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Table 1 Determinants of seeking care (either curative or preventive) for preterm newborns

From: Determinants and pattern of care seeking for preterm newborns in a rural Bangladeshi cohort

Variables

Newborns included in the study N = 27,460

Preterm newborns who sought care

Unadjusted risk ratio (95% CI)

Adjusted€risk ratio (95% CI)

Term newborns

Preterm newborns

 

N = 21,370

N = 6,090

N = 1,197

 

(%)

(%)

n

% (row)

  

Predisposing factors

Mother’s age

<25 years

33.5

30.1

418

22.8

Ref

Ref

25-29 years

33.7

33.5

371

18.2

0.80 (0.69, 0.92)*

0.95 (0.82, 1.09)

30-34 years

20.3

22.0

251

18.7

0.82 (0.70, 0.96)*

0.96 (0.80, 1.14)

35 years & above

12.5

14.5

157

17.8

0.78 (0.65, 0.94)*

0.92 (0.75, 1.13)

Mother’s education

Below primary

47.5

57.3

609

17.5

Ref

Ref

Primary and above

52.5

42.7

588

22.6

1.29 (1.15, 1.45)*

1.08 (0.96, 1.22)

Father’s education

Below primary

55.6

64.3

710

18.1

Ref

Ref

Primary and above

44.4

35.7

487

22.4

1.24 (1.10, 1.39)*

1.02 (0.91, 1.15)

Religion

Islam

95.4

95.7

1151

19.8

Ref

Ref

Others

4.6

4.3

46

17.6

0.89 (0.66, 1.19)

1.03 (0.79, 1.34)

Single/Multiple birth

Singleton

98.3

95.4

1108

19.1

Ref

Ref

Multiple birth

1.7

4.6

89

31.8

1.67 (1.34, 2.07) *

1.12 (0.92, 1.35)

History of child death

No

75.7

71.4

833

19.2

Ref

Ref

Yes

24.3

28.6

364

20.9

1.09 (0.96, 1.23)

1.21 (1.07, 1.37)*

Sex of the baby

Male

51.3

53.3

737

22.7

Ref

Ref

Female

48.7

46.7

460

16.2

0.71 (0.63, 0.80)*

0.73 (0.66, 0.80)*

Birth preparedness status

Not compliant

3.3

21.8

276

20.8

Ref

Ref

Partially compliant

62.7

51.2

544

17.4

0.84 (0.72, 0.97)*

0.91 (0.81, 1.03)

Fully compliant

34.0

27.0

377

22.9

1.10 (0.94, 1.29)

1.14 (0.99, 1.30)

Any ANC visit

No

40.3

49.8

409

13.5

Ref

Ref

Yes

59.7

50.2

788

25.8

1.92 (1.70, 2.16)*

1.41 (1.25, 1.59)*

Enabling factors

Wealth quintile

Lowest (Poorest)

18.6

23.4

195

13.7

Ref

Ref

Second lowest

19.0

23.5

247

17.3

1.26 (1.05, 1.52)*

1.18 (1.00, 1.39)

Middle quintile

19.6

21.4

282

21.6

1.58 (1.31, 1.89)*

1.38 (1.17, 1.64)*

Second highest

20.4

18.5

246

21.9

1.60 (1.33, 1.93)*

1.34 (1.13, 1.60)*

Highest (Richest)

22.3

13.2

227

28.3

2.07 (1.71, 2.51)*

1.57 (1.29, 1.90)*

Distance from health facility

Less than 2 Km

49.6

48.9

695

23.3

Ref

Ref

2-2.99 Km

29.6

30.0

304

16.6

0.71 (0.62, 0.82)*

0.79 (0.70, 0.88)*

3 Km or more

20.8

21.1

198

15.4

0.66 (0.57, 0.77) *

0.75 (0.66, 0.87) *

Need factors

Birth Asphyxia

No

88.5

89.3

989

18.2

Ref

Ref

Yes

11.5

10.7

208

32.0

1.76 (1.51, 2.04)*

1.28 (1.12, 1.45)*

Any signs of injury at birth

No

98.0

98.2

1152

19.3

Ref

Ref

Yes

2.0

1.8

45

40.9

2.12 (1.58, 2.86)*

1.44 (1.13, 1.84)*

Symptoms of illness

No

84.1

82.5

767

15.3

Ref

Ref

Yes

15.9

17.5

430

40.3

2.64 (2.34, 2.97)*

2.14 (1.93, 2.38)*

Signs of local infections

No

94.9

95.5

1031

17.7

Ref

Ref

Yes

5.1

4.5

166

60.6

3.42 (2.90, 4.03)*

2.53 (2.23, 2.87)*

  1. *p < 0.05;
  2. €Adjusted for all other covariates including maternal age, education of women and their husbands, religion, wealth score, distance from nearby health facility, number of babies delivered, birth weight and sex of the newborn, signs/symptom of illness/infection, birth asphyxia, birth injury, history of child death, birth preparedness, ANC visit, TT immunization.