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Table 2 Multivariable Regression results of Multilevel models for moderate stunting, MICS Punjab-2014 (n = 25,066)

From: Why under five children are stunted in Pakistan? A multilevel analysis of Punjab Multiple indicator Cluster Survey (MICS-2014)

Moderate Stunting SD > −2

Variables

Model 1a

Model 2bCohen’s d & OR [95% CI]

Model 3cCohen’s d & OR [95% CI]

Model4dCohen’s d & OR [95% CI]

Individual and Household Level Characteristics

Child age group(Reference Category 0–5 months)

  6–11

 

(0.52) 2.58*** [1.9,3.5]

(0.53) 2.61*** [1.9,3.5]

(0.53) 2.61*** [1.9,3.5]

  12–23

 

(1.09) 7.25*** [5.1,10.3]

(1.10) 7.37*** [5.2,10.4]

(1.10) 7.41***[5.2,10.5]

  24–35

 

(1.01) 6.25*** [4.1,9.5]

(1.01) 6.26*** [4.1,9.5]

(1.01) 6.26*** [4.1,9.5]

  36–47

 

(1.50) 15.36*** [7.3,32.5]

(1.50) 15.23*** [7.2,32.4]

(1.51) 15.54***[7.3,33.1]

  48–59

 

(1.42) 13.28*** [6.5,27.2]

(1.41) 13.09*** [6.3,27.1]

(1.42) 13.33*** [6.4,27.6]

Child Birth order(Reference Category First Born)

  2

 

(0.25) 1.57***[1.4,1.8]

(0.24) 1.55***[1.4,1.7]

(0.24) 1.55***[1.4,1.7]

  3+

 

(0.63) 3.14***[2.4,4.1]

(0.62) 3.06***[2.3,4.0]

(0.62) 3.05***[2.3,4.0]

Child Gender(Reference Category Boy)

  Girl

 

(0.07) 1.14***[1.1,1.2]

(0.07) 1.14***[1.1,1.2]

(0.07) 1.14***[1.1,1.2]

Child size at birth(Reference Category Small Size)

  Average

 

(0.27) 0.61***[0.45,0.81]

(0.27) 0.60***[0.46,0.80]

(0.27) 0.61***[0.46,0.81]

  Large

 

(0.24) 0.65***[0.56,0.75]

(0.24) 0.64***[0.59,0.79]

0.24) 0.65***[0.55,0.76]

Diarrhea(Reference Category No)

  Yes

 

(0.17) 0.73***[0.6,0.8]

(0.16) 0.74***[0.7,0.8]

(0.15) 0.75***[0.7,0.9]

Breast Feeding(Reference Category Yes)

  No

 

(0.15) 1.35*[1.0,1.7]

(0.15) 1.36*[1.1,1.8]

(0.15) 1.35*[1.0,1.8]

Mother Education(Reference Category No Education)

  Primary

 

(0.22) 0.67***[0.6,0.8]

(0.14) 0.77***[0.7,0.9]

(0.14) 0.77***[0.7,0.9]

  Middle

 

(0.37) 0.51***[0.4,0.6]

(0.25) 0.63***[0.5,0.8]

(0.25) 0.64***[0.5,0.8]

  Secondary

 

(0.42) 0.47***[0.4,0.6]

(0.24) 0.62***[0.5,0.8]

(0.24) 0.63***[0.5,0.8]

  Higher

 

(0.76) 0.25***[0.2,0.3]

(o.59) 0.34***[0.3,0.4]

(0.59) 0.34***[0.3,0.4]

Mother Age(Reference Category age of women < 18 years of age)

  18–24

 

(0.03) 0.94 [0.7,1.2]

(0.005) 0.99 [0.8,1.2]

(0.005) 0.99 [0.8,1.3]

  25–35

 

(0.04) 0.93 [0.8,1.1]

(0.02) 0.97 [0.8,1.2]

(0.02) 0.97 [0.8,1.2]

  36–49

 

(0.08) 0.86 [0.7,1.0]

(0.07) 0.88 [0.7,1.1]

0.07) 0.88 [0.7,1.1]

Postnatal Care(Reference Category Yes)

  No

 

(0.02) 0.97 [0.9,1.1]

(0.02) 0.98 [0.9,1.1]

(0.02) 0.97 [0.9,1.1]

Prenatal Care(Reference category 1–4 visits)

  More than 4 visit

 

(0.07) 0.88 [0.8,1.0]

(0.03) 0.94 [0.8,1.1]

(0.03) 0.95 [0.8,1.1]

Delivery Place(Reference category Home)

  Hospital

 

(0.04) 0.93 [0.8,1.1]

