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Table 2 Bivariate and multivariate logistic regression estimation of odds of term infant mortality by contextual county characteristics and individual maternal sociodemographic, health and obstetric characteristics in the US, 2013

From: Poverty, urban-rural classification and term infant mortality: a population-based multilevel analysis

 

Model 1

Model 2

Model 3

Model 4

Bivariate

County variables

Individual variables

County + individual variables

OR

95%CI

aOR

95%CI

aOR

95%CI

aOR

95%CI

Contextual County Characteristics

 Poverty

  Low

Referent

Referent

 

Referent

  Medium

1.41***

(1.19, 1.66)

1.39**

(1.17, 1.64)

1.16

(0.99, 1.36)

  High

1.84***

(1.56, 2.18)

1.90***

(1.60, 2.27)

1.31***

(1.11, 1.54)

 County Urban/Rural Scheme

  Large central metro

1.07

(0.93, 1.22)

0.85*

(0.75, 0.96)

0.98

(0.9, 1.1)

  Large fringe metro

Referent

Referent

 

Referent

  Medium metro

1.30***

(1.18, 1.46)

1.02

(0.91, 1.15)

1.05

(0.95, 1.17)

  Small metro

1.23***

(1.08, 1.41)

0.97

(0.84, 1.10)

0.95

(0.83, 1.08)

  Micropolitan (non-metro) metro

1.55***

(1.37, 1.76)

1.19**

(1.04, 1.35)

1.10

(0.97, 1.24)

  Non-core (non-metro)

1.72***

(1.51, 1.97)

1.31***

(1.14, 1.50)

1.16*

(1.02, 1.33)

Maternal Individual Characteristics

 Gestational age (weeks)

  37

2.30***

(2.13, 2.48)

2.12***

(1.95, 2.31)

2.12***

(1.95, 2.31)

  38

1.43***

(1.33, 1.53)

1.38***

(1.28,1.49)

1.38***

(1.28, 1.49)

  39

Referent

 

Referent

Referent

  40

0.82***

(0.76, 0.88)

0.85***

(0.78, 0.92)

0.86***

(0.79, 0.93)

   ≥ 41

0.86**

(0.77, 0.96)

0.92

(0.81, 1.04)

0.93

(0.82, 1.05)

 Maternal age (years)

  15–19

1.62***

(1.48, 1.77)

1.50***

(1.34, 1.68)

1.47***

(1.31, 1.65)

  20–24

1.39***

(1.30, 1.48)

1.19***

(1.10, 1.29)

1.18***

(1.09, 1.27)

  25–29

Referent

 

Referent

Referent

  30–34

0.74***

(0.69, 0.80)

0.78***

(0.71, 0.85)

0.79***

(0.72, 0.86)

  35–39

0.76***

(0.69, 0.84)

0.83***

(0.74, 0.92)

0.84**

(0.75, 0.94)

   ≥ 40

1.25**

(1.08, 1.44)

1.29**

(1.10, 1.52)

1.33**

(1.12, 1.56)

 Maternal education

  High school or less

2.47***

(2.31, 2.65)

1.30***

(1.18, 1.44)

1.27***

(1.15, 1.40)

  Some college/AA

1.81***

(1.68, 1.96)

1.19***

(1.08, 1.31)

1.17**

(1.06, 1.28)

  Bachelor’s or more

Referent

 

Referent

Referent

 Maternal race/ethnicity

  

    

  Non-Hispanic White

Referent

 

Referent

Referent

  Non-Hispanic Black

1.63***

(1.53, 1.74)

1.19***

(1.10, 1.29)

1.20***

(1.11, 1.31)

  Hispanic

0.84***

(0.78, 0.89)

0.68***

(0.62, 0.73)

0.68***

(0.63, 0.74)

  Non-Hispanic Other

0.75***

(0.67, 0.84)

0.87*

(0.76, 0.99)

0.89

(0.78, 1.01)

 Marital status

  No

Referent

 

Referent

Referent

  Yes

0.53***

(0.51, 0.56)

0.83***

(0.78, 0.89)

0.83***

(0.78, 0.89)

 Number of previous live births

  0

Referent

 

Referent

Referent

  1–2

1.22***

(1.15, 1.29)

1.32***

(1.24, 1.42)

1.31***

(1.23, 1.41)

   ≥ 3

1.83***

(1.70, 1.97)

1.81***

(1.65, 2.00)

1.78***

(1.61, 1.96)

 Infant sex

  Male

Referent

 

Referent

Referent

  Female

0.84***

(0.80, 0.88)

0.84***

(0.80, 0.89)

0.84***

(0.80, 0.89)

 Month prenatal care began

  First trimester

Referent

 

Referent

Referent

  Second trimester

1.55***

(1.46, 1.65)

1.25***

(1.16, 1.34)

1.24***

(1.16, 1.33)

  Third trimester

2.23***

(2.04, 2.44)

1.71***

(1.55, 1.90)

1.70***

(1.54, 1.89)

  No prenatal care

3.71***

(3.25, 4.23)

2.12***

(1.80, 2.53)

2.09***

(1.76, 2.49)

 Tobacco use during pregnancy

  No

Referent

 

Referent

Referent

  Yes

2.59***

(2.43, 2.76)

1.79***

(1.65, 1.94)

1.77***

(1.63, 1.91)

 Chronic hypertension

  No

Referent

 

Referent

Referent

  Yes

1.64***

(1.38, 1.94)

1.32**

(1.07, 1.62)

1.30*

(1.06, 1.60)

 Chronic diabetes

  No

Referent

 

Referent

Referent

  Yes

1.06

(0.95, 1.18)

1.02

(0.90, 1.15)

1.02

(0 .90, 1.15)

 Pregnancy associated hypertension

  No

Referent

 

Referent

Referent

  Yes

1.18**

(1.05, 1.32)

1.04

(0.91, 1.19)

1.03

(0.90, 1.18)

 Medicaid

  No

Referent

 

Referent

Referent

  Yes

1.95***

(1.85, 2.06)

1.20***

(1.11, 1.28)

1.18***

(1.10, 1.27)

N

2,551,828

2,551,828

2,551,828

ICC

0.015***

0.006***

  1. * p < 0.05, ** p < 0.01, *** p < 0.001, low poverty (< 10%), medium poverty (10.0–19.9%), high poverty (≥20%)