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Table 2 Predictors of non-utilization of health facility delivery among childbearing women in Guinea

From: Non-utilization of health facility delivery and its correlates among childbearing women: a cross-sectional analysis of the 2018 Guinea demographic and health survey data

Variables

Model 0

Model 1

aOR (CI)

Model 2

aOR (CI)

Model 3

aOR (CI)

Age

 15–24

 

Ref

 

Ref

 25–34

 

0.80 (0.64–1.00)

 

0.89 (0.71–1.11)

 35+

 

0.76*(0.58–0.99)

 

0.86 (0.65–1.12)

Mother’s level of education

 No education

 

1.88***(1.35–2.62)

 

1.52*(1.09–2.12)

 Primary

 

1.39 (0.96–2.01)

 

1.28 (0.89–1.86)

 Secondary/Higher

 

Ref

 

Ref

Partner’s level of education

 No education

 

1.49***(1.19–1.85)

 

1.25*(1.01–1.56)

 Primary

 

1.16 (0.83–1.62)

 

1.05 (0.75–1.46)

 Secondary/Higher

 

Ref

 

Ref

Pregnancy intention

 Unintended

 

1.36**(1.10–1.68)

 

1.40**(1.13–1.74)

 Planned

 

Ref

 

Ref

Religion

 Christianity

 

0.72 (0.28–1.83)

 

0.96 (0.40–2.33)

 Islam

 

1.36 (0.52–3.58)

 

2.87*(1.17–7.08)

 Others

 

Ref

 

Ref

Marital status

 Married

 

1.08 (0.58–2.01)

 

1.09 (0.59–2.02)

 Cohabiting

 

Ref

 

Ref

Parity

 One birth

 

Ref

 

Ref

 Two births

 

1.67***(1.28–2.18)

 

1.59***(1.22–2.07)

 Three births

 

1.60***(1.21–2.13)

 

1.51**(1.14–2.01)

 Four or more births

 

2.00***(1.50–2.65)

 

1.78***(1.34–2.37)

Frequency of reading newspaper

 Not at all

 

5.26***(2.15–12.88)

 

4.52***(1.87–10.90)

 Less than once a week

 

5.53***(1.98–15.45)

 

5.05**(1.83–13.89)

 At least once a week

 

Ref

 

Ref

Frequency of listening to radio

 Not at all

 

0.97 (0.79–1.19)

 

0.99 (0.81–1.21)

 Less than once a week

 

Ref

 

Ref

 At least once a week

 

1.10 (0.90–1.35)

 

1.06 (0.87–1.31)

Frequency of watching television

 Not at all

 

2.42***(1.87–3.14)

 

1.46**(1.12–1.91)

 Less than once a week

 

1.48***(1.13–3.14)

 

1.12 (0.85–1.49)

 At least once a week

 

Ref

 

Ref

Wealth quintile

 Poorest

  

5.79***(3.84–8.72)

4.29***(2.79–6.60)

 Poorer

  

3.72***(2.50–5.54)

2.82***(1.86–4.28)

 Middle

  

2.54***(1.73–3.73)

1.93**(1.30–2.89)

 Richer

  

1.58***(1.14–2.18)

1.28 (0.92–1.78)

 Richest

  

Ref

Ref

Sex of household head

 Male

  

1.47***(1.15–1.88)

1.38*(1.08–1.78)

 Female

  

Ref

Ref

Health care decision making

 Alone

  

Ref

Ref

 Not alone

  

1.10 (0.85–1.41)

1.20 (0.93–1.55)

Place of residence

 Urban

  

Ref

Ref

 Rural

  

4.92***(3.34–7.25)

3.86***(2.66–5.60)

Random effects results

 PSU Variance (95% CI)

2.0 (0.8–5.0)

2.2 (1.0–5.3)

2.1 (0.9–0.51)

2.1 (0.9–5.3)

 ICC

0.51

0.39

0.30

0.25

 LR Test

χ2 = 1394.0,

p < 0.001

χ2 = 608.8,

p < 0.001

χ2 = 477.68,

p < 0.001

χ2 = 299.3,

p < 0.001

 Wald χ2

Reference

182.3***

347.1***

476.7***

Model fitness

 Log-likelihood

− 2800.5

− 2699.6

− 2651.4

−2588.1

 AIC

5604.9

5441.2

5320.8

5232.3

Sample size

5406

5406

5406

5406

  1. Source: 2018 Guinea Demographic and Health Survey
  2. Model 0 is the null model, a baseline model without any determinant variable
  3. Model 1 is adjusted for individual-level variables
  4. Model 2 is adjusted for contextual-level variables
  5. Model 3 is the final model adjusted for individual and contextual-level variables
  6. aOR Adjusted odds ratios
  7. CI Confidence interval
  8. Ref Reference category
  9. PSU Primary Sampling Unit
  10. ICC Intra-Class Correlation
  11. LR Test Likelihood ratio Test
  12. AIC Akaike’s Information Criterion
  13. *p < 0.05, **p < 0.01, ***p < 0.001