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Table 7 Multilevel logistic regression analysis of individual and community-level factors associated with exclusive breastfeeding practices among children aged 0–23 months in the emerging regions of Ethiopia, EDHS 2016 (n = 1406)

From: Less than one-fifth of the mothers practised exclusive breastfeeding in the emerging regions of Ethiopia: a multilevel analysis of the 2016 Ethiopian demographic and health survey

Variables

Exclusive breastfeed

COR (95%CI)

Null model

(ICC = 45%)

Model 1

AOR (95% CI)

Model 2

AOR (95% CI)

Model 3 (full model)

AOR (95% CI)

Yes

n

No

n

Literacy status

 Literate

46

175

1

 

1

 

1

 Illiterate

201

984

0.75 (0.52–1.10)

 

0.76 (0.48–1.19)

 

0.83 (0.52–1.34)

Employment status

 Not employed

212

869

1

 

1

 

1

 Employed

35

290

0.45 (0.30–0.68)

 

0.45 (0.29–0.67)

 

0.33 (0.21–0.53) *

Wealth status

 Poorest

159

711

1

 

1

 

1

 Poorer

22

137

0.69 (0.42–1.13)

 

0.75 (0.44–1.26)

 

0.59 (0.33–1.05)

 Middle

19

82

1.03 (0.60–1.77)

 

1.08 (0.60–1.94)

 

0.56 (0.24–1.32)

 Richer

19

81

1.03 (0.59–1.78)

 

0.88 (0.49–1.58)

 

0.39 (0.16–0.96) *

 Richest

28

148

0.84 (0.53–1.34)

 

0.65 (0.37–1.14)

 

0.62 (0.32–1.19)

Religion

 Muslim

166

845

1

 

1

 

1

 Protestant

47

201

1.19 (0.82–1.74)

 

1.31 (0.86–1.99)

 

1.17 (0.61–2.24)

 Orthodox

25

84

1.50 (0.92–2.47)

 

1.59 (0.92–2.76)

 

0.99 (0.52–1.89)

 Others

9

29

1.62 (0.73–3.58)

 

2.09 (0.90–4.82)

 

1.69 (0.66–4.35)

ANC visit

 No

101

518

1

 

1

 

1

 1–3

76

362

1.08 (0.77–1.51)

 

1.28 (0.90–1.84)

 

1.29 (0.90–1.86)

 4+

70

279

1.27 (0.90–1.81)

 

1.53 (1.01–2.30)

 

1.31 (0.86–2.02)

Size of the child at birth

 Large

65

307

1

 

1

 

1

 Average

98

481

0.97 (0.68–1.37)

 

1.00 (0.69–1.44)

 

1.05 (0.72–1.53)

 Small

84

371

1.08 (0.75–1.56)

 

1.19 (0.81–1.76)

 

1.30 (0.86–1.98)

Number of living children

 One

44

197

1

 

1

 

1

 Two

54

211

1.13 (0.72–1.78)

 

1.26 (0.78–2.02)

 

1.23 (0.76–2.00)

 Three

33

199

0.73 (0.44–1.21)

 

0.83 (0.49–1.41)

 

0.83 (0.47–1.41)

 Four

36

161

0.98 (0.60–1.62)

 

1.09 (0.65–1.85)

 

1.06 (0.62–1.82)

 Five

29

120

1.06 (0.62–1.81)

 

1.13 (0.64–1.99)

 

1.06 (0.59–1.91)

 Six and above

51

271

0.84 (0.53–1.32)

 

0.96 (0.58–1.58)

 

0.83 (0.49–1.40)

Desire more child

 Wants

187

924

1

 

1

 

1

 Undecided

18

50

1.79 (1.01–3.19)

 

1.97 (1.09–3.58)

 

2.29 (1.21–4.29) *

 Wants no more

42

185

1.09 (0.75–1.60)

 

1.13 (0.74–1.72)

 

0.90 (0.56–1.44)

Diarrhea in the last 2 weeks

 No

233

988

1

 

1

 

1

 Yes

14

171

0.34 (0.19–0.60)

 

0.37 (0.21–0.69)

 

0.31 (0.16–0.61) *

Cough in the last 2 weeks

 No

231

1002

1

 

1

 

1

 Yes

16

157

0.43 (0.25–0.75)

 

0.63 (0.33–1.17)

 

0.69 (0.36–1.33)

Fever in the last 2 weeks

 No

228

980

1

 

1

 

1

 Yes

19

179

0.45 (0.27–0.75)

 

0.72 (0.39–1.32)

 

0.71 (0.37–1.34)

Region

 Afar

61

297

1

  

1

1

 Somali

71

425

0.81 (0.55–1.19)

  

0.84 (0.56–1.26)

0.99 (0.65–1.53)

 Benishangul

75

232

1.58 (1.06–2.36)

  

1.64 (1.06–2.52)

2.63 (1.44–4.82) *

 Gambela

40

205

0.94 (0.60–1.48)

  

0.88 (0.54–1.43)

1.04 (0.48–2.26)

Community poverty

 Poor

192

934

1

  

1

1

 Middle

20

100

0.96 (0.57–1.61)

  

0.87 (0.51–1.49)

1.31 (0.62–2.76)

 Rich

35

125

1.34 (0.88–2.04)

  

1.15 (0.74–1.80)

2.05 (0.96–4.40)

Community women empowerment

 No

101

423

1

  

1

1

 Yes

136

687

0.81 (0.60–1.09)

  

0.80 (0.59–1.07)

0.82 (0.60–1.11)

  1. AOR adjusted odds ratio, COR crude odds ratio, ICC intra-class correlation coefficient, ANC antenatal care, PNC postnatal care, Model 0 a model for the intra-class correlation coefficient (null model), Model 1 adjusted for individual-level characteristics, Model 2 adjusted for community-level characteristics, Model 3 adjusted for both individual and community-level characteristics (full model)
  2. *statistically significant at p-value < 0.05