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Table 4 A mixed effect multilevel binary logistic regression analysis of individual and community-level factors associated with uptake of PNC services among deviant women in Ethiopia, EDHS 2016 (n = 2417)

From: Uptake of postnatal care and its determinants in Ethiopia: a positive deviance approach

Variables

PNC use

COR (95%CI)

Model 1

AOR (95% CI)

Model 2

AOR (95% CI)

Model 3

AOR (95% CI)

Utilized

n (%)

Non-utilized

n (%)

Age (in years)

 15–24

17 (3.36)

489 (96.64)

Ref.

   

 25–34

80 (6.17)

1216 (93.83)

1.91 (1.05–3.46)

1.45 (0.71–2.95)

 

1.41 (0.69–2.86)

 35+

44 (7.15)

571 (92.85)

2.21 (1.16–4.21)

1.46 (0.63–3.38)

 

1.40 (0.60–3.23)

Marital status

 Married

134 (5.77)

2188 (94.23)

Ref.

   

 Not married

7 (7.37)

(88 (92.63)

1.32 (0.52–3.33)

1.38 (0.52–3.64)

 

1.36 (0.52–3.55)

Occupation

 No work

67 (4.29)

1496 (95.71)

Ref.

   

 Professional

13 (6.81)

178 (93.19)

1.70 (0.82–3.50)

1.17 (0.55–2.47)

 

1.22 (0.58–2.56)

 Agricultural

48 (9.70)

447 (90.30)

2.63 (1.63–4.22)

2.05 (1.25–3.35)

 

2.15 (1.31–3.52) *

 Others

13 (7.74)

155 (92.26)

1.95 (0.94–4.05)

1.54 (0.73–3.25)

 

1.54 (0.73–3.26)

Religion

 Muslim

56 (3.87)

1390 (96.13)

Ref.

   

 Orthodox

68 (11.17)

541 (88.83)

3.46 (2.08–5.75)

2.46 (1.44–4.23)

 

2.56 (1.42–4.57) *

 Others

17 (4.70)

345 (95.30)

1.34 (0.67–2.68)

1.19 (0.59–2.42)

 

1.32 (0.65–2.70)

Household wealth index

 Lowest

66 (4.13)

1531 (95.87)

Ref.

   

 Middle

28 (8.09)

318 (91.91)

1.92 (1.12–3.28)

1.69 (0.98–2.92)

 

1.61 (0.93–2.80)

 Highest

47 (9.92)

427 (90.08)

2.80 (1.72–4.56)

2.44 (1.48–4.05)

 

2.22 (1.25–3.91) *

Parity

 Primi-para

11 (4.49)

234 (95.51)

Ref.

   

 Multi-para

54 (5.52)

925 (94.48)

1.32 (0.62–2.81)

1.07 (0.45–2.50)

 

1.10 (0.47–2.57)

 Grand multi-para

76 (6.37)

1117 (93.63)

1.78 (0.84–3.75)

1.34 (0.52–3.43)

 

1.37 (0.53–3.53)

Desire more child

 Wants

85 (5.38)

1495 (94.62)

Ref.

   

 Wants no more

56 (6.69)

781 (93.31)

1.24 (0.83–1.86)

0.88 (0.56–1.36)

 

0.89 (0.57–1.38)

Residence

 Urban

16 (7.69)

192 (92.31)

Ref.

   

 Rural

125 (5.66)

2084 (94.34)

0.63 (0.30–1.32)

 

0.89 (0.40–2.00)

1.30 (0.54–3.10)

Region

 Developed

87 (6.95)

1164 (93.05)

Ref.

   

 Emerging

41 (3.93)

1002 (96.07)

0.51 (0.30–0.87)

 

0.52 (0.31–0.88)

1.06 (0.59–1.90)

 City administration

13 (10.57)

110 (89.43)

1.66 (0.65–4.22)

 

1.67 (0.63–4.37)

3.17 (1.15–8.71) *

Living closer to health facility

 Yes

76 (8.26)

844 (91.74)

Ref.

   

 No

65 (4.34)

1432 (95.66)

0.55 (0.37–0.83)

 

0.56 (0.36–0.84)

0.63 (0.41–0.96) *

Exposure to mass media

 No

123 (5.68)

2043 (94.32)

Ref.

   

 Yes

18 (7.17)

233 (92.83)

1.27 (0.69–2.31)

 

1.03 (0.55–1.94)

0.86 (0.44–1.65)

  1. AOR Adjusted Odds Ratio, COR Crude Odds Ratio, PNC Postnatal care, Model 1: adjusted for individual-level factors, Model 2: adjusted for community-level factors, Model 3: adjusted for both individual and community-level factors (full model)
  2. *Statistically significant at p-value < 0.05 in the full model
  3. Ref. Reference category