Table 5 Factors associated with physicians’ willingness to continue practice in Nigeria
Variable | Willingness to continue practice in Nigeria (N = 913) | χ2 (p-value) on bivariate analysis | Adjusted odds ratio (95% CI) on multivariate analysis | |
|---|---|---|---|---|
Willing n = 176 n (%) | Unwilling n = 737 n (%) | |||
Age group in years | ||||
 21–30 | 12 (6.8) | 191 (25.9) | 99.830 (< 0.001*) | 1 |
 31–40 | 66 (37.5) | 379 (51.4) | 3.5 (1.5–8.0*) | |
 41–50 | 69 (39.2) | 146 (19.8) | 5.5 (2.1–14.5*) | |
 ≥ 51 | 29 (16.5) | 21 (2.8) | 13.8 (3.9–49.3*) | |
Sex | ||||
 Female | 65 (36.9) | 271 (36.8) | 0.002 (0.968) | NA |
 Male | 111 (63.1) | 466 (63.2) |  | |
Current marital status | ||||
 Married | 151 (85.8) | 538 (73.0) | 12.566 (< 0.001*) | 1 |
 Not married | 25 (14.2) | 199 (27.0) | 1.1 (0.6–2.0) | |
Religion | ||||
 Christianity | 136 (77.3) | 598 (81.1) | 3.282 (0.194) | NA |
 Islam | 39 (22.2) | 127 (17.2) |  | |
 Others | 1 (0.6) | 12 (1.6) |  | |
Education | ||||
 First (MBBS) degree | 52 (29.5) | 367 (49.8) | 23.464 (< 0.001*) | 1 |
 Postgraduate degree | 124 (70.5) | 370 (50.2) | 0.8 (0.4–1.6) | |
Postgraduate medical training | ||||
 None | 59 (33.5) | 294 (39.9) | 35.357 (< 0.001*) | 1 |
 Junior Registrars | 11 (6.3) | 132 (17.9) | 0.5 (0.2–0.9*) | |
 Senior Registrars | 43 (24.4) | 180 (24.4) | 1.1 (0.5–2.2) | |
 Fellows | 63 (35.8) | 131 (17.8) | 0.9 (0.4–1.8) | |
Work experience in years | ||||
 ≤ 5 | 23 (13.1) | 224 (30.4) | 108.050 (< 0.001*) | 1 |
 6–10 | 28 (15.9) | 241 (32.7) | 0.8 (0.3–1.6) | |
 11–15 | 50 (28.4) | 185 (25.1) | 1.4 (0.6–2.9) | |
 16–20 | 39 (22.2) | 53 (7.2) | 2.7 (1.1–7.0*) | |
 ≥ 21 | 36 (20.5) | 34 (4.6) | 2.5 (0.8–7.6) | |
Type of health facility | ||||
 Privatea | 28 (15.9) | 106 (14.4) | 0.264 (0.607) | NA |
 Public | 148 (84.1) | 631 (85.6) |  | |
Location of practice | ||||
 Rural/suburban | 56 (31.8) | 265 (36.0) | 1.067 (0.302) | NA |
 Urban | 120 (68.2) | 472 (64.0) |  | |
Satisfaction with work | ||||
 Unsatisfied | 122 (69.3) | 672 (91.2) | 59.907 (< 0.001*) | 1 |
 Satisfied | 54 (30.7) | 65 (8.8) | 4.7 (2.9–7.4*) | |