteristic | Having a relative with cervical cancer (n = 4250) | Long term use of the contraceptive pill (n = 4236) | Smoking any cigarettes at all (n = 4167) | ||||||
---|---|---|---|---|---|---|---|---|---|
n (%) | AOR (95% CI)a | p value | n (%) | AOR (95% CI)a | p value | n (%) | AOR (95% CI)a | p value | |
Age group | |||||||||
18–20 | 418 (9.8) | Ref | Ref | 446 (10.5) | Ref | Ref | 405 (9.7) | Ref | Ref |
21–40 | 2629 (61.9) | 1.05 (0.86–1.29) | 0.61 | 2588 (61.1) | 0.96 (0.79–1.17) | 0.71 | 2566 (61.6) | 1.02 (0.83–1.24) | 0.88 |
41 or older | 1203
(28.3) | 1.01 (0.81–1.28) | 0.90 | 1202 (28.4) | 1.02 (0.81–1.28) | 0.90 | 1196 (28.7) | 0.96 (0.76–1.21) | 0.72 |
Educational level | |||||||||
Illiterate | 78 (1.8) | Ref | Ref | 77 (1.8) | Ref | Ref | 82 (2.0) | Ref | Ref |
Primary | 264 (6.2) | 1.02 (0.67–1.55) | 0.93 | 240 (5.7) | 0.89 (0.59–1.34) | 0.56 | 258 (6.2) | 0.89 (0.59–1.36) | 0.61 |
Preparatory | 685 (16.1) | 0.96 (0.65–1.42) | 0.85 | 631 (14.9) | 0.91 (0.62–1.34) | 0.63 | 701 (16.8) | 0.99 (0.67–1.48) | 0.99 |
Secondary | 1387 (32.6) | 0.86 (0.58–1.25) | 0.42 | 1346 (31.8) | 0.92 (0.63–1.35) | 0.67 | 1371 (32.9) | 0.83 (0.56–1.22) | 0.34 |
Diploma | 414 (9.7) | 0.72 (0.48–1.08) | 0.12 | 428 (10.1) | 0.87 (0.58–1.29) | 0.49 | 429 (10.3) | 0.79 (0.53–1.19) | 0.26 |
Bachelor | 1338 (31.5) | 0.88 (0.59–1.30) | 0.52 | 1417 (33.5) | 1.13 (0.76–1.66) | 0.55 | 1245 (29.9) | 0.78 (0.52–1.16) | 0.22 |
Postgraduate | 84 (2.0) | 0.91 (0.54–1.55) | 0.74 | 97 (2.3) | 1.56 (0.91–2.66) | 0.11 | 81 (1.9) | 0.94 (0.55–1.58) | 0.81 |
Occupation | |||||||||
Housewife | 2900 (68.2) | Ref | Ref | 2776 (65.5) | Ref | Ref | 2884 (69.2) | Ref | Ref |
Employed | 854 (20.1) | 0.91 (0.79–1.05) | 0.21 | 907 (21.4) | 1.01 (0.88–1.17) | 0.85 | 796 (19.1) | 0.93 (0.80–1.07) | 0.29 |
Retired | 29 (0.7) | 0.63 (0.38–1.06) | 0.08 | 33 (0.8) | 0.66 (0.40–1.10) | 0.11 | 33 (0.8) | 0.79 (0.47–1.31) | 0.35 |
Student | 467 (11.0) | 0.88 (0.71–1.09) | 0.23 | 520 (12.3) | 1.08 (0.87–1.34) | 0.47 | 454 (10.9) | 1.08 (0.88–1.34) | 0.46 |
Monthly income | |||||||||
< 1450 NIS | 1394 (32.8) | Ref | Ref | 1413 (33.4) | Ref | Ref | 1476 (35.4) | Ref | Ref |
≥ 1450 NIS | 2856 (67.2) | 1.13 (0.98–1.30) | 0.09 | 2823 (66.6) | 1.13 (0.98–1.30) | 0.09 | 2691 (64.6) | 0.93 (0.81–1.08) | 0.34 |
Residency | |||||||||
Gaza Strip | 1538 (36.2) | Ref | Ref | 1620 (38.2) | Ref | Ref | 1600 (38.4) | Ref | Ref |
WBJ | 2712 (63.8) | 1.19 (1.04–1.36) | 0.011 | 2616 (61.8) | 0.85 (0.74–0.98) | 0.021 | 2567 (61.6) | 1.04 (0.91–1.19) | 0.59 |
Having a chronic disease | |||||||||
No | 3408 (80.2) | Ref | Ref | 3367 (79.5) | Ref | Ref | 3314 (79.5) | Ref | Ref |
