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. 2021 Sep 28;11(9):e047835. doi: 10.1136/bmjopen-2020-047835

Table 3.

Adjusted relative risk ratios of the factors associated with the timing of initiation of ANC contact (NDHS 2018)

Characteristics Early initiation (First trimester) Late initiation (Second trimester)
Age of mothers aRRR (95% CI) sig aRRR (95% CI) sig
15–19 Reference
20–24 1.16 (0.85 to 1.58) 0.34 1.07 (0.82 to 1.39) 0.62
25–29 1.04 (0.75 to 1.45) 0.79 1.00 (0.76 to 1.33) 0.98
30–39 1.34 (0.94 to 1.90) 0.11 1.19 (0.88 to 1.62) 0.26
40–49 1.66 (1.12 to 2.48) 0.01 1.34 (0.95 to 1.89) 0.10
Highest educational level
 No education Reference
 Primary 1.26 (1.03 to 1.53) 0.02 1.11 (0.94 to 1.30) 0.21
 Secondary 1.51 (1.23 to 1.86) 0.00 1.28 (1.07 to 1.54) 0.01
 Higher 2.63 (1.86 to 3.71) 0.00 1.92 (1.40 to 2.63) 0.00
Spouse’s highest education
 No education Reference
 Primary 1.05 (0.86 to 1.29) 0.62 1.14 (0.97 to 1.35) 0.11
 Secondary 1.29 (1.06 to 1.56) 0.01 1.20 (1.03 to 1.41) 0.02
 Higher 1.28 (1.01 to 1.63) 0.04 1.18 (0.96 to 1.45) 0.11
Who decides respondent’s healthcare
 Respondent alone 1.04 (0.83 to 1.28) 0.75 1.06 (0.87 to 1.28) 0.57
 Respondent and Spouse 1.04 (0.90 to 1.20) 0.64 1.05 (0.92 to 1.20) 0.46
 Spouse alone Reference
Media exposure
 Exposed to media 1.07 (0.92 to 1.24) 0.37 1.07 (0.95 to 1.21) 0.25
Ethnicity
 Hausa/Fulani Reference
 Yoruba 1.29 (0.9 to 1.85) 0.17 0.95 (0.68 to 1.32) 0.77
 Igbo/Ibiobio 1.81 (1.21 to 2.71) 0.00 1.07 (0.74 to 1.56) 0.71
 Others 1.66 (1.35 to 2.03) 0.00 1.24 (1.05 to 1.47) 0.01
Religion
 Islam Reference
 Other Christians 1.46 (1.19 to 1.79) 0.00 1.27 (1.06 to 1.53) 0.01
 Others 0.57 (0.26 to 1.24) 0.16 0.95 (0.51 to 1.74) 0.86
Wealth status
 Low Reference
 Middle 1.2 (1.02 to 1.42) 0.03 1.27 (1.10 to 1.46) 0.00
 Richest 1.51 (1.21 to 1.9) 0.00 1.51 (1.24 to 1.85) 0.00
Birth order
 1 1.90 (1.44 to 2.52) 0.00 1.33 (1.03 to 1.71) 0.03
 2 1.77 (1.41 to 2.22) 0.00 1.44 (1.17 to 1.76) 0.00
 3 1.66 (1.34 to 2.04) 0.00 1.36 (1.13 to 1.64) 0.00
 4 1.21 (0.99 to 1.48) 0.06 1.18 (1.01 to 1.40) 0.04
 5+ Reference
Birth interval
 First birth 1.19 (1.04 to 1.52) 0.01 1.23 (1.03 to 1.51) 0.04
 <36 months 0.95 (0.83 to 1.09) 0.45 0.97 (0.86 to 1.08) 0.54
 36+ months Reference
Current employment status
 Employed 1.14 (0.85 to 1.52) 0.37 1.25 (0.97 to 1.60) 0.08
Spouse current employment status
 Employed 1.16 (0.86 to 1.57) 0.34 0.97 (0.75 to 1.25) 0.83
Region
 North West Reference
 North central 2.60 (2.04 to 3.31) 0.00 1.32 (1.08 to 1.62) 0.01
 North East 1.58 (1.30 to 1.93) 0.00 1.21 (1.04 to 1.40) 0.02
 South East 1.79 (1.15 to 2.81) 0.01 1.15 (0.76 to 1.74) 0.51
 South South 1.55 (1.10 to 2.18) 0.01 1.06 (0.78 to 1.44) 0.70
 South West 3.01 (2.06 to 4.39) 0.00 1.64 (1.17 to 2.31) 0.00
Residence
 Urban 0.80 (0.69 to 0.93) 0.00 0.93 (0.81 to 1.06) 0.28
Household head sex
 Female 0.79 (0.63 to 0.99) 0.04 0.90 (0.74 to 1.10) 0.30
Wanted the last child
 Then Reference
 Later 0.68 (0.55 to 0.85) 0.00 0.77 (0.63 to 0.93) 0.01
 Never 0.47 (0.34 to 0.65) 0.00 0.69 (0.52 to 0.91) 0.01
Family mobility
 Less stable 0–4 years 0.96 (0.81 to 1.14) 0.67 0.94 (0.80 to 1.10) 0.43
Have health Insurance
 Yes 1.42 (0.92 to 2.21) 0.11 1.20 (0.80 to 1.81) 0.38
Wife beating acceptable
 No 1.11 (0.97 to 1.27) 0.13 1.03 (0.92 to 1.16) 0.59
Community SES disadvantage
 Lowest 0.82 (0.61 to 1.09) 0.17 0.92 (0.72 to 1.18) 0.51
 Middle 0.81 (0.67 to 0.99) 0.04 0.91 (0.78 to 1.06) 0.23
 Highest Reference

All the variables in this table were significant at p<0.02 in the bivariable analysis aRRR.

ANC, antenatal care; aRRR, adjusted relative risk ratio; NDHS, Nigeria Demographic Health Survey; SES, socioeconomic status.