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Table 4 Multilevel logistic regression of individual and household level factors influencing use of ITN among pregnant women in Ghana

From: Mixed effect analysis of factors influencing the use of insecticides treated bed nets among pregnant women in Ghana: evidence from the 2019 Malaria Indicator Survey

Variables

Model I AOR [95%CI]

Model II AOR[95% CI]

Model III AOR [95% CI]

Individual level factors

Age

 15–24

Ref

 

Ref

 25–34

1.028 [0.572–1.845]

 

1.519 [0.721–3.199]

 35–49

1.606 [0.693–3.721]

 

3.403*[1.191–9.725]

Educational Level

 No Education

5.585*[1.315–23.716]

 

1.627 [0.295–8.962]

 Primary

3.228 [0.826–12.611]

 

0.988 [0.191–5.112]

 Secondary

3.509*[1.076–11.440]

 

1.443 [0.356–5.845]

 Higher

Ref

 

Ref

Religion

 Catholic

1.435 [0.364–5.658]

 

1.473 [0.318–6.811]

 Protestant

1.472 [0.363–5.971]

 

1.324 [0.279–6.271]

 Moslem

0.665 [0.188–2.348]

 

0.647 [0.166–2.513]

 Pentecostal/Charismatic

0.866 [0.256–2.927]

 

0.614 [0.159–2.366]

 No Religion

Ref

 

Ref

Literacy level

 Illiterate

Ref

 

Ref

 Literate

1.024 [0.522–2.008]

 

1.389 [0.616–3.133]

Ecological Zone

 Coastal Zone

Ref

 

Ref

 Middle Belt

1.336 [0.776–2.300]

 

1.088 [0.562–2.107]

 Northern Zone

2.108 [0.930–4.775]

 

1.204 [0.416–3.483]

Place of Residence

 Urban

0.355***[0.216–0.582]

 

0.895 [0.450–1.778]

 Rural

Ref

 

Ref

Ethnicity

 Akan

2.888 [0.711–11.722]

 

7.234*[1.497–34.955]

 Ga/Dangme

1.224 [0.227–6.612]

 

2.157 [0.334–13.923]

 Ewe

1.524 [0.373–6.224]

 

3.106 [0.642–15.037]

 Mole-Dagbani

2.452 [0.649–9.266]

 

2.663 [0.593–11.962]

 Other

Ref

 

Ref

Parity

 1–3

Ref

 

Ref

 4–6

1.031 [0.538–1.974]

 

1.549 [0.726–3.302]

 7+

0.685 [0.196–2.392]

 

0.701 [0.166–2.955]

Household level factors

Sex of Household Head

 Male

 

1.870*[1.003–3.486]

2.232*[1.105–4.508]

 Female

 

Ref

Ref

Age of Household Head

 20–29

 

Ref

Ref

 30–39

 

0.683 [0.318–1.467]

0.435 [0.177–1.066]

 40–49

 

0.437*[0.193–0.991]

0.175***[0.066–0.467]

 50–59

 

0.464 [0.181–1.188]

0.239*[0.080–0.716]

 60–69

 

4.303*[1.160–15.966]

4.084 [0.949–17.583]

 70+

 

0.843 [0.241–2.943]

0.743 [0.192–2.875]

Household Wealth Index

 Poorest

 

Ref

Ref

 Poorer

 

1.514 [0.691–3.313]

1.046 [0.396–2.765]

 Middle

 

0.749 [0.304–1.844]

0.449 [0.144–1.400]

 Richer

 

0.509 [0.188–1.373]

0.184*[0.050–0.679]

 Richest

 

0.428 [0.124–1.478]

0.107**[0.021–0.552]

Household Source of drinking water

 Improved

 

Ref

Ref

 Unimproved

 

1.019 [0.586–1.774]

1.314 [0.697–2.479]

Household Type of toilet facility

 Improved toilet facility

 

Ref

Ref

 Unimproved toilet facility

 

1.610 [0.881–2.944]

1.413 [0.725–2.755]

Household Type of cooking fuel

 Liquefied Petroleum Gas (LPG)

 

0.479 [0.099–2.319]

0.479 [0.099–2.319]

 Charcoal

 

0.947 [0.197–4.541]

0.947 [0.197–4.541]

 Fuel wood

 

1.328 [0.282–6.250]

1.328 [0.282–6.250]

 Other cooking fuel

 

Ref

Ref

  1. Source: Computed from 2019 Ghana Malaria Indicator Survey (GMIS)
  2. *P < 0.05, **P < 0.01, ***P < 0.001; AOR = Adjusted Odds Ratio
  3. Model I = individual socio-demographic variables
  4. Model II = household variables
  5. Model III = final model adjusted for individual and household level variables