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Table 3 Multilevel logistic regression results on the association between child marriage and ≥ 4 ANC visits among childbearing young women in sub-Saharan Africa

From: Girl child marriage and its association with maternal healthcare services utilization in sub-Saharan Africa

Variables

Model 0

Model I

Model II

Model III

Model IV

 

cOR (95% CI)

aOR (95% CI)

aOR (95% CI)

aOR (95% CI)

Age at first marriage

 18-24 years

 

1

1

1

1

  < 18 years

 

0.60*** (0.57-0.63)

0.87*** (0.84-0.91)

0.69*** (0.66-0.72)

0.88*** (0.84-0.93)

Level of education

 No education

  

1

  

 Primary

  

1.51*** (1.41-1.61)

 

1.39*** (1.30-1.48)

 Secondary/higher

  

2.26*** (2.10-2.43)

 

1.85*** (1.71-1.99)

Marital status

 Married

  

1

 

1

 Cohabiting

  

1.12*** (1.06-1.19)

 

1.15*** (1.09-1.22)

Parity

 One birth

  

1

 

1

 Two births

  

0.86*** (0.82-0.91)

 

0.86*** (0.82-0.91)

 Three births

  

0.80*** (0.74-0.85)

 

0.81*** (0.76-0.87)

 Four or more births

  

0.76*** (0.69-0.83)

 

0.75*** (0.68-0.82)

Religion

 Christianity

  

1

 

1

 Islam

  

1.07* (1.01-1.14)

 

0.94* (0.89-1.00)

 Others

  

0.75*** (0.67-0.84)

 

0.78*** (0.70-0.87)

Partner’s level of education

 No education

  

0.59*** (0.55-0.63)

 

0.67*** (0.62-0.71)

 Primary

  

0.78*** (0.74-0.83)

 

0.84*** (0.79-0.89)

 Secondary/higher

  

1

 

1

Mass media exposure

 No

  

0.70*** (0.67-0.74)

 

0.76*** (0.73-0.80)

 Yes

  

1

 

1

Wealth index

 Poorest

   

0.83*** (0.78-0.88)

0.89*** (0.84-0.95)

 Poorer

   

1

1

 Middle

   

1.10*** (1.03-1.17)

1.05 (1.04-1.22)

 Richer

   

1.23*** (1.14-1.33)

1.13** (1.04-1.22)

 Richest

   

1.42*** (1.29-1.58)

1.20*** (1.08-1.33)

Sex of head of household

 Male

   

1

1

 Female

   

1.08* (1.07-1.21)

1.06 (1.00-1.13)

Household decision making capacity

 Respondents alone

   

1.26*** (1.18-1.34)

1.08* (1.01-1.15)

 Respondent and others

   

1

1

Community level literacy

 Low

   

1

1

 Medium

   

1.42*** (1.35-1.50)

1.15*** (1.09-1.22)

 High

   

1.52*** (1.42-1.63)

1.13** (1.05-1.21)

Community socioeconomic level

 Low

   

1

1

 Medium

   

1.02 (0.95-1.09)

0.96 (0.90-1.03)

 High

   

1.00 (0.92-1.08)

1.05 (0.97-1.13)

Residence

 Urban

   

1.46*** (1.37-1.57)

1.32*** (1.23-1.41)

 Rural

   

1

1

Random effect result

 PSU variance (95% CI)

0.05 (0.03-0.07)

0.05 (0.03-0.07)

0.03 (0.02-0.05)

0.04 (0.02-0.06)

0.03 (0.02-0.05)

 ICC

0.015

0.014

0.010

0.011

0.010

 LR Test

χ2 = 68.68, p < 0.001

χ2 = 59.43, p < 0.001

χ2 = 32.47, p < 0.001

χ2 = 37.79, p < 0.001

χ2 = 31.64, p < 0.001

 Wald chi-square

Reference

515.22***

2661.59***

1805.82***

2889.38***

Model fitness

 Log-likelihood

−23,298.051

−23,037.618

−21,845.789

−22,331.426

−21,692.986

 AIC

46,600.1

46,081.24

43,719.58

44,690.85

43,435.97

N

36,215

36,215

36,215

36,215

36,215

Number of clusters

1454

1454

1454

1454

1454

  1. Exponentiated coefficients; 95% confidence intervals in brackets; aOR adjusted Odds Ratio; cOR crude Odds Ratio CI Confidence Interval;1 = reference category
  2. *p < 0.05, **p < 0.01, ***p < 0.001
  3. PSU Primary Sampling Unit, ICC Intra-Class Correlation, LR Test Likelihood ratio Test, AIC Akaike’s Information Criterion
  4. Model 0 is the null model, a baseline model without any determinant variable
  5. Model I contains only the key explanatory variable
  6. Model II is adjusted for individual-level variables
  7. Model III adjusted for community-level variables
  8. Model IV is the final model adjusted for individual and community-level variables