Table 2. Associations between low birth weight and contextual risk factors, GDHS 2003 and 2008.
Null model | Mode with population level factors | Mode with individual & community level determinants | |
FIXED EFFECT (OR, 95% CI, P-value) | |||
Contextual-level factors | |||
Residence | |||
Rural | 1.17 (0.96–1.42) | 1.43 (1.01–2.01)* | |
Urban | 1 (reference) | 1 (reference) | |
Community poverty level | |||
High | 1.61 (1.13–2.29)** | 2.16 (1.29–3.61)** | |
Low | 1 (reference) | 1 (reference) | |
Community Illiteracy level | |||
High | 1.13 (0.83–1.54) | 1.22 (0.70–2.12) | |
Low | 1 (reference) | 1 (reference) | |
Community safe water coverage | |||
High | 0.78 (0.65–0.93)** | 0.74 (0.57–0.96)* | |
Low | 1 (reference) | 1 (reference) | |
Community healthcare access | |||
Difficult | 1.09 (0.84–1.42) | 1.28 (0.87–1.87) | |
Not difficult | 1 (reference) | 1 (reference) | |
RANDOM EFFECT | |||
Area Variance (SE) | 0.208 (0.048)*** | 0.190 (0.047)*** | 0.168 (0.081)** |
PCV | −8.7% | −12.1% | |
MOR | 1.54 (1.41–1.72) | 1.51 (1.38–1.70) | 1.48 (1.28–1.87) |
ICC (latent variable method) | 0.060 | 0.055 | 0.049 |
AIC | 6098.007 | 6059.623 | 2885.930 |
Model 1 is the null model, contained no explanatory variable.
Model 2 adjusted for contextual-level characteristics.
Model 3 adjusted for both population-level and individual-level characteristics.
Individual-level characteristics adjusted for: maternal age, marital status, parity, maternal BMI, maternal education, maternal occupation, birth interval, use of mosquito net or malaria prophylactic, anaemia in pregnancy, antenatal care, smoking, unwanted pregnancy, maternal nutritional intake, ethnicity & wealth index.
Abbreviations: OR: odds ratio; SE: standard error; PCV: proportional change in variance; 95% CI: 95% confidence interval; MOR: median odds ratio; ICC: intracluster correlation.
***p<0.001, **p<0.01, and *p<0.05.