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. 2017 Aug 24;7(4):255–262. doi: 10.1016/j.jegh.2017.08.005

Table 3.

The role of community-level factors on first trimester prenatal care use.

Variables Rural sample Urban sample Overall sample



Odds ratio 95% CI Odds ratio 95% CI Odds ratio 95% CI
Age at birth 1.054 [0.977–1.138] 1.189** [1.020–1.385] 1.082** [1.011–1.158]
Age at birth squared 0.999 [0.998–1.000] 0.997** [0.994–1.000] 0.999** [0.997–1.000]
Education (years) 1.007 [0.980–1.034] 1.088*** [1.028–1.151] 1.023* [0.999–1.048]
Employed 1.066 [0.927–1.226] 1.042 [0.852–1.276] 1.073 [0.958–1.202]
Health insurance 1.291 [0.918–1.817] 1.769*** [1.386–2.258] 1.658*** [1.365–2.015]
Married 1.152 [0.812–1.636] 1.751** [1.081–2.839] 1.315* [0.994–1.741]
Pregnancy wanted later 0.873* [0.745–1.024] 0.985 [0.780–1.245] 0.899 [0.789–1.025]
Births in last 5 years 0.785*** [0.686–0.899] 0.581*** [0.440–0.768] 0.735*** [0.652–0.828]
Reads newspapers (at least once a week) 1.204** [1.040–1.393] 1.065 [0.845–1.342] 1.157** [1.024–1.308]
Listen to radio (at least once a week) 1.159** [1.018–1.320] 1.132 [0.890–1.440] 1.156** [1.031–1.297]
Household size 0.970** [0.944–0.998] 1.009 [0.963–1.057] 0.981 [0.959–1.004]
Low wealth (quintiles 1 &2) 0.879 [0.744–1.040] 1.000 [0.196–5.108] 0.919 [0.782–1.079]
High wealth (quintiles 4 & 5) 1.121 [0.909–1.382] 1.315 [0.737–2.345] 1.062 [0.890–1.268]
Community-level variables
Family planning (% in cluster) 1.136 [0.714–1.807] 0.927 [0.461–1.866] 1.041 [0.704–1.539]
Christians (% in cluster) 1.050 [0.731–1.508] 1.169 [0.680–2.009] 1.045 [0.778–1.404]
Log (number of nurses) 0.836 [0.561–1.245] 1.135 [0.586–2.197] 0.885 [0.630–1.241]
Log health expenditures 1.293*** [1.136–1.473] 1.129 [0.948–1.345] 1.237*** [1.114–1.374]
Year of survey is 2010/11 0.867 [0.722–1.041] 0.679*** [0.510–0.906] 0.810*** [0.695–0.943]
District hospital 1.585* [0.991–2.535] 1.460*** [1.118–1.907]
Observations 5982 2471 8453
Chi-square statistic (all variables) 134.341 132.128 241.179
P-value 0.001 0.001 <0.001
Chi-square statistic (community factors only) 17.147 16.090 47.319
P-value 0.002 0.007 <0.001

Notes: All estimates are weighted to be nationally representative.

***

Significance at 1% level;

**

significance at 5% level;

*

significance at 10% level (all are based on robust standard errors).

All the chi-square statistics are in comparison to the full model. The outcome variable is a binary variable taking 1 if woman sought prenatal care in the first three months of pregnancy and 0 otherwise. CI = Confidence interval.