Table 3. Association of household, child and parental characteristics with perinatal mortality in Bangladesh.
Characteristics | Unadjusted | Adjusted | ||||||
---|---|---|---|---|---|---|---|---|
OR | 95% CI | P | OR | 95% CI | P | |||
Survey year | ||||||||
2004 | 1.00 | 1.00 | ||||||
2007 | 0.86 | 0.72–1.03 | 0.100 | 0.86 | 0.72–1.03 | 0.105 | ||
2011 | 0.78 | 0.66–0.92 | 0.003 | 0.86 | 0.72–1.02 | 0.088 | ||
2014 | 0.65 | 0.55–0.77 | <0.001 | 0.65 | 0.53–0.80 | <0.001 | ||
Household characteristics | ||||||||
Administrative division | ||||||||
Barisal | 0.98 | 0.78–1.23 | 0.857 | 1.01 | 0.79–1.28 | 0.960 | ||
Chittagong | 0.77 | 0.62–0.95 | 0.016 | 0.72 | 0.58–0.90 | 0.003 | ||
Dhaka | 1.00 | 1.00 | ||||||
Khulna | 1.02 | 0.82–1.28 | 0.857 | 0.95 | 0.75–1.20 | 0.651 | ||
Rajshahi | 1.22 | 1.00–1.50 | 0.052 | 1.08 | 0.88–1.34 | 0.450 | ||
Rangpur | 0.91 | 0.69–1.19 | 0.484 | 0.95 | 0.71–1.27 | 0.730 | ||
Sylhet | 1.35 | 1.11–1.64 | 0.003 | 1.15 | 0.94–1.42 | 0.182 | ||
Place of residence | ||||||||
Rural | 1.10 | 0.96–1.25 | 0.170 | 0.97 | 0.83–1.13 | 0.683 | ||
Urban | 1.00 | 1.00 | ||||||
Household wealth quintile | ||||||||
Poorest | 1.37 | 1.14–1.64 | 0.001 | 1.07 | 0.81–1.40 | 0.639 | ||
Poorer | 1.50 | 1.25–1.80 | <0.001 | 1.19 | 0.92–1.53 | 0.187 | ||
Middle | 1.40 | 1.16–1.69 | <0.001 | 1.17 | 0.92–1.49 | 0.201 | ||
Richer | 1.17 | 0.97–1.42 | 0.105 | 1.06 | 0.85–1.32 | 0.607 | ||
Richest | 1.00 | 1.00 | ||||||
Type of cooking fuel | ||||||||
Non-solid | 1.00 | 1.00 | ||||||
Solid | 1.48 | 1.20–1.82 | <0.001 | 1.30 | 1.00–1.70 | 0.051 | ||
Source of drinking water | ||||||||
Unimproved | 1.00 | 1.00 | ||||||
Improved | 0.79 | 0.59–1.06 | 0.110 | 0.94 | 0.69–1.26 | 0.664 | ||
Type of toilet facility | ||||||||
Unimproved | 1.00 | 1.00 | ||||||
Improved | 0.83 | 0.74–0.93 | 0.001 | 0.97 | 0.85–1.11 | 0.657 | ||
Child characteristics | ||||||||
Gender | 1.00 | 1.00 | ||||||
Male | 1.10 | 0.98–1.22 | 0.094 | 1.11 | 1.00–1.24 | 0.059 | ||
Female | ||||||||
Maternal characteristics | ||||||||
Age at child's birth (years) | ||||||||
<20 | 1.17 | 0.71–1.93 | 0.544 | Not taken in the final model | ||||
20–29 | 0.93 | 0.56–1.53 | 0.772 | |||||
30–39 | 0.86 | 0.52–1.45 | 0.581 | |||||
≥40 | 1.00 | |||||||
Level of education | ||||||||
No education | 1.00 | 1.00 | ||||||
Primary incomplete | 0.95 | 0.81–1.11 | 0.525 | 0.99 | 0.83–1.17 | 0.865 | ||
Primary complete1 | 1.05 | 0.87–1.26 | 0.629 | 1.09 | 0.88–1.33 | 0.438 | ||
Secondary incomplete | 0.85 | 0.73–0.98 | 0.026 | 0.91 | 0.75–1.10 | 0.326 | ||
Secondary complete or higher2 | 0.67 | 0.55–0.83 | <0.001 | 0.81 | 0.61–1.08 | 0.154 | ||
Occupation | ||||||||
Homemaker | 1.00 | 1.00 | ||||||
Employed | 1.09 | 0.95–1.25 | 0.219 | 1.19 | 1.03–1.38 | 0.016 | ||
Religion | ||||||||
Islam | 1.09 | 0.89–1.34 | 0.395 | Not taken in the final model | ||||
Others3 | 1.00 | |||||||
Body mass index (kg/m2) | ||||||||
<18.5 | 0.98 | 0.87–1.11 | 0.804 | 0.88 | 0.78–1.00 | 0.058 | ||
18.5–24.9 | 1.00 | 1.00 | ||||||
25–29.9 | 0.87 | 0.72–1.06 | 0.172 | 1.20 | 0.97–1.48 | 0.090 | ||
≥30 | 1.09 | 0.74–1.60 | 0.660 | 1.57 | 1.04–2.37 | 0.032 | ||
Exposure to media4 | ||||||||
No | 1.00 | 1.00 | ||||||
