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Table 3 A multivariable multilevel analysis of factors associated with anemia among lactating mothers in Ethiopia, 2016

From: Individual and community level factors associated with anemia among lactating mothers in Ethiopia using data from Ethiopian demographic and health survey, 2016; a 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

 

1.00

 

1.00

 Primary education

 

0.96(0.79–1.17)

 

1.00(0.82–1.22)

 Secondary education

 

1.07(0.76–1.52)

 

1.14(0.80–1.63)

 Higher education

 

1.41(0.85–2.35)

 

1.51(0.90–2.52)

Maternal occupation

 Working

 

0.76(0.63–0.91)

 

0.77(0.64–0.92) **

 Not working

 

1.00

 

1.00

Wealth status

 Poorest

 

1.00

 

1.00

 Poorer

 

0.71(0.57–0.89)

 

0.77(0.61–0.98) *

 Middle

 

0.64(0.50–0.83)

 

0.74(0.56–0.97) *

 Rich

 

0.53(0.40–0.70)

 

0.64(0.46–0.85) *

 Richest

 

0.52(0.37–0.74)

 

0.66(0.43–0.98) *

Sex of household head

 Female

 

1.23(1.02–1.50)

 

1.22(1.01–1.49) *

 Male

 

1.00

  

Maternal BMI

 18.5–24.99

 

1.00

 

1.00

  < 18.5

 

1.2(1.00–1.43)

 

1.78(0.99–1.41)

  ≥ 25

 

0.84(0.61–1.15)

 

0.82(0.60–1.13)

Perception of distance from the health facility

 Big problem

 

1.00

 

1.00

 Not big problem

 

0.97(0.82–1.15)

 

1.00(0.84–1.18)

Media exposure

 Yes

 

0.91(0.75–1.11)

 

0.92(0.75–1.14)

 No

 

1.00

 

1.00

Source of drinking water

 Pipe

 

1.00

 

1.00

 Other improved

 

1.18(0.93–1.50)

 

1.18(.93–1.51)

 Not improved

 

1.14(0.90–1.45)

 

1.13(0.89–1.45)

Type of toilet facility

 Improved

 

1.00

 

1.00

 Not improved

 

0.80(0.61–1.04)

 

0.82(0.62–1.07)

Place of delivery

 Home

 

1.00

 

1.00

 Health facility

 

0.93(0.76–1.14)

 

0.96(0.78–1.18)

Delivery by CS

 Yes

 

0.81(0.49–1.34)

 

0.81(0.49–1.34)

 No

 

1.00

  

History of a terminated pregnancy

 Yes

 

0.76(0.57–1.02)

 

0.76(0.57–1.02)

 No

 

1.00

 

1.00

ANC visit

 No visit

 

1.00

 

1.00

 one-three

 

1.05(0.85–1.30)

 

1.06(0.86–1.32)

 four and above

 

0.97(0.77–1.23)

 

0.99(0.78–1.25)

Iron supplementation during pregnancy

 Yes

 

0.81(0.68–0.97)

 

0.82(0.68–0.98) *

 No

 

1.00

 

1.00

Current modern contraceptive use

 Yes

 

0.69(0.56–0.84)

 

0.71(0.58–0 .87) ***

 No

 

1.00

 

1.00

Duration of breastfeeding

 ≤ 12 months

 

1.00

 

1.00

 13 to 36

 

0.88(0.74–1.05)

 

0.89(0.74–1.06)

 37 and above

 

0.89(0.70–1.12)

 

0.90(0.71–1.14)

Births in the five years

 One

 

1.00

 

1.00

 Two

 

1.29(1.06–1.57)

 

1.27(1.04–1.55) *

 Three to four

 

1.59(1.19–2.14)

 

1.53(1.14–2.06) **

Parity

 Primiparous

 

1.00

 

1.00

 Multiparous

 

1.07(0.83–1.37)

 

1.08(0.84–1.39)

 Grand multiparous

 

1.21(0.92–1.60)

 

1.23(0.94–1.62)

Residence

 Urban

  

1.00

1.00

 Rural

  

1.38(0.99–1.91)

1.13(0.75–1.72)

Community media exposure

 Low

  

1.00

1.00

 High

  

0.91(0.73–1.13)

0.96(0.77–1.20)

Community illiteracy level

 Low

  

1.00

1.00

 High

  

1.60(1.26–2.04)

1.34(1.06–1.70) *

Community poverty level

 Low

  

1.00

1.00

 High

  

1.65(1.28–2.12)

1.15(0.88–1.51)

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