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Table 3 Factors associated with incomplete child immunization identified by multilevel multivariate logistics regression models

From: Incomplete childhood immunization in Nigeria: a multilevel analysis of individual and contextual factors

Variable

Model 1a

Model 2b

Model 3c

Model 4d

 

aOR (CrI)

aOR (CrI)

aOR (CrI)

aOR (CrI)

Measure of association

 Individual-level factors

  Maternal age

   15–24

 

1 (reference)

1 (reference)

1 (reference)

   25–34

 

0.59(0.48–0.72)

0.61(0.50–0.74)

0.63(0,50–0.79)

   35+

 

0.51(0.38–0.67)

0.53(0.40–0.69)

0.55(0.40–0.74)

  Maternal education

   No education

 

2.68(1.99–3.50)

2.12(1.58–2.78)

2.14(1.59–2.86)

   Primary

 

1.413(1.13–1.75)

1.39(1.11–1.72)

1.42(1.14–1.76)

   Secondary/higher

 

1 (reference)

1 (reference)

1 (reference)

  Wealth index

   Poor

 

1 (reference)

1 (reference)

1 (reference)

   Middle

 

0.57(0.43–0.75)

0.72(0.52–0.99)

0.76(0.55–1.03)

   Rich

 

0.29(0.20–0.39)

0.44(0.31–0.64)

0.48(0.32–0.69)

   Marital status

    

   Never married

 

1 (reference)

1 (reference)

1 (reference)

   Ever married

 

1.37(0.94–2.08)

1.30(0.83–1.89)

1.38(0.77–2.27)

  Maternal occupation

   Not working

 

1 (reference)

1 (reference)

1 (reference)

   Working

 

0.93(0.77–1.14)

1.02(0.83–1.22)

1.02(0.83–1.23)

  Sex of child

   Male (vs female)

 

0.93(0.78–1.09)

0.92(0.78–1.08)

0.92(0.78–1.09)

  Birth order

   1st -3rd order

 

1 (reference)

1 (reference)

1 (reference)

   4th -6th order

 

1.51(1.24–1.85)

1.56(1.27–1.90)

1.53(1.24–1.86)

   7th + order

 

1.49(1.07–2.03)

1.50(1.06–2.07)

1.46(1.02–2.02)

  Size of child at birth

   Large

 

1 (reference)

1 (reference)

1 (reference)

   Average

 

1.11(0.92–1.32)

1.10(0.93–1.29)

1.13(0.94–1.35)

   Small

 

1.30(0.97–1.68)

1.28(0.98–1.64)

1.32(1.002–1.72)

  Exposure to media

   Never exposed

 

1 (reference)

1 (reference)

1 (reference)

   Exposed

 

0.92(0.75–1.14)

0.99(0.79–1.24)

1.03(0.79–1.31)

   Antenatal care

    

   Never attended

 

1 (reference)

1 (reference)

1 (reference)

   Attended

 

0.45(0.37–0.54)

0.48(0.38–0.58)

0.49(0.39–0.60)

  Place of delivery

   Home

 

1 (reference)

1 (reference)

1 (reference)

   Health facility

 

0.57(0.46–0.69)

0.61(0.49–0.75)

0.62(0.51–0.74)

 Community-level factors

  Residence

   Urban(vs Rural)

  

0.67(0.52–0.84)

0.66(0.50–0.82)

   Getting to health facility

    

   Not a problem

  

1 (reference)

1 (reference)

   A problem

  

1.25(0.99–1.54)

1.28(1.02–1.57)

   Ethnicity diversity index

  

0.99(0.95–1.03)

0.99(0.95–1.03)

   Socioeconomic disadvantage

    

   Tertile 1(least disadvantaged)

  

1 (reference)

1 (reference)

   Tertile 2

  

1.53(1.17–2.02)

1.44(1.09–1.88)

   Tertile 3 (most disadvantaged)

  

3.69(2.09–6.50)

2.93(1.60–4.71)

 State-level factors

  Socioeconomic disadvantage

   Tertile 1(least disadvantaged)

   

1 (reference)

   Tertile 2

   

0.88(0.57–1.28)

   Tertile 3 (most disadvantaged)

   

2.69(1.37–4.73)

Measures of variation

  State level

    

   Variance (SE)

2.270(1.330–3.730)

0.388(0.179–0.740)

0.282(0.113–0.567)

0.205(0.081–0.412)

   Explained variation (%)

Reference

82.9

87.6

91.0

   ICC (%)

31.80

8.76

6.36

4.72

   MOR

4.18

1.81

1.66

1.54

  Community level

    

   Variance (SE)

1.578(1.216–1.979)

0.752(0.512–1.013)

0.863(0.610–1.144)

0.838(0.598–1.104)

   Explained variation (%)

Reference

52.3

45.3

46.9

   ICC (%)

53.91

25.74

25.82

24.06

   MOR

3.30

2.28

2.42

2.39

  Model fit statistics

   Bayesian DIC

4791

4581

4542

4540

  1. Abbreviations: SE standard error, DIC deviation information criterion, CrI credible interval, ICC intra-cluster correlation, MOR median odds ratio
  2. aModel 1 is the empty model, a baseline model with no independent variable
  3. bModel 2 is adjusted for age, education, wealth status of family, marital status, occupation, sex of child, birth order, size of child at birth, exposure to media, antenatal care and place of delivery
  4. cModel 3 is additionally adjusted for residency, getting to health facility, ethnicity diversity index and community socioeconomic factors
  5. dModel 4 is additionally adjusted for state-level socioeconomic factors