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Table 3 Multivariate multilevel multinomial regression of child-level factors associated with age-specific under-five mortality, 2016/217 Nigeria MICS

From: Inequities in child survival in Nigerian communities during the Sustainable Development Goal era: insights from analysis of 2016/2017 Multiple Indicator Cluster Survey

 

Model 0

Model 1 (child-level factors)

Ref: alive

(N = 30,957)

Intercept-only

RRR (95%CI)

Neonatal mortality (0–27 days)

RRR (95%CI)

Post-neonatal mortality (28 days-11 months)

RRR (95%CI)

Child mortality (12 months to 11 months)

RRR (95%CI)

Fixed effects

 Child’s sex

  Male

 

Ref.

Ref.

Ref.

  Female

 

0.72 (0.61–0.85)***

0.84 (0.71–0.98)*

1.04 (0.85–1.27)

 Gestation type

  Singleton

 

Ref.

Ref.

Ref.

  Multiple

 

5.64 (4.25–7.49)***

2.76 (2.03–3.75)***

1.68 (1.09–2.58)*

 Birth order

  First

 

Ref.

Ref.

Ref.

  2–3

 

1.14 (0.58–2.25)

0.47 (0.10–2.17)

0.67 (0.13–3.49)

  4–6

 

1.38 (0.68–2.80)

0.59 (0.13–2.74)

1.02 (0.19–5.43)

  ≥ 7

 

2.83 (1.37–5.84)**

0.88 (0.19–4.13)

1.44 (0.26–7.88)

 Previous birth interval

  < 2 years

 

Ref.

Ref.

Ref.

  First birth

 

0.99 (0.49–2.00)

0.35 (0.08–1.66)

0.41 (0.08–2.10)

  ≥ 2 years

 

0.37 (0.31–0.44)***

0.47 (0.39–0.57)***

0.52 (0.43–0.63)***

 Maternal age at birth

  < 20 years

 

Ref.

Ref.

Ref.

  20–34 years

 

0.59 (0.45–0.76)***

0.71(0.54–0.93)*

0.54 (0.40–0.71)***

  ≥ 35 years

 

0.55 (0.39–0.78)***

0.64 (0.44–0.95)*

0.55 (0.38–0.80)**

Random effects (community-level)

 Variance (SE)

0.49 (0.05)

0.42 (0.05)

 95%CI

0.41,0.60

0.34,0.53

 PCV

Ref.

14.3%

 MOR

1.95

1.85

  1. ***p-value< 0.001 **p-value< 0.01 *p-value< 0.05; SE Robust standard error, RRR Relative risk ratio, CI Confidence interval, PCV Proportional change in variance, MOR Median odds ratio