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 | Â | ||||
N = 21,370 | N = 6,090 | N = 1,197 | ||||
 | (%) | (%) | n | % (row) |  |  |
Predisposing factors | ||||||
Mother’s age | ||||||
<25Â 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) |
35Â 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)* |