Table 3.
Association between health outcomes and conflict intensity across different subgroups of vulnerability before and after adjusting for socioeconomic vulnerabilities and healthcare service functioning
| Outcomes | Vulnerability level | Exponential transformed estimates (95%CI) | ||||
|---|---|---|---|---|---|---|
| Unadjusted model | Adjusted Model | |||||
| Conflict-intensity | Conflict-intensity | Vulnerability | Functioning of healthcare services | |||
| Reproductive and child health outcomes | ||||||
| Neonatal mortality | Low |
1.0002 (0.998, 1.002) |
1.0009 (0.997, 1.0007) |
1.632** (1.336, 2.103) |
0.367** (0.236, 0.565) |
|
| Medium |
1.0002 (0.9998, 1.0007) |
1.00009 (0.999, 1.0004) |
1.258** (1.209, 1.296) |
0.1358 (0.886, 1.390) |
||
| High |
1.003*** (1.002, 1.005) |
1.002** (1.001, 1.003) |
1.209*** (1.161, 1.246) |
0.618*** (0.565, 0.670) |
||
| Under1 mortality | Low |
1.0003 (0.999, 1.002) |
1.0009 (0.998, 1.001) |
1.716** (1.377, 2.138) |
0.346** (0.216, 0.548) |
|
| Medium |
1.0002 (0.9996, 1.0008) |
1.00007 (0.9995, 1.0004) |
1.363** (1.309, 1.433) |
1.02 (0.755, 1.363) |
||
| High |
1.004** (1.002, 1.006) |
1.003*** (1.001, 1.004) |
1.323** (1.258, 1.377) |
0.496*** (0.436, 0.565) |
||
| Under5 mortality | Low |
1.0006 (0.999, 1.003) |
1.0006 (0.999, 1.001) |
1.698** (1.336, 2.159) |
0.364** (0.199, 0.554) |
|
| Medium |
1.0005 (0.999, 1.001) |
1.0001 (0.999, 1.0007) |
1.433** (1.363, 1.506) |
0.382** (0.618, 1.221) |
||
| High |
1.005** (1.002, 1.007) |
1.003** (1.001, 1.004) |
1.462** (1.377, 1.552) |
0.382** (0.323, 0.453) |
||
| Maternal mortality | Low |
1.0008 (0.987, 1.003) |
1.002 (-0.9997, 1.004) |
1.665** (1.309, 2.117) |
0.357** (0.220, 0.600) |
|
| Medium |
1.001** (1.0008, 1.002) |
1.002** (1.001, 1.003) |
1.363** (1.284, 1.447) |
0.704 (0.472, 1.040) |
||
| High |
1.003* (1.0008, 1.005)) |
1.001 (0.9993, 1.003) |
1.419** (1.323. 1.506) |
0.554** (0.463, 0.670) |
||
| Nutrition-related outcomes | ||||||
| Malnutrition mortality | Low |
1.0001 (0.999, 1.001) |
1.0004 (-0.999, 1.001) |
1.462* (1.221. 1.75) |
0.895 (0.631, 1.296) |
|
| Medium |
1.0002 (0.999, 1.001) |
1.001 (0.9998, 1.005) |
1.616** (1.462, 1.786) |
0.516 (0.269, 1.116) |
||
| High |
1.004 (0.991, 1.0009) |
1.001 (0.995, 1.003) |
1.768*** (1.521, 2.054) |
0.313** (0.1353, 0.307) |
||
| Malnutrition prevalence | Low |
1.0001 (0.9992, 1.0005) |
1.0002 (0.9991, 1.0004) |
1.138** (1.051, 1.246) |
0.962 (0.810, 1.138) |
|
| Medium |
1.0002 (0.9993, 1.0001) |
0.0003 (0.9993, 1.0003) |
1.185** (1.138, 1.221) |
1.105 (0.869, 1.03) |
||
| High |
1.003* (1.001, 1.004) |
1.001* (1.0003, 1.002) |
1.309** (1.258, 1.363) |
0.600** (0.537, 0.670) |
||
| Communicable disease outcomes | ||||||
| Diarrheal disease mortality | Low |
1.001 (0.997, 0.0005) |
1.002* (1.0004, 1.004) |
2.033** (1.616, 2.534) |
0.554* (0.346, 0.895) |
|
| Medium |
1.001* (1.0005, 1.002) |
1.001** (1.0004, 1.02) |
1.665** (1.521, 1.803) |
1.390 (0.755, 2.559) |
||
| High |
1.01** (1.007, 1.02) |
1.009** (1.006, 1.116) |
1.716** (1.584, 1.877) |
0.254** (0.199, 0.326) |
||
| Diarrheal disease prevalence | Low |
1.0004 (0.999, 1.0006) |
1.0008 (0.9982, 1.0009 |
1.568** (1.404, 1.750) |
