From: Stunting and severe stunting among children under-5 years in Nigeria: A multilevel analysis
Characteristic | Stunted children 0–23 Months | Stunted children 0–59 Months | ||||||
---|---|---|---|---|---|---|---|---|
Unadjusted Odd Ratio (OR) [95%CI] | P | Adjusted Odd Ratio (AOR) [95%CI] | P | Unadjusted Odd Ratio (OR) [95%CI] | P | Adjusted Odd Ratio (AOR) [95%CI] | P | |
Community level factors | ||||||||
Type of residence | ||||||||
Urban | 1.00 | 1.00 | ||||||
Rural | 1.56 (1.24,1.96) | <0.001 | 2.03 (1.74,2.38) | <0.001 | ||||
Geopolitical Zones | ||||||||
North Central | 1.00 | 1.00 | 1.00 | 1.00 | ||||
North East | 2.20 (1.72,2.83) | <0.001 | 1.92 (1.49,2.46) | <0.001 | 2.13 (1.74,2.59) | <0.001 | 1.53 (1.26,1.87) | <0.001 |
North West | 4.62 (3.74,5.71) | <0.001 | 4.67 (3.72,5.86) | <0.001 | 3.19 (2.67,3.83) | <0.001 | 2.74 (2.29,3.27) | <0.001 |
South East | 0.58 (0.42,0.81) | 0.001 | 0.54 (0.39,0.74) | <0.001 | 0.49 (0.39,0.62) | <0.001 | 0.49 (0.39,0.62) | <0.001 |
South West | 0.73 (0.54,0.98) | 0.039 | 0.78 (0.58,1.05) | 0.098 | 0.57 (0.46,0.71) | <0.001 | 0.65 (0.52,0.80) | <0.001 |
South South | 0.94 (0.73,1.22) | 0.662 | 0.98 (0.75,1.29) | 0.904 | 0.74 (0.61,0.90) | 0.003 | 0.98 (0.81,1.19) | 0.832 |
Socio-demographic factors | ||||||||
Wealth Index | ||||||||
Poorest | 1.00 | 1.00 | 1.00 | 1.00 | ||||
Poor | 0.64 (0.52,0.79) | <0.001 | 0.89 (0.77,1.04) | 0.151 | 0.65 (0.55,0.77) | <0.001 | 0.87 (0.76,0.98) | 0.024 |
Middle | 0.39 (0.31,0.51) | <0.001 | 0.91 (0.75,1.09) | 0.321 | 0.40 (0.33,0.49) | <0.001 | 0.77 (0.66,0.89) | <0.001 |
Rich | 0.36 (0.29,0.46) | <0.001 | 0.72 (0.58,0.88) | 0.002 | 0.29 (0.24,0.35) | <0.001 | 0.62 (0.52,0.73) | <0.001 |
Richest | 0.22 (0.17,0.29) | <0.001 | 0.59 (0.47,0.76) | <0.001 | 0.18 (0.15,0.23) | <0.001 | 0.45 (0.37,0.55) | <0.001 |
Maternal working status | ||||||||
Non-working | 1.00 | 1.00 | 1.00 | |||||
Working (past 12 months) | 1.22 (0.88,1.68) | 0.232 | 1.59 (1.29,1.95) | <0.001 | 1.54 (1.23,1.93) | <0.001 | ||
Maternal education | ||||||||
No education | 1.00 | 1.00 | ||||||
Primary | 0.42 (0.35,0.51) | <0.001 | 0.46 (0.41,0.53) | <0.001 | ||||
Secondary and above | 0.31 (0.26,0.37) | <0.001 | 0.28 (0.24,0.32) | <0.001 | ||||
Paternal occupation | ||||||||
Non agriculture | 1.00 | 1.00 | ||||||
Agriculture | 1.08 (0.75,1.54) | 0.695 | 1.19 (0.89,1.56) | 0.226 | ||||
Not working | 0.76 (0.62,0.94) | 0.010 | 0.72 (0.62,0.84) | <0.001 | ||||
