Table 4 |
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|
Factors associated with neonatal mortality: unadjusted and adjusted odds ratio |
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|
VARIABLE |
Unadjusted |
Adjusted* |
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|
|
|
|||||||
|
OR |
95% CI |
p |
OR |
95% CI |
p |
|||
|
|
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|
COMMUNITY LEVEL |
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|
|
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|
Cluster type |
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|
|
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|
Urban |
1.00 |
|||||||
|
Rural |
1.34 |
1.03 |
1.72 |
0.03 |
||||
|
|
||||||||
|
Region |
||||||||
|
|
||||||||
|
Bali/South Sulawesi/Jambi |
1.00 |
1.00 |
||||||
|
Sumatera excl. Jambi |
1.98 |
0.99 |
3.98 |
0.05 |
2.31 |
0.91 |
5.86 |
0.08 |
|
DKI Jakarta/West Java/Banten |
1.89 |
0.95 |
3.75 |
0.07 |
2.17 |
0.87 |
5.39 |
0.10 |
|
Central Java/DI Yogyakarta |
1.54 |
0.73 |
3.27 |
0.26 |
2.36 |
0.91 |
6.14 |
0.08 |
|
East Java |
2.64 |
1.30 |
5.35 |
0.01 |
5.01 |
2.00 |
12.59 |
0.00 |
|
NTB/NTT |
1.59 |
0.64 |
3.91 |
0.32 |
1.16 |
0.34 |
4.00 |
0.81 |
|
Kalimantan |
2.01 |
0.9 |
4.47 |
0.09 |
1.87 |
0.63 |
5.54 |
0.26 |
|
North, Central and Southeast Sulawesi/Gorontalo |
2.57 |
1.12 |
5.92 |
0.03 |
3.17 |
1.11 |
9.02 |
0.03 |
|
|
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|
Mean maternal education in the cluster |
0.94 |
0.89 |
0.99 |
0.01 |
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|
|
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|
Mean paternal education in the cluster |
0.98 |
0.95 |
1.02 |
0.29 |
||||
|
|
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|
Mean household wealth index in the cluster |
0.99 |
0.99 |
0.99 |
0.01 |
||||
|
|
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|
Mean number of antenatal care visits in the cluster |
0.90 |
0.85 |
0.95 |
0.00 |
||||
|
|
||||||||
|
Percentage of newborns receiving postnatal care in the cluster |
0.35 |
0.18 |
0.69 |
0.00 |
||||
|
|
||||||||
|
Percentage of deliveries assisted by trained birth attendants in the cluster |
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|
|
||||||||
|
<25 per cent |
1.00 |
1.00 |
||||||
|
25 per cent – 49 per cent |
0.89 |
0.60 |
1.32 |
0.57 |
1.03 |
0.65 |
1.65 |
0.90 |
|
50 per cent – 74 per cent |
0.79 |
0.54 |
1.17 |
0.24 |
0.78 |
0.48 |
1.26 |
0.31 |
|
75 per cent – 87.4 per cent |
0.53 |
0.33 |
0.84 |
0.01 |
0.47 |
0.26 |
0.84 |
0.01 |
|
≥ 87.5 per cent |
0.51 |
0.36 |
0.73 |
0.00 |
0.40 |
0.25 |
0.63 |
0.00 |
|
|
||||||||
|
SOCIO ECONOMIC DETERMINANTS |
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|
|
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|
Maternal marital status |
||||||||
|
|
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|
Currently married |
1.00 |
|||||||
|
Formerly married |
1.00 |
0.42 |
2.36 |
0.99 |
||||
|
|
||||||||
|
Maternal religion |
||||||||
|
|
||||||||
|
Moslem |
1.00 |
|||||||
|
Christian |
0.53 |
0.30 |
0.95 |
0.03 |
||||
|
Other |
1.13 |
0.49 |
2.62 |
0.78 |
||||
|
|
