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Table 3 Unadjusted and adjusted correlates of access to ANC based on univariate and multivariate logistic mixed regression (with random intercepts for enumeration areas) analyses, respectively

From: Inequality in opportunity of access to antenatal care in Cameroon: multilevel modelling, spatial analysis and decomposition methods

Circumstance variables

Category

Unadjusted odds-ratio

Adjusted odds-ratio

OR

95% CI

p-value

OR

95% CI

p-value

Region (Ref = Adamawa)

Centre (without Yaounde)

2.4

1.62–3.56

 < 0.0001

1.11

0.76–1.62

0.5938

 

Douala

6.71

4.39–10.24

 < 0.0001

1.36

0.88–2.09

0.1674

 

East

1.54

1.02–2.30

0.0381

0.89

0.61–1.32

0.5693

 

Far-North

0.97

0.66–1.41

0.8559

1.1

0.77–1.56

0.6167

 

Littoral (without Douala)

3.08

2.00–4.75

 < 0.0001

1.18

0.77–1.8

0.4446

 

North

0.58

0.38–0.88

0.0097

0.55

0.37–0.81

0.0024

 

North–West

1.96

1.25–3.06

0.0032

0.82

0.53–1.26

0.3596

 

South

2.27

1.51–3.42

0.0001

0.87

0.58–1.28

0.4721

 

South–West

2.16

1.19–3.94

0.0117

0.44

0.25–0.79

0.0057

 

West

2.85

1.93–4.21

 < 0.0001

1.2

0.83–1.75

0.3312

 

Yaounde

6.77

4.46–10.28

 < 0.0001

1.53

1.00–2.33

0.0493

Place of residence (Ref = Rural)

Urban

3.04

2.49–3.73

 < 0.0001

   

Household wealth (Ref = Very poor)

Poorer

1.94

1.51–2.51

 < 0.0001

1.34

1.03–1.76

0.0305

 

Middle

2.61

2.02–3.39

 < 0.0001

1.42

1.08–1.88

0.0136

 

Richer

5.33

4.1–6.95

 < 0.0001

2.16

1.6–2.92

 < 0.0001

 

Very rich

11.24

8.54–14.86

 < 0.0001

3.02

2.15–4.25

 < 0.0001

Partner’s education (Ref = No level)

Primary

2.4

1.88–3.08

 < 0.0001

1.34

1.02–1.76

0.0357

 

Secondary

4.78

3.75–6.11

 < 0.0001

1.80

1.35–2.39

0.0001

 

Higher

10.59

7.68–14.63

 < 0.0001

2.09

1.42–3.08

0.0002

Woman’s education (Ref = No level)

Primary

2.66

2.13–3.33

 < 0.0001

1.45

1.12–1.88

0.0047

 

Secondary

5.48

4.39–6.87

 < 0.0001

1.83

1.38–2.44

 < 0.0001

 

Higher

15.12

10.56–21.82

 < 0.0001

2.41

1.54–3.78

0.0001

Religion (Ref = Animist)

Christian

1.93

1.06–3.65

0.0351

1.02

0.56–1.87

0.9426

 

Muslim

0.8

0.44–1.54

0.4976

0.75

0.40–1.38

0.3558

 

Other

1.42

0.64–3.19

0.3937

0.95

0.42–2.12

0.8907

Household head gender (Ref = Female)

Male

0.87

0.71–1.06

0.1684

   

Woman’s age (Ref = 15–20 years)

20–24

1.29

0.96–1.73

0.0879

1.29

0.95–1.74

0.0987

 

25–29

1.39

1.04–1.85

0.0248

1.48

1.08–2.03

0.0161

 

30–34

1.42

1.06–1.91

0.0183

1.63

1.16–2.31

0.0054

 

35–39

1.42

1.04–1.93

0.0279

1.86

1.27–2.71

0.0014

 

40–44

1.23

0.84–1.8

0.2882

1.82

1.16–2.85

0.0085

 

45–49

1.17

0.56–2.35

0.6657

2.01

0.96–4.23

0.0657

Parity (Ref = 1)

[2–3]

0.93

0.76–1.13

0.4656

0.81

0.65–1.01

0.0623

 

[4–5]

0.76

0.61–0.94

0.0120

0.68

0.52–0.89

0.0043

 

6 + 

0.58

0.46–0.73

 < 0.0001

0.59

0.43–0.80

0.0008

Partner’s age (Ref = 15–24 years)

25–34

1.35

0.96–1.91

0.0903

   
 

35–44

1.31

0.93–1.85

0.1276

   
 

45–54

1.24

0.86–1.80

0.2585

   
 

55–64

0.9

0.55–1.46

0.6655

   

Distance to health facility (Ref = Not a big problem)

A big problem

0.58

0.5–0.67

 < 0.0001

0.75

0.64–0.87

0.0001

  1. NB: The enumeration areas random intercept variance for the multivariate mixed logistic regression model is 0.084, which is significantly different from 0 according to the likelihood-ratio test (p-value = 0.0129) through the anova function in the R package stats