(0.01) 0.98 [0.8,1.1]

(0.01) 0.98 [0.8,1.1]

Father Education(Reference category No Education)

  Primary

 

(0.09) 0.85*[0.7,1.0]

(0.06) 0.90 [0.8,1.0]

(0.06) 0.91 [0.8,1.0]

  Middle

 

(0.24) 0.65***[0.6,0.7]

(0.18) 0.71***[0.6,0.8]

(0.18) 0.72***[0.6,0.8]

  Secondary

 

(0.32) 0.56***[0.5,0.6]

(0.23) 0.64***[0.5,0.7]

(0.24) 0.65***[0.6,0.8]

  Higher

 

(0.50) 0.40***[0.3,0.5]

(0.40) 0.48***[0.4,0.6]

(0.40) 0.48***[0.4,0.6]

Wealth index(Reference category Poor)

  Middle

  

(0.23) 0.64*** [0.7,0.8]

(0.24) 0.65*** [0.6,0.8]

  Rich

  

(0.41) 0.47*** [0.5,0.6]

(0.40) 0.48*** [0.4,0.6]

HH size(Reference category HH size 3–4 members)

  5–6 members

  

(0.05) 1.11 [1.0,1.4]

(0.05) 1.10 [1.0,1.3]

  7–8 members

  

(0.11) 1.23* [1.0,1.5]

(0.11) 1.22* [1.0,1.4]

   > 8 members

  

(0.09) 1.19 [1.0,1.5]

(0.08) 1.17 [1.0,1.4]

Community Level Characteristics

Ethnicity(Refernececategory Urdu)

  Punjabi

  

(0.08) 0.86 [0.7,1.1]

(0.08) 0.87 [0.7,1.1]

  Saraikai

  

(0.03) 0.95 [0.7,1.2]

(0.06) 0.90 [0.7,1.2]

  Others

  

(0.04) 1.08 [0.8,1.4]

(0.04) 1.08 [0.8,1.4]

Region(Reference category Urban)

  Rural

 

(0.11) 1.22*** [1.1,1.3]

(0.03) 0.93 [0.9,1.0]

(0.03) 0.94 [0.9,1.0]

Sanitation facility(Reference category Unimproved)

  Improved

  

(0.08) 0.86* [0.7,1.0]

(0.08) 0.87* [0.8,1.0]

Drinking water facility(Reference category Unimproved)

  Improved

  

(0.07) 1.13 [0.7,1.5]

(0.07) 1.12 [0.8,1.5]

Water treatment(Reference category Treated)

  Untreated

  

(0.13) 1.26 [1.0,1.7]

(0.13) 1.25 [1.0,1.6]

Regional LevelCharacteristics

Food Insecurity index(Reference category Food Insecure)

  Food Vulnerable

   

(0.14) 0.77* [0.6,0.9]

  Food Secure

   

(0.19) 0.71*** [0.6,0.9]

Division(Reference category Rawalpindi Division)

  Bahawalpur

   

(0.24) 1.56* [1.1,2.2]

  D.G Khan

   

(0.23) 1.51* [1.0,2.2]

  Faisalabad

   

(0.20) 1.45** [1.1,1.9]

  Gujranwala

   

(0.19) 1.41* [1.1,1.9]

  Lahore

   

(0.35) 1.88*** [1.3,2.7]

  Multan

   

(0.19) 1.41* [1.1,1.9]

  Sahiwal

   

(0.18) 1.39* [1.0,1.9]

  Sargodha

   

(0.07) 1.13 [0.8,1.6]

  Constant

−1.43 (0.13)***

0.038 (0.02)***

0.040 (0.019)***

0.030 (0.010)***

  Level-1 (Household)

1.18 (0.10)***

2.19 *** (1.2,3.7)

2.17*** (1.3,3.7)

2.18*** (1.3,3.7)

  Level-2 (Community)

0.53 (0,03)***

0.15 *** (0.08, 0.3)

0.14*** 0.07,0.3)

0.14*** (0.07,0.3)

  Level-3 (District)

0.37 (0.03)***

0.04 *** (0.02,0.1)

0.03*** (0.01,0.08)

0.004 (0.0,0.02)

  Chi2

(1005.94)***

  1. Cohen’s d values are on the left side of each column in parenthesis
  2. OR = Odds Ratio, CI = 95% Confidence Intervals in brackets. * p < 0.05, ** p < 0.01, *** p < 0.001
  3. a = base model (unconditional three level hierarchical model), b = hierarchical model with child and parental characteristics, c = hierarchical model with child, parental and household characteristics and d = hierarchical model with child, parental, household and districts food insecurity index and division