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Table 2 Multilevel logistic regression analysis of factors associated with poor tetanus toxoid immunization among pregnant women in Ethiopia, 2016

From: Individual and community-level determinants of poor tetanus toxoid immunization among pregnant women in Ethiopia using data from 2016 Ethiopian demographic and health survey; multilevel analysis

Variables

Model I

Model II

AOR 95% CI

Model III

AOR 95% CI

Model IV

AOR 95% CI

Maternal education

 No formal education

0.88(0.61,1.27)

0.91(0.64–1.30)

 Primary education

0.80 (0.56–1.13)

0.86(0.61–1.20)

 Secondary education

0.98 (0.69–1.39)

1.02(0.72–1.44)

 Higher education

1.00

1.00

Maternal occupation

 Working

1.00

1.00

 Not working

1.17(1.02–1.34)

1.15(1.10–1.31)*

Wealth status

 Poor

1.25(1.05–1.51)

1.26(1.03–1.54)*

 Middle

1.12(0.91–1.37)

1.15(0.93–1.42)

 Rich

1.00

1.00

Wanted pregnancy

 Then

1.00

1.00

 Later

0.98(0.83–1.17)

0.99(0.83–1.18)

 No more

0.97(0.75–1.26)

1.01(0.77–1.29)

Distance from the health facility

 Big problem

1.00

1.00

 Not big problem

0.89(0.78–1.03)

0.89(0.78–1.03)

Media exposure

 Yes

1.00

1.00

 No

1.32(1.13–1.53)

1.29(1.10–1.51)**

Husband education

 No

1.13(0.91–1.41)

1.13(0.90–1.41)

 Primary

1.08(0.87–1.34)

1.11(0.89–1.38)

 Secondary

0.99(0.77–1.26)

0.99(0.77–1.26)

 Higher

1.00

1.00

Health care decision

 Self

1.00

1.00

 Husband

1.01(0.87–1.18)

1.01(0.87–1.18)

Health insurance coverage

 Yes

1.31(0.94–1.82)

1.32(0.95–1.84)

 No

1.00

1.00

Maternal age at first birth

 15–19

1.00

1.00

  > 20

1.28(0.84–1.25)

1.24(0.83–1.21)

Place of delivery

 Home

1.00

1.00

 Health facility

0.91(0.78–1.06)

0.91(0.78–1.06)

ANC visit

 No visit

5.94(2.76–7.61)

5.64(2.48–7.30)***

 One-three

1.51(1.20–1.83)

1.50(1.19–1.82)***

 Four and above

1.00

1.00

Iron supplementation

 Yes

 

0.59(.52–0.67)

 

0.59(0.51–0.68) ***

 No

1.00

1.00

Parity

 Primiparous

1.00

1.00

 Multiparous

1.05(0.90–1.24)

1.05(0.90–1.24)

 Grand multiparous

0.99(0.80–1.21)

0.99(0.81–1.22)

Community ANC utilization

 Low

2.61(2.17–3.14)

1.03(0.84–1.27)

 high

1.00

1.00

Residence

 Urban

1.00

1.00

 Rural

1.08(0.87–1.34

1.13(1.08–1.72)*

Community media exposure

 Low

1.55(1.28–1.87)

1.17(0.94–1.44)

 High

1.00

1.00

Community illiteracy level

 Low

1.00

1.00

 High

1.58(1.31–1.91)

1.28(1.03–1.58) *

Community poverty level

 Low

1.00

1.00

 High

1.14(0.94–1.39)

0.97(0.77–1.23)

Random effects

 Community variance (SE)

1.14(0.11)

0.51(0.07)

0.45(0.05)

0.40(0.03)

 ICC (%)

26

17

13

11

 PCV (%)

Reference

55.3

60.5

64.91

Model fitness

 Deviance

8961.60

6828.90

8608.71

6819.43

  1. AOR Adjusted Odds Ratio, CI Confidence Interval; * = P < 0.05; ** = P < 0.01;*** = P < 0.001