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Table 3 Mixed effects analysis of association between antenatal attendance and low birth weight

From: Antenatal care attendance and low birth weight of institutional births in sub-Saharan Africa

Variables

Model I

Model II

cOR [95% CI]

Model III

aOR [95% CI]

Model IV

aOR [95% CI]

Fixed effect results

ANC visits

  Less than 8

 

1.00

 

1.00

  Eight or more

 

0.66*** [0.55—0.79]

 

0.68*** [0.56—0.82]

Maternal age

  15–19

  

1.00

1.00

  20–24

  

0.69*** [0.57—0.84]

0.69*** [0.57—0.83]

  25–29

  

0.50*** [0.41—0.62]

0.50*** [0.41—0.62]

  30–34

  

0.43*** [0.35—0.54]

0.44*** [0.35—0.55]

  35–39

  

0.43*** [0.34—0.55]

0.44*** [0.34—0.56]

  40–44

  

0.55*** [0.42—0.73]

0.55*** [0.42—0.74]

  45–49

  

0.30*** [0.19—0.48]

0.30*** [0.19—0.48]

Marital status

  Married

  

1.00

1.00

  Cohabiting

  

0.81* [0.66—0.98]

0.82* [0.68—1.00]

  Single

  

1.03 [0.87—1.22]

1.03 [0.87—1.22]

Maternal education

  No education

  

1.00

1.00

  Primary

  

0.90 [0.78—1.04]

0.90 [0.78—1.03]

  Secondary or higher

  

0.83* [0.72—0.96]

0.84* [0.73—0.98]

Age at first birth

  Adolescent birth

  

1.00

1.00

  Adult birth

  

1.11 [0.98—1.25]

1.12 [0.99 -1.26]

Pregnancy intention

  Then

  

1.00

1.00

  Later

  

1.03 [0.90—1.18]

1.01 [0.88—1.16]

  No more

  

0.85 [0.66—1.11]

0.85 [0.65—1.10]

Child’s age (months)

  0–11

  

1.00

1.00

  12–23

  

0.94 [0.82—1.07]

0.94 [0.82,1.08]

  24–35

  

1.17* [1.02—1.36]

1.18* [1.02,1.36]

  36–47

  

0.95 [0.78—1.15]

0.95 [0.79,1.15]

  48–59

  

0.96 [0.76—1.22]

0.96 [0.76,1.22]

Child’s sex

  Male

  

1.00

1.00

  Female

  

1.31*** [1.18—1.45]

1.31*** [1.18—1.45]

Wealth index

  Poorest

  

1.00

1.00

  Poorer

  

1.17 [0.99—1.40]

1.17 [0.99—1.40]

  Middle

  

1.33** [1.10—1.60]

1.33** [1.11—1.60]

  Richer

  

1.07 [0.88—1.30]

1.08 [0.89—1.31]

  Richest

  

1.14 [0.92—1.41]

1.17 [0.95—1.45]

Residence

  Urban

  

1.00

1.00

  Rural

  

0.94 [0.82—1.07]

0.92 [0.80—1.06]

Random effect model

 PSU variance (95% CI)

0.119 [0.072–0.196]

0.115 [0.069–0.192]

0.111 [0.065–0.189]

0.108 [0.063–0.188]

 ICC

0.035

0.034

0.033

0.032

 Wald chi-square

Reference

20.15 (< 0.001)

176.70 (< 0.001)

193.35 (< 0.001)

Model fitness

 Log-likelihood

-7405.9741

-7389.9778

-7308.1333

-7294.9571

 AIC

14,815.95

14,785.96

14,666.27

14,641.91

 N

33,585

33,585

33,585

33,585

 Number of clusters

1,253

1,253

1,253

1,253

  1. aOR adjusted odds ratios, CI Confidence Interval, cOR Crude odds ratio; * p < 0.05, ** p < 0.01, *** p < 0.001; 1 = Reference category; PSU Primary Sampling Unit, ICC Intra-Class Correlation, AIC Akaike’s Information Criterion