Yes | 0.92 | 0.82–1.04 | 0.173 | 1.02 | 0.89–1.17 | 0.739 | ||
Birth order and birth interval | ||||||||
First birth | 1.00 | 1.00 | ||||||
2nd birth, <2 years interval | 0.86 | 0.65–1.13 | 0.269 | 0.53 | 0.40–0.70 | <0.001 | ||
3rd/later birth, <2 years interval | 0.69 | 0.54–0.88 | 0.003 | 0.25 | 0.19–0.33 | <0.001 | ||
2nd birth, ≥2 years interval | 0.52 | 0.45–0.61 | <0.001 | 0.49 | 0.42–0.57 | <0.001 | ||
3rd/later birth, ≥2 years interval | 0.57 | 0.50–0.65 | <0.001 | 0.35 | 0.30–0.41 | <0.001 | ||
Previously pregnancies miscarried or aborted | ||||||||
No | 1.00 | 1.00 | ||||||
Yes | 1.96 | 1.67–2.30 | <0.001 | 2.06 | 1.74–2.43 | <0.001 | ||
Previous death of any child | ||||||||
No | 1.00 | 1.00 | ||||||
Yes | 4.06 | 3.48–4.74 | <0.001 | 4.36 | 3.61–5.26 | <0.001 | ||
Number of children in last five years | ||||||||
1 | 1.00 | 1.00 | ||||||
2 | 1.67 | 1.49–1.88 | <0.001 | 1.71 | 1.50–1.95 | <0.001 | ||
3+ | 3.72 | 3.06–4.53 | <0.001 | 2.83 | 2.23–3.61 | <0.001 | ||
Number of antenatal care visits | ||||||||
<4 | 1.00 | 1.00 | ||||||
4+ | 0.79 | 0.68–0.93 | 0.003 | 1.01 | 0.85–1.21 | 0.890 | ||
Place and mode of delivery | ||||||||
Home | 1.00 | 1.00 | ||||||
Health facilities without C-section | 1.03 | 0.89–1.19 | 0.670 | 1.29 | 1.09–1.53 | 0.004 | ||
Health facilities with C-section | 1.18 | 0.99–1.40 | 0.059 | 1.55 | 1.26–1.90 | <0.001 | ||
Type of delivery | ||||||||
Single birth | 1.00 | 1.00 | ||||||
Twin | 4.16 | 3.25–5.33 | <0.001 | 1.97 | 1.48–2.63 | <0.001 | ||
Access to participation in decision-making5 | ||||||||
No | 1.00 | 1.00 | ||||||
Yes | 0.80 | 0.71–0.90 | <0.001 | 0.89 | 0.78–1.00 | 0.056 | ||
Paternal characteristics | ||||||||
Level of education | ||||||||
No education | 1.00 | 1.00 | ||||||
Primary incomplete | 0.91 | 0.78–1.07 | 0.253 | 0.92 | 0.78–1.09 | 0.324 | ||
Primary complete1 | 0.85 | 0.70–1.02 | 0.074 | 0.85 | 0.70–1.04 | 0.122 | ||
Secondary incomplete | 0.80 | 0.69–0.93 | 0.004 | 0.84 | 0.70–1.00 | 0.054 | ||
Secondary complete or higher2 | 0.60 | 0.50–0.72 | <0.001 | 0.69 | 0.54–0.89 | 0.004 | ||
Occupation | ||||||||
Agriculture | 1.00 | 1.00 | ||||||
White-collar6 | 0.57 | 0.41–0.79 | 0.001 | 0.78 | 0.54–1.14 | 0.197 | ||
Blue-collar7 | 0.94 | 0.82–1.07 | 0.338 | 0.98 | 0.85–1.13 | 0.806 | ||
Pink-collar8 | 0.71 | 0.60–0.84 | <0.001 | 0.79 | 0.66–0.95 | 0.011 | ||
Others9 | 0.53 | 0.34–0.82 | 0.004 | 0.54 | 0.35–0.85 | 0.007 |
1Primary complete is defined as completing grade 5
2Secondary complete is defined as completing grade 10
3Others = Hindu, Christian, Buddhist, etcetera
4Exposure to media = Watches TV/listens to radio/reads newspaper in the previous week
5Access to participation in decision-making = having access to take decision alone or jointly with husband on all of the four components: own health care, major household purchases, child health care, and visits to her family or relatives
6Doctor, lawyer, dentist, accountant, teacher, nurse, family welfare visitor
7Non-agricultural worker, carpenter, mason, bus/taxi driver, construction supervisor, tailor, rickshaw driver, brick breaking, road building, construction worker, boatman, fisherman, poultry raising, cattle raising
8Businessman/trader
9Unemployed/student, retired, beggar, etcetera.