Paternal education | ||||||||
No education | 1.00 | 1.00 | 1.00 | |||||
Primary | 0.45 (0.37,0.55) | <0.001 | 0.87 (0.71,1.06) | 0.175 | 0.48 (0.42,0.55) | <0.001 | ||
Secondary and above | 0.32 (0.27,0.38) | <0.001 | 0.76 (0.64,0.91) | 0.003 | 0.33 (0.29,0.37) | <0.001 | ||
Marital status | ||||||||
Currently married | 1.00 | 1.00 | ||||||
Formerly married+ | 0.56 (0.34,0.94) | 0.028 | 0.78 (0.59,1.04) | 0.092 | ||||
Mother’s literacy | ||||||||
Can’t read at all | 1.00 | 1.00 | ||||||
Can read | 0.43 (0.36,0.50) | <0.001 | 0.37 (0.33,0.42) | <0.001 | ||||
Environmental factors | ||||||||
Source of drinking water | ||||||||
Unimproved | 1.00 | 1.00 | ||||||
Improved | 0.82 (0.70,0.96) | 0.016 | 0.74 (0.65,0.85) | <0.001 | ||||
Media factors | ||||||||
Reading newspaper | ||||||||
Yes | 1.00 | 1.00 | 1.00 | |||||
No | 1.88 (1.52,2.34) | <0.001 | 2.53 (2.16,2.97) | <0.001 | 1.18 (1.02,1.38) | 0.043 | ||
Listening to radio | ||||||||
Yes | 1.00 | 1.00 | ||||||
No | 1.56 (1.36,1.78) | <0.001 | 1.64 (1.47,1.83) | <0.001 | ||||
Watching TV | ||||||||
Yes | 1.00 | 1.00 | 1.00 | |||||
No | 2.34 (2.02,2.72) | <0.001 | 2.60 (2.30,2.94) | <0.001 | 1.38 (1.23,1.55) | <0.001 | ||
Proximate determinants | ||||||||
Maternal factors | ||||||||
Mother’s age | ||||||||
15–24 years | 1.00 | 1.00 | ||||||
25–34 years | 0.79 (0.67,0.92) | 0.003 | 0.77 (0.69,0.87) | <0.001 | ||||
35–49years | 1.03 (0.85,1.24) | 0.780 | 0.85 (0.75,0.96) | 0.009 | ||||
Mother's age at birth | ||||||||
< 20 years | 1.00 | 1.00 | ||||||
20–29 years | 0.63 (0.51,0.78) | <0.001 | 0.62 (0.54,0.72) | <0.001 | ||||
30–39 years | 0.61 (0.49,0.76) | <0.001 | 0.57 (0.49,0.66) | <0.001 | ||||
40 and above | 0.86 (0.63,1.17) | 0.331 | 0.69 (0.56,0.86) | 0.001 | ||||
Mother’s BMI | ||||||||
< 18.5 | 1.00 | 1.00 | 1.00 | |||||
18.5–25 | 0.86 (0.66,1.13) | 0.273 | 0.73 (0.61,0.88) | 0.001 | 0.99 (0.84,1.17) | 0.913 | ||
25 and above | 0.50 (0.37,0.69) | 0.010 | 0.38 (0.31,0.47) | <0.001 | 0.79 (0.66,0.95) | 0.012 | ||
Delivery factors | ||||||||
Type of delivery assistance | ||||||||
Health professional | 1.00 | 1.00 | 1.00 | |||||
Traditional birth attendant | 2.81 (2.32,3.41) | <0.001 | 2.67 (2.31,3.09) | <0.001 | 1.19 (1.05,1.36) | 0.007 | ||
Relatives or other | 2.09 (1.71,2.56) | <0.001 | 2.37 (2.07,2.73) | <0.001 | 1.11 (0.98,1.24) | 0.089 | ||
No one | 4.18 (3.37,5.18) | <0.001 | 4.12 (3.49,4.86) | <0.001 | 1.24 (1.07,1.44) | 0.004 | ||
