Table 4.
Qualified medical provider visits for severe acute respiratory illness within prior year among children <5 years old and association with mobility using univariate and multivariable models with modified Poisson regression
| No qualified provider for severe ARI* | Qualified provider for severe ARI* | PR† | 95% CI | P value | |||
| n=358 (25%) | n=1100 (75%) | ||||||
| Univariate analyses | |||||||
| Mobility status | n | % | n | % | |||
| Residentially stable >24 months | 141 | 18 | 622 | 82 | Reference | ||
| Recently relocated <12 months | 217 | 31 | 478 | 69 | 0.84 | 0.79 to 0.90 | <0.001 |
| Demographics | mean | SE | mean | SE | |||
| Number of children <5 years in household | 1.23 | 0.03 | 1.25 | 0.02 | 1.02 | 0.97 to 1.08 | 0.437 |
| Age of index child in months | 29.1 | 0.83 | 23.7 | 0.44 | 0.994 | 0.992 to 0.996 | <0.001 |
| Socioeconomics | |||||||
| Mother’s education | n | % | n | % | |||
| No education | 134 | 38 | 220 | 62 | Reference | ||
| Some schooling | 127 | 32 | 267 | 68 | 1.09 | 0.96 to 1.23 | 0.170 |
| Finished secondary | 79 | 16 | 425 | 84 | 1.36 | 1.20 to 1.54 | <0.001 |
| > Higher secondary | 18 | 9 | 188 | 91 | 1.47 | 1.30 to 1.66 | <0.001 |
| Occupation of household head | |||||||
| Unemployed or other | 24 | 23 | 82 | 77 | Reference | ||
| Daily labour | 139 | 36 | 244 | 64 | 0.82 | 0.72 to 0.94 | 0.005 |
| Shopkeeper or merchant | 89 | 22 | 320 | 78 | 1.01 | 0.90 to 1.14 | 0.848 |
| Salaried service | 106 | 19 | 454 | 81 | 1.05 | 0.93 to 1.18 | 0.435 |
| Household wealth status (PCA‡) | |||||||
| Lowest | 154 | 40 | 228 | 60 | Reference | ||
| Second | 93 | 30 | 220 | 70 | 1.18 | 1.02 to 1.37 | 0.031 |
| Third | 59 | 21 | 220 | 79 | 1.32 | 1.16 to 1.51 | <0.001 |
| Fourth | 37 | 12 | 277 | 88 | 1.48 | 1.31 to 1.67 | <0.001 |
| Highest | 15 | 9 | 155 | 91 | 1.53 | 1.35 to 1.73 | <0.001 |
| Health services knowledge | |||||||
| Does not have knowledge of local hospital | 114 | 49 | 118 | 51 | Reference | ||
| Has knowledge of local hospital | 244 | 20 | 982 | 80 | 1.57 | 1.34 to 1.85 | <0.001 |
| Multivariable analyses with different models | |||||||
| Mobility, adjusting for demographics (# of children and age of index child) | 0.84 | 0.79 to 0.89 | <0.001 | ||||
| Mobility, adjusting for socioeconomics (education, occupation and wealth) | 0.89 | 0.84 to 0.94 | <0.001 | ||||
| Mobility, adjusting for demographics and socioeconomics | 0.88 | 0.84 to 0.93 | <0.001 | ||||
*ARI, Acute Respiratory Illness.
†PR, Prevalence Ratio.
‡Polychoric Principal Components Analysis was used to create a household wealth index including structural housing characteristics, cooking fuel, drinking water and sanitation.