Yes | 842 (19.8) | 0.91 (0.79–1.04) | 0.18 | 869 (20.5) | 1.14 (0.99–1.30) | 0.07 | 853 (20.5) | 0.98 (0.86–1.13) | 0.81 |
Knowing someone with cancer | |||||||||
No | 1671 (39.3) | Ref | Ref | 1666 (39.3) | Ref | Ref | 1684 (40.4) | Ref | Ref |
Yes | 2579 (60.7) | 1.33 (1.20–1.47) | < 0.001 | 2570 (60.7) | 1.28 (1.16–1.42) | < 0.001 | 2483 (59.6) | 1.21 (1.10–1.34) | < 0.001 |
Marital status | |||||||||
Single | 895 (21.1) | Ref | Ref | 954 (22.5) | Ref | Ref | 829 (19.9) | Ref | Ref |
Married | 3165 (74.5) | 1.22 (1.05–1.42) | 0.009 | 3073 (72.5) | 1.26 (1.08–1.46) | 0.003 | 3121 (74.9) | 1.41 (1.21–1.63) | < 0.001 |
Divorced | 80 (1.9) | 0.88 (0.62–1.24) | 0.45 | 96 (2.3) | 1.33 (0.94–1.90) | 0.11 | 90 (2.2) | 1.37 (0.97–1.94) | 0.07 |
Widowed | 110 (2.6) | 1.06 (0.76–1.49) | 0.72 | 113 (2.7) | 1.19 (0.85–1.67) | 0.31 | 127 (3.0) | 1.81 (1.28–2.57) | 0.001 |
Site of data collection | |||||||||
Public spaces | 1531 (36.0) | Ref | Ref | 1666 (39.3) | Ref | Ref | 1432
(34.4) | Ref | Ref |
Hospitals | 1050 (24.7) | 0.87 (0.77–0.99) | 0.037 | 1091 (25.8) | 0.85 (0.75–0.97) | 0.016 | 1095 (26.3) | 1.11 (0.98–1.26) | 0.10 |
Primary healthcare centers | 1669 (39.3) | 1.52 (1.34–1.72) | < 0.001 | 1479 (34.9) | 0.92 (0.82–1.04) | 0.18 | 1640 (39.4) | 1.58 (1.40–1.79) | < 0.001 |
Characteristic | Not going for regular smear (pap) tests (n = 3543) | Having a husband who is not circumcised (n = 2818) | Having a husband with many previous partners (n = 2562) | ||||||
---|---|---|---|---|---|---|---|---|---|
n (%) | AOR (95% CI)a | p value | n (%) | AOR (95% CI)a | p value | n (%) | AOR (95% CI)a | p value | |
Age group | |||||||||
18–20 | 407 (11.5) | Ref | Ref | 346 (12.3) | Ref | Ref | 266 (10.4) | Ref | Ref |
21–40 | 2188 (61.8) | 0.75 (0.61–0.91) | 0.004 | 1752 (62.2) | 0.88 (0.72–1.07) | 0.19 | 1524 (59.5) | 1.02 (0.83–1.25) | 0.86 |
41 or older | 948 (26.8) | 0.72 (0.57–0.90) | 0.005 | 720 (25.6) | 0.79 (0.63–0.99) | 0.043 | 772 (30.1) | 1.04 (0.82–1.32) | 0.73 |
Educational level | |||||||||
Illiterate | 64 (1.8) | Ref | Ref | 55 (2.0) | Ref | Ref | 64 (2.5) | Ref | Ref |
Primary | 201 (5.7) | 0.87 (0.58–1.31) | 0.50 | 157 (5.6) | 0.84 (0.56–1.26) | 0.40 | 192 (7.5) | 0.85 (0.56–1.27) | 0.42 |
Preparatory | 569 (16.1) | 0.98 (0.67–1.44) | 0.94 | 409 (14.5) | 0.80 (0.55–1.17) | 0.26 | 433 (16.9) | 0.69 (0.47–1.01) | 0.06 |
Secondary | 1137 (32.1) | 0.82 (0.56–1.19) | 0.29 | 913 (32.4) | 0.79 (0.54–1.15) | 0.23 | 801 (31.3) | 0.57 (0.39–0.83) | 0.003 |
Diploma | 353 (10.0) | 0.80 (0.54–1.18) | 0.26 | 270 (9.6) | 0.71 (0.47–1.05) | 0.09 | 259 (10.1) | 0.56 (0.38–0.83) | 0.004 |
Bachelor | 1153 (32.5) | 1.00 (0.68–1.47) | 0.99 | 956 (33.9) | 0.90 (0.62–1.33) | 0.61 | 759 (29.6) | 0.56 (0.38–0.83) | 0.003 |