Combined Place and mode of delivery | ||||||||
Home delivery | 1.00 | 1.00 | ||||||
Health facility with no Caesarean | 0.38 (0.32,0.45) | <0.001 | 0.37 (0.33,0.41) | <0.001 | ||||
Health facility with Caesarean | 0.31 (0.18,0.54) | <0.001 | 0.27 (0.19,0.39) | <0.001 | ||||
Pre/Post-delivery factors | ||||||||
Antenatal clinic visits | ||||||||
None | 1.00 | 1.00 | ||||||
1–3. | 0.68 (0.54,0.85) | 0.001 | 0.65 (0.54,0.78) | <0.001 | ||||
4 and above | 0.41 (0.34,0.49) | <0.001 | 0.39 (0.34,0.46) | <0.001 | ||||
Timing of postnatal check-up | ||||||||
No postnatal check-up | 1.00 | 1.00 | ||||||
0–2 days | 0.44 (0.36,0.53) | <0.001 | 0.47 (0.41,0.54) | <0.001 | ||||
Delayed | 0.32 (0.24,0.43) | <0.001 | 0.37 (0.31,0.45) | <0.001 | ||||
Currently breastfeeding | ||||||||
No | 1.00 | 1.00 | ||||||
Yes | 1.02 (0.86,1.21) | 0.816 | 1.04 (0.95,1.15) | 0.384 | ||||
Duration of breastfeeding | ||||||||
upto 12 months | 1.00 | 1.00 | 1.00 | 1.00 | ||||
> 12 months | 2.27 (1.98,2.61) | <0.001 | 1.19 (1.01,1.42) | 0.043 | 2.50 (2.22,2.82) | <0.001 | 3.28 (2.95,3.65) | <0.001 |
Child factors | ||||||||
Birth order | ||||||||
First-born | 1.00 | 1.00 | ||||||
2nd-4th | 1.02 (0.84,1.24) | 0.845 | 1.06 (0.95,1.19) | 0.295 | ||||
5 or above | 1.52 (1.24,1.86) | <0.001 | 1.43 (1.26,1.62) | <0.001 | ||||
Preceding birth interval | ||||||||
No previous birth | 1.00 | 1.00 | ||||||
< 24 months | 1.14 (0.89,1.47) | 0.291 | 1.44 (1.26,1.65) | <0.001 | ||||
> 24 months | 1.25 (1.04,1.51) | 0.018 | 1.17 (1.04,1.31) | 0.008 | ||||
Gender | ||||||||
Male | 1.00 | 1.00 | 1.00 | 1.00 | ||||
Female | 0.79 (0.69,0.91 | 0.001 | 0.69 (0.63,0.77) | <0.001 | 0.86 (0.81,0.94) | <0.001 | 0.81 (0.75,0.87) | <0.001 |
Perceived size of baby | ||||||||
Small | 1.00 | 1.00 | 1.00 | 1.00 | ||||
Average | 0.65 (0.54,0.71) | <0.001 | 0.71 (0.61,0.83) | <0.001 | 0.72 (0.63,0.83) | <0.001 | 0.91 (0.81,1.02) | 0.118 |
Large | 0.42 (0.34,0.51) | <0.001 | 0.50 (0.43,0.58) | <0.001 | 0.53 (0.47,0.61) | <0.001 | 0.69 (0.61,0.78) | <0.001 |
Child’s age in months | 1.08 (1.06,1.09) | <0.001 | 1.10 (1.09,1.12) | <0.001 | 1.01 (1.01,1.02) | <0.001 | ||
Child had diarrhoea recently | ||||||||
No | 1.00 | 1.00 | 1.00 | 1.00 | ||||
Yes | 1.43 (1.19,1.73) | <0.001 | 1.22 (0.99,1.49) | 0.050 | 1.46 (1.28,1.67) | <0.001 | 1.31 (1.16,1.49) | <0.001 |
Child had fever in last 2 weeks | ||||||||
No | 1.00 | 1.00 | ||||||
Yes | 1.30 (1.09,1.56) | 0.004 | 1.16 (1.03,1.31) | 0.015 |