||||||||
|
Maternal education |
0.97 |
0.94 |
1.00 |
0.07 |
||||
|
|
||||||||
|
Paternal education |
1.01 |
0.98 |
1.05 |
0.35 |
||||
|
|
||||||||
|
Parental occupation |
||||||||
|
|
||||||||
|
Mother without a job outside the home and father employed |
1.00 |
1.00 |
||||||
|
Mother and father employed |
1.47 |
1.14 |
1.89 |
0.00 |
1.84 |
1.35 |
2.50 |
0.00 |
|
Father unemployed |
1.57 |
0.64 |
3.89 |
0.33 |
2.99 |
1.18 |
7.55 |
0.02 |
|
|
||||||||
|
Paternal age when married |
1.01 |
0.98 |
1.04 |
0.52 |
||||
|
|
||||||||
|
Household wealth index |
0.99 |
0.99 |
0.99 |
0.01 |
0.99 |
0.99 |
1.00 |
0.61 |
|
|
||||||||
|
PROXIMATE DETERMINANTS |
||||||||
|
|
||||||||
|
Maternal age at child birth |
0.98 |
0.97 |
1.00 |
0.14 |
0.99 |
0.96 |
1.02 |
0.48 |
|
|
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|
Sex |
||||||||
|
|
||||||||
|
Female |
1.00 |
1.00 |
||||||
|
Male |
1.25 |
0.98 |
1.61 |
0.08 |
1.49 |
1.10 |
2.02 |
0.01 |
|
|
||||||||
|
Birth weight |
||||||||
|
|
||||||||
|
2500 – 3500 grams |
1.00 |
|||||||
|
< 2500 grams |
6.27 |
4.15 |
9.46 |
0.00 |
||||
|
> 3500 grams |
0.75 |
0.42 |
1.36 |
0.35 |
||||
|
Not weighed |
3.32 |
2.41 |
4.57 |
0.00 |
||||
|
|
||||||||
|
Birth size |
||||||||
|
|
||||||||
|
Average |
1.00 |
1.00 |
||||||
|
Smaller than average |
2.96 |
2.13 |
4.11 |
0.00 |
2.80 |
1.98 |
3.98 |
0.00 |
|
Larger than average |
0.81 |
0.55 |
1.18 |
0.26 |
0.85 |
0.58 |
1.25 |
0.41 |
|
|
||||||||
|
Birth rank and birth interval |
||||||||
|
|
||||||||
|
2nd or 3rd birth rank, birth interval >2 yrs |
1.00 |
1.00 |
||||||
|
1st birth rank |
1.48 |
1.09 |
2.00 |
0.01 |
1.21 |
0.79 |
1.83 |
0.38 |
|
2nd or 3rd birth rank, birth interval ≤ 2 yrs |
1.89 |
1.18 |
3.02 |
0.01 |
1.90 |
1.07 |
3.38 |
0.03 |
|
≥ 4th birth rank, birth interval >2 yrs |
1.32 |
0.91 |
1.93 |
0.15 |
1.12 |
0.67 |
1.87 |
0.68 |
|
≥ 4th birth rank, birth interval ≤ 2 yrs |
3.11 |
1.84 |
5.26 |
0.00 |
2.82 |
1.46 |
5.46 |
0.00 |
|
|
||||||||
|
Desire for pregnancy |
||||||||
|
|
||||||||
|
Wanted then |
1.00 |
|||||||
|
Wanted later |
1.18 |
0.76 |
1.84 |
0.47 |
||||
|
Wanted no more |
1.30 |
0.80 |
2.11 |
0.29 |
||||
|
|
||||||||
|
Delivery assistance |
||||||||
|
|
||||||||
|
Health professional |
1.00 |
|||||||
|
TBA/other |
1.21 |
0.91 |
1.60 |
0.20 |
||||
|
|
||||||||
|
Delivery complications |
||||||||
|
|
||||||||
|
None |
1.00 |
1.00 |
||||||
|
Prolonged labor |
0.80 |
0.55 |
1.18 |
0.26 |
0.70 |
0.46 |
1.07 |
0.10 |
|
Other |
2.04 |
1.45 |
2.86 |
0.00 |
1.81 |
1.25 |
2.63 |
0.00 |
|
|
||||||||
|
Mode of delivery |
||||||||
|
|
||||||||
|
Non-Caesarean section |
1.00 |
|||||||
|
Caesarean section |
0.95 |
0.49 |
1.82 |
0.88 |
||||
|
|
||||||||
|
Place of delivery |
||||||||
|
|
||||||||
|
Home |
1.00 |
|||||||
|
Health facility |
0.90 |
0.68 |
1.20 |
0.48 |
||||
|
|
||||||||
|
Postnatal care |
||||||||
|
|
||||||||
|
No |
1.00 |
1.00 |
||||||
|
Yes |
0.48 |
0.34 |
0.67 |
0.00 |
0.63 |
0.42 |
0.95 |
0.03 |
|
|
||||||||
|
* 1216 missing cases were excluded from the analysis |
||||||||
|
Titaley et al. BMC Public Health 2008 8:232 doi:10.1186/1471-2458-8-232 |
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