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Table 3 Unadjusted and adjusted effect of household relationships on health seeking behaviour for childhood diarrhea in sub-Saharan Africa, 2012–2016

From: Household relationships and healthcare seeking behaviour for common childhood illnesses in sub-Saharan Africa: a cross-national mixed effects analysis

 

Unadjusted Odds Ratio (OR)

Caregiver characteristics

Western Africa

Middle Africa

Eastern Africa

Southern Africa

sub-Saharan Africa

Marital profile

 Never married

0.99 (0.84–1.18)

0.98 (0.78–1.25)

1.17 (0.86–1.60)

1.02 (0.83–1.26)

1.01 (0.91–1.13)

 First order marriage, monogamy

1.00

1.00

1.00

1.00

1.00

 First order marriage, polygyny

0.94 (0.86–1.02)

0.87 (0.77–1.00)

0.98 (0.84–1.15)

0.86 (0.71–1.05)

0.92 (0.87–0.98)*

 Higher order marriage, monogamy

0.88 (0.77–1.01)

1.08 (0.91–1.27)

0.99 (0.74–1.33)

0.85 (0.72–1.00)

0.92 (0.8401.01)

 Higher order marriage, polygyny

0.89 (0.77–1.04)

0.94 (0.76–1.17)

0.82 (0.60–1.11)

0.78 (0.60–1.02)

0.88 (0.79–0.97)*

 Formerly married

0.88 (0.73–1.06)

0.93 (0.75–1.14)

1.09 (0.85–1.42)

0.90 (0.75–1.09)

0.92 (0.84–1.02)

Relationship to household head

 Head

1.04 (0.92–1.19)

0.92 (0.78–1.09)

0.88 (0.74–1.05)

1.08 (0.92–1.26)

0.99 (0.92–1.07)

 Wife

1.00

1.00

1.00

1.00

1.00

 Daughter/in-law

1.10 (0.99–1.23)

0.99 (0.78–1.09)

0.80 (0.63–1.01)

1.06 (0.89–1.25)

1.03 (0.95–1.11)

 Others

1.02 (0.89–1.16)

1.03 (0.83–1.27)

0.76 (0.53–1.09)

1.10 (0.87–1.38)

1.00 (0.91–1.11)

 

Adjusted OR++

Caregiver marital profile

 Never married

0.97 (0.81–1.15)

0.97 (0.76–1.23)

1.43 (0.97–2.11)

1.00 (0.81–1.24)

1.00 (0.89–1.12)

 First order marriage, monogamy

1.00

1.00

1.00

1.00

1.00

 First order marriage, polygyny

0.99 (0.91–1.09)

0.92 (0.80–1.05)

1.19 (0.89–1.57)

0.88 (0.73–1.07)

0.98 (0.91–1.04)

 Higher order marriage, monogamy

0.89 (0.78–1.03)

1.09 (0.92–1.30)

1.05 (0.78–1.42)

0.88 (0.74–1.05)

0.95 (0.87–1.04)

 Higher order marriage, polygyny

0.95 (0.81–1.09)

0.98 (0.79–1.22)

0.82 (0.49–1.39)

0.83 (0.64–1.09)

0.94 (0.84–1.04)

 Formerly married

0.90 (0.75–1.09)

0.95 (0.78–1.18)

1.11 (0.80–1.52)

0.93 (0.76–1.13)

0.95 (0.86–1.06)

Relationship to household head

 Head

1.03 (0.90–1.17)

0.93 (0.79–1.10)

0.81 (0.65–1.00)

1.08 (0.92–1.27)

0.99 (0.92–1.08)

 Wife

1.00

1.00

1.00

1.00

1.00

 Daughter/in-law

1.06 (0.95–1.19)

0.97 (0.81–1.15)

0.81 (0.51–0.95)*

1.04 (0.84–1.24)

0.99 (0.92–1.08)

 Others

0.99 (0.86–1.14)

1.02 (0.82–1.27)

0.90 (0.86–1.71)

1.06 (0.84–1.36)

0.99 (0.90–1.10)

Random effects parameters

 Country: Variance (SE)

0.3789 (0.1613)

0.0229 (0.0234)

15.6738 (14.5082)

0.1421 (0.0964)

1.6615 (0.5506)

 Community: Variance (SE)

0.1765 (0.0278)

0.2043 (0.0416)

0.0647 (0.0386)

0.0876 (0.0235)

0.1507 (0.0164)

Model parameters

 Log-likelihood

− 9717.6826

− 5193.6512

− 1895.0743

− 4858.7665

− 2176.202

 Wald statistic

175.33

95.04

36.16

79.28

269.88

 p-value

< 0.001

< 0.001

0.0888

< 0.001

< 0.001

  1. *p < 0.05 based on models adjusted for demographic and socio-economic characteristics