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Table 4 Risk factors of neonatal mortality in Ghana: Evidence from the 2017 Ghana maternal health survey

From: Geospatial analysis of determinants of neonatal mortality in Ghana

Variables

Neonatal mortality

Poisson

Negative Binomial

aRR[95% CI]

aRR[95% CI]

Sex of the child

Male

Ref

 

Female

0.84[0.54–1.33]

0.60[0.34–1.05]

Mothers education

None

Ref

 

Primary/middle

1.03[0.53–2.02]

1.21 [0.51–2.85]

JHS/JSS

0.97[0.53–1.77]

1.74 [0.74–4.11]

SHS+

2.43[1.09–5.40] *

7.25 [2.36–22.23]**

Current age

0.95[0.89–1.01]

1.01 [0.94–1.08]

Marital status

Yes, currently married

Ref

 

Yes, living with a man

0.88[0.49–1.60]

1.00 [0.52–1.95]

No, not in union

1.06[0.48–2.32]

1.19 [0.45–3.09]

Parity

1.26[1.03–1.54] *

1.27 [1.01–1.59]*

Multiple birth

single

Ref

 

Multiple

4.12 [1.91–8.85] ***

7.38 [3.15–17.3]***

Age at first sex

0.99[0.90–1.08]

0.98 [0.88–1.09]

Place of delivery

 Hospital

Ref

 

 Home

1.24[0.67–2.29]

1.17 [0.51–2.67]

 Household size

0.88[0.76–1.03]

0.88 [0.80–0.98]*

Water

Improved

Ref

 

Not improved

0.97[0.54–1.73]

1.44 [0.63–3.29]

Sanitation

Improved

Ref

 

Not improved

0.97[0.54–1.73]

0.51 [0.24–1.10]

Owns agriculture land

Yes

Ref

 

No

0.83[0.49–1.41]

0.7 [0.35–1.38]

Owns Livestock

Yes

Ref

 

No

1.20[0.69–2.06]

1.53 [0.78–3.00]

Ever had an abortion

Yes

Ref

 

No

0.77[0.44–1.34]

1.14 [0.55–2.36]

Ever had miscarriage

Yes

Ref

 

No

1.35[0.75–2.45]

2.16 [0.98–4.76]

Ever had stillbirth

Yes

Ref

 

No

0.79[0.31–2.02]

0.58 [0.17–1.95]

Zone

Coastal

Ref

 

Middle

1.08[0.68–1.72]

1.06 [0.55–2.06]

Northern

0.81[0.45–1.45]

1.58 [0.67–3.74]

Place of residence

Urban

Ref

 

Rural

1.77 [1.07–2.90]*

3.77 [1.83–7.76]***

Antenatal care¥

Yes

Ref

 

No

4.65[1.80–12.06] **

5.16 [2.06–12.91]***

Size at birth¥

Very large

Ref

 

Large

0.61[0.28–1.36]

0.57 [0.24–1.36]

Average

0.86[0.41–1.83]

0.77 [0.34–1.73]

Small

0.67[0.25–1.81]

0.59 [0.20–1.75]

Very small

1.23[0.46–3.26]

1.15 [0.41–3.24]

Tetanus during pregnancy¥

Yes

Ref

 

No

2.10[1.11–3.97] *

2.06 [1.07–3.99]*

Iron

  

Yes

Ref

 

No

2.02[0.89–4.62]

2.10 [0.88–5.01]

Fansidar (sulfadoxine and pyrimethamine) during pregnancy¥

Yes

ref

 

No

2.10[0.95–4.64]

2.22 [0.98–5.06]

Valid NHI card¥

Yes

Ref

 

No

0.58[0.37–0.91] *

0.64 [0.39–1.05]

  1. P-value notation: ***p < 0.001, **p < 0.01, *p < 0.05, ¥ Unadjusted estimates from Poisson and Negative Binomial models since the variable was only measured for most recent birth. Abbreviation: NHI National Health Insurance