Postgraduate | 66 (1.9) | 0.97 (0.58–1.63) | 0.92 | 58 (2.1) | 1.01 (0.60–1.68) | 0.98 | 54 (2.1) | 0.77 (0.46–1.28) | 0.31 |
Occupation | |||||||||
Unemployed/Housewife | 2414 (68.1) | Ref | Ref | 1843 (65.4) | Ref | Ref | 1734 (67.7) | Ref | Ref |
Employed | 674 (19.0) | 0.87 (0.75–0.99) | 0.047 | 545 (19.3) | 0.89 (0.77–1.03) | 0.11 | 486 (19.0) | 0.87 (0.75–1.01) | 0.06 |
Retired | 22 (0.6) | 0.62 (0.36–1.06) | 0.08 | 19 (0.7) | 0.77 (0.44–1.34) | 0.35 | 29 (1.1) | 1.24 (0.74–2.06) | 0.41 |
Student | 433 (12.2) | 0.85 (0.69–1.06) | 0.15 | 411 (14.6) | 1.32 (1.07–1.63) | 0.011 | 313 (12.2) | 1.19 (0.96–1.49) | 0.12 |
Monthly income | |||||||||
< 1450 NIS | 1369 (38.6) | Ref | Ref | 1007 (35.7) | Ref | Ref | 834 (32.6) | Ref | Ref |
≥ 1450 NIS | 2174 (61.4) | 0.80 (0.70–0.92) | 0.002 | 1811 (64.3) | 0.92 (0.80–1.05) | 0.23 | 1728 (67.4) | 0.84 (0.73–0.97) | 0.021 |
Residency | |||||||||
Gaza Strip | 1507 (42.5) | Ref | Ref | 1127 (40.0) | Ref | Ref | 842 (32.9) | Ref | Ref |
WBJ | 2036 (57.5) | 0.79 (0.69–0.90) | 0.001 | 1691 (60.0) | 0.89 (0.78–1.02) | 0.09 | 1720 (67.1) | 1.50 (1.30–1.72) | < 0.001 |
Having a chronic disease | |||||||||
No | 2871 (81.0) | Ref | Ref | 2313 (82.1) | Ref | Ref | 2011 (78.5) | Ref | Ref |
Yes | 672 (19.0) | 0.91 (0.80–1.05) | 0.19 | 505 (17.9) | 0.88 (0.77–1.01) | 0.07 | 551 (21.5) | 1.01 (0.88–1.16) | 0.87 |
Knowing someone with cancer | |||||||||
No | 1369 (38.6) | Ref | Ref | 1150 (40.8) | Ref | Ref | 1039 (40.6) | Ref | Ref |
Yes | 2174 (61.4) | 1.40 (1.27–1.55) | < 0.001 | 1668 (59.2) | 1.12 (1.02–1.24) | 0.022 | 1523 (59.4) | 1.09 (0.98–1.20) | 0.12 |
Marital status | |||||||||
Single | 811 (22.9) | Ref | Ref | 668 (23.7) | Ref | Ref | 552 (21.5) | Ref | Ref |
Married | 2557 (72.2) | 0.97 (0.84–1.13) | 0.70 | 2007 (71.2) | 1.23 (1.06–1.43) | 0.007 | 1880 (73.4) | 1.20 (1.03–1.41) | 0.019 |
Divorced | 82 (2.3) | 1.24 (0.87–1.75) | 0.23 | 65 (2.3) | 1.37 (0.97–1.94) | 0.07 | 58 (2.3) | 1.22 (0.86–1.74) | 0.27 |
Widowed | 93 (2.6) | 1.00 (0.71–1.40) | 0.99 | 78 (2.8) | 1.43 (1.02–2.01) | 0.039 | 72 (2.8) | 1.00 (0.71–1.42) | 0.99 |
Site of data collection | |||||||||
Public spaces | 1266 (35.7) | Ref | Ref | 1147 (40.7) | Ref | Ref | 976 (38.1) | Ref | Ref |
Hospitals | 858 (24.2) | 0.95 (0.84–1.08) | 0.45 | 722 (25.6) | 0.88 (0.78–1.01) | 0.06 | 792 (30.9) | 1.18 (1.03–1.34) | 0.014 |
Primary healthcare centers | 1419 (40.1) | 1.47 (1.31–1.66) | < 0.001 | 949 (33.7) | 0.85 (0.75–0.96) | 0.007 | 794 (31.0) | 0.80 (0.71–0.91) | 0.001 |
Characteristic | Being married at a young age (before age 17) (n = 2197) | Having many children (five or more) (n = 1597) | ||||
