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Table 3 Multilevel logistic regressions predicting factors associated with prevalence of diarrhea among children younger than five years of age in Nyanza Province, Kenya

From: Community unit performance: factors associated with childhood diarrhea and appropriate treatment in Nyanza Province, Kenya

Individual variables

Model 1

Model 2

Odds ratio

95% CI

Odds ratio

95% CI

Child’s gender

  Female

Ref.

 

Ref.

 

  Male

1.424***

1.189–1.706

1.429***

1.192–1.714

Child’s age (continuous from 0 to 4)

0.712***

0.668–0.759

0.714***

0.669–0.761

Relationship to household head

  Biological child

Ref.

 

Ref.

 

  Grandchild

0.979

0.672–1.427

0.992

0.681–1.446

  Other

1.508

0.976–2.328

1.505

0.978–2.317

Household head’s gender

  Female

Ref.

 

Ref.

 

  Male

1.003

0.810–1.241

1.001

0.808–1.240

Age group (years)

   < 30

Ref.

 

Ref.

 

  30–34

0.826

0.624–1.094

0.833

0.630–1.100

  35–39

0.719*

0.534–0.968

0.718*

0.534–0.967

  40–49

0.729

0.517–1.029

0.738

0.523–1.041

   ≥ 50

0.803

0.542–1.189

0.814

0.550–1.204

Education level

  No education/Primary level

Ref.

 

Ref.

 

  Secondary level or higher

0.895

0.727–1.101

0.911

0.740–1.121

Household wealth index

  Poorer

Ref.

 

Ref.

 

  Poor

1.148

0.874–1.509

1.134

0.862–1.491

  Middle

0.964

0.723–1.285

0.946

0.709–1.264

  Rich

0.906

0.676–1.214

0.858

0.637–1.155

  Richer

1.237

0.885–1.730

1.045

0.723–1.510

Number of household members

  5 or fewer than 5

Ref.

 

Ref.

 

  More than 5

0.933

0.748–1.165

0.949

0.759–1.186

Number of children under five

  One

Ref.

   

  More than 1

1.159

0.951–1.413

1.154

0.946–1.407

Paying attention to the child

  Less attention

Ref.

   

  More attention

0.690***

0.577–0.824

0.693***

0.579–0.828

Playing with the child in the past three days

  No playing

Ref.

 

Ref.

 

  Playing at least once within the past 3 days

1.084

0.844–1.391

1.076

0.838–1.381

Water source for drinking

  Unimproved

Ref.

 

Ref.

 

  Improved

0.956

0.775–1.179

0.941

0.761–1.164

Water treatment

  No treatment/Inadequate

Ref.

 

Ref.

 

  Adequate treatment

0.819

0.669–1.004

0.799*

0.651–0.980

Hand-washing facility

  Not available

Ref.

 

Ref.

 

  Available

0.753

0.378–1.500

0.741

0.368–1.492

Possession of refrigerator

  No

Ref.

 

Ref.

 

  Yes

0.649

0.290–1.451

0.611

0.266–1.403

Community Variables

Area

  Urban

  

Ref.

 

  Rural

  

0.666*

0.445–0.996

Performance of CHWs in the CU

  None/Poor

  

Ref.

0.941–1.487

  Middle

  

1.183

1.003–1.810

  High

  

1.347*

 

Community Level Variance and covariance of random effects

0.294 (0.065)

0.262 (0.061)

Log likelihood

-2038.89

-2033.98

Likelihood-ratio test (p value)

≤0.001

0.019

  1. * ≤ 0.05 *** ≤ 0.001