0.826 (0.637, 1.476) |
|
| Medium |
1.0006* (1.0001, 1.0008) |
1.0005* (1.00006, 1.001 |
1.246*** (1.185, 1.296) |
0.687** (0.945, 0.501) |
||
| High |
1.005** (1.003, 1.006) |
1.003** (1.002, 1.004) |
1.246** (1.197, 1.296) |
0.683** (0.606, 0.763) |
||
| TB mortality | Low |
1.0004 (0.998, 1.001) |
1.001 (0.9996, 1.003) |
1.462*** (1.173, 1.84) |
0.349** (0.214, 0.565) |
|
| Medium |
1.0006 (0.9999, 1.001) |
1.0009** (1.0002, 1.01) |
1.349*** (1.284, 1.419) |
0.96 (0.657, 1.419) |
||
| High |
1.005** (1.002, 1.008) |
1.003** (1.001, 1.005) |
1.462** (1.377, 1.537) |
0.367** (0.31, 0.431) |
||
| TB prevalence | Low |
1.0005 (0.999, 1.0003) |
1.001** (1.0001, 1.002) |
1.233*** (1.116, 1.349) |
0.657** (0.532, 0.802) |
|
| Medium |
1.0004** (1.0001, 1.0006) |
1.0004** (1.0001, 1.0006) |
1.069** (1.04, 1.083) |
0.138 (0.990, 0.323) |
||
| High |
1.003** (1.002 1.004) |
1.002** (1.001, 1.003) |
1.209** (1.173, 1.246) |
0.625** (0.75, 0.462) |
||
| HIV/AIDS mortality | Low |
1.001 (0.9996, 1.003) |
1.0005 (0.9992, 1.001) |
1.138* (1.02, 1.258) |
0.339* (0.148, 0.794) |
|
| Medium |
1.001** (1.0001, 0.002) |
1.0005 (0.9992, 1.001) |
1.138* (1.02, 1.284) |
0.337** (0.149, 0.771) |
||
| High |
1.003 (0.997, 1.01) |
1.005 (-0.998, 1.012) |
1.246 (0.98, 1.584) |
0.295** (0.146, 0.594) |
||
| HIV/AIDS prevalence | Low |
1.001 (0.999, 1.004) |
1.002** (1.00001, 1.005) |
0.501** (0.364, 0.69) |
3.706** (1.877, 7.315) |
|
| Medium |
1.001** (1.0004, 0.002) |
1.0008 (0.999, 1.001) |
0.802** (0.733, 0.878) |
0.367** (0.182, 0.657) |
||
| High |
1.005* (1.002, 1.011) |
1.004 (0.999, 1.01) |
0.852 (0.697, 1.040) |
0.481* (0.269, 0.86) |
||
| Noncommunicable disease outcomes | ||||||
| Cardiovascular diseases mortality | Low |
1.0003 (0.999, 1.001) |
1.0005 (0.9999, 1.001) |
0.924* (0.86, 0.997) |
1.102 (0.94, 1.284) |
|
| Medium |
1.0006* (1.0002, 1.0009) |
1.0006* (1.0003, 1.0009) |
0.985 (0.956, 1.01) |
0.995 (0.81, 1.221) |
||
| High |
1.002* (1.001, 1.003) |
1.001** (1.0008, 1.002) |
1.105** (1.075, 1.138) |
0.677** (0.618, 0.748) |
||
| Cardiovascular diseases prevalence | Low |
1.0004 (0.9996, 0.001) |
1.0007 (0.999, 1.0014) |
0.755** (0.69, 0.818) |
1.197* (1.105, 1.433) |
|
| Medium |
1.0006* (1.0004, 1.0009) |
1.0007** (1.0005, 1.0009) |
0.93** (0.911, 0.950) |
0.878 (0.852, 1.138) |
||
| High |
1.0007** (1.0003, 1.001) |
1.0008** (1.0006, 1.001) |
0.993 (0.979, 1.007) |
0.928** (0.895, 0.968) |
||
| Diabetes mellitus mortality | Low |
1.001 (0.9993, 1.0029) |
1.001 (0.999, 1.003) |
0.869 (0.835, 1.072) |
*1.698 (1.070, 2.691) |
|
| Medium |
1.0009* (1.0005, 1.0013) |
1.001** (1.0006, 1.001) |
0.869** (0.835, 0.904) |
0.904 (0.69, 1.17) |
||
| High |
1.00039 (0.99996, 1.001) |
1.0004 (0.9996, 1.001) |
1.020 (0.990, 1.050) |
0.869* (0.802, 0.942) |
||
| Diabetes mellitus prevalence | Low |
1.001 (0.9998, 1.003) |
1.0021** (1.0006, 1.0037) |
0.663*** (0.554, 0.794) |
1.803** (1.221, 2.664) |
|
| Medium |
1.001** (1.0007, 1.002) |
1.0015** (1.001, 1.002) |
0.763** (0.726, 0.794) |
0.869 (0.625, 1.197) |
||
| High |
1.004** (1.0027, 1.0058) |
1.003 (1.0019, 1.004) |
0.818** (0.786, 0.843) |
1.476** (1.323, 1.648) |
||
* p value > 0.05; ** p value > 0.01 **