---|---|---|---|---|---|---|
n (%) | AOR (95% CI)a | p value | n (%) | AOR (95% CI)a | p value | |
Age group | ||||||
18–20 | 241 (11.0) | Ref | Ref | 142 (8.9) | Ref | Ref |
21–40 | 1318 (60.0) | 1.03 (0.83–1.28) | 0.77 | 970 (60.7) | 1.21 (0.95–1.55) | 0.12 |
41 or older | 638 (29.0) | 1.22 (0.96–1.56) | 0.10 | 485 (30.4) | 1.47 (1.11–1.94) | 0.007 |
Educational level | ||||||
Illiterate | 46 (2.1) | Ref | Ref | 33 (2.1) | Ref | Ref |
Primary | 115 (5.2) | 0.73 (0.48–1.12) | 0.15 | 93 (5.8) | 0.91 (0.57–1.45) | 0.70 |
Preparatory | 261 (11.9) | 0.65 (0.44–0.97) | 0.035 | 210 (13.1) | 0.82 (0.53–1.28) | 0.39 |
Secondary | 646 (29.4) | 0.82 (0.56–1.21) | 0.32 | 470 (29.4) | 0.93 (0.61–1.43) | 0.76 |
Diploma | 246 (11.2) | 0.96 (0.63–1.45) | 0.84 | 176 (11.0) | 1.00 (0.64–1.58) | 0.99 |
Bachelor | 821 (37.4) | 1.19 (0.80–1.77) | 0.39 | 571 (35.8) | 1.22 (0.79–1.89) | 0.37 |
Postgraduate | 62 (2.8) | 1.67 (0.99–2.82) | 0.054 | 44 (2.8) | 1.59 (0.90–2.81) | 0.11 |
Occupation | ||||||
Unemployed/housewife | 1345 (61.2) | Ref | Ref | 1007 (63.1) | Ref | Ref |
Employed | 517 (23.5) | 0.99 (0.85–1.15) | 0.86 | 389 (24.4) | 1.04 (0.88–1.22) | 0.66 |
Retired | 32 (1.5) | 1.39 (0.84–2.31) | 0.20 | 22 (1.4) | 1.12 (0.65–1.94) | 0.67 |
Student | 303 (13.8) | 1.08 (0.86–1.35) | 0.49 | 179 (11.2) | 0.88 (0.68–1.13) | 0.31 |
Monthly income | ||||||
< 1450 NIS | 717 (32.6) | Ref | Ref | 544 (34.1) | Ref | Ref |
≥ 1450 NIS | 1480 (67.4) | 0.85 (0.73–0.99) | 0.032 | 1053 (65.9) | 0.77 (0.65–0.90) | 0.002 |
Residency | ||||||
Gaza Strip | 779 (35.5) | Ref | Ref | 559 (35.0) | Ref | Ref |
WBJ | 1418 (64.5) | 1.19 (1.03–1.37) | 0.017 | 1038 (65.0) | 1.30 (1.11–1.52) | 0.001 |
Having a chronic disease | ||||||
No | 1742
(79.3) | Ref | Ref | 1268 (79.4) | Ref | Ref |
Yes | 455 (20.7) | 1.11 (0.96–1.28) | 0.15 | 329 (20.6) | 1.00 (0.86–1.18) | 0.96 |
Knowing someone with cancer | ||||||
No | 920 (41.9) | Ref | Ref | 710 (44.5) | Ref | Ref |
Yes | 1277 (58.1) | 1.03 (0.93–1.15) | 0.57 | 887 (55.5) | 0.91 (0.81–1.02) | 0.09 |
Marital status | ||||||
Single | 579 (26.4) | Ref | Ref | 396 (24.8) | Ref | Ref |
Married | 1497 (68.1) | 0.92 (0.79–1.08) | 0.30 | 1099 (68.8) | 0.85 (0.72–1.01) | 0.07 |
Divorced | 58 (2.6) | 1.17 (0.82–1.66) | 0.39 | 51 (3.2) | 1.36 (0.94–1.96) | 0.10 |
Widowed | 63 (2.9) | 0.96 (0.67–1.36) | 0.81 | 51 (3.2) | 0.99 (0.68–1.45) | 0.98 |
Site of data collection | ||||||
Public spaces | 921 (41.9) | Ref | Ref | 631 (39.5) | Ref | Ref |
Hospitals | 577 (26.3) | 0.95 (0.83–1.09) | 0.44 | 442 (27.7) | 1.05 (0.91–1.22) | 0.49 |
Primary healthcare centers | 699 (31.8) | 0.85 (0.75–0.97) | 0.013 | 524 (32.8) | 0.93 (0.81–1.07) | 0.34 |