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Table 2 Predictors of severe acute malnutrition among children 6 to 59 months visiting Outpatient Therapeutic Care Centers (n = 398)a

From: Severe acute malnutrition and its associated factors among children under-five years: a facility-based cross-sectional study

Characteristics Unadjusted odds ratios 95% CI P value Adjusted odds ratios 95% CI P value
Family size
 1–5 member/s (Ref) 1    1   
 5 or more members 3.07 (1.24–7.64) 0.02 3.96 (1.23–12.71) 0.02
Number of children
 1–2 (Ref) 1    1   
 3 or more 3.46 (1.47–8.10) 0.004 4.92 (0.24–100.1) 0.30
Ethnicity
 Relatively advantaged (Brahmin/Chhetri) (Ref) 1    1   
 Relatively disadvantaged (Janajati/Muslims) 4.35 (0.92–20.47) 0.06 1.20 (0.12–12.23) 0.88
 Madhesi and other unidentified 9.61 (2.10–43.98) < 0.01 3.18 (0.30–33.84) 0.34
Toilet facility
 Yes (Ref) 1    1   
 No 4.45 (1.88–10.54) < 0.00 1.54 (0.48–4.96) 0.47
Kitchen garden
 Yes (Ref) 1    1   
 No 3.17 (1.28–7.90) < 0.01 2.56 (0.82–8.00) 0.11
Food Insecurity
 Food secure (Ref) 1    1   
 Mildly food insecure 2.44 (0.62–9.59) 0.20 1.30 (0.26–6.53) 0.75
 Moderate food insecure 3.09 (0.97–9.83) 0.06 0.58 (0.13–2.52) 0.46
 Severely food insecure 5.40 (1.86–15.72) < 0.01 4.04 (1.12–14.61) 0.03
Child factors
Child age (months)
  6–12 4.82 (1.25–18.64) 0.02 12.10 (2.06–71.09) < 0.01
  12–23 5.15 (1.42–18.65) < 0.01 6.61 (1.24–35.25) 0.03
  24–59 (Ref) 1    1   
Birth Order
  1 (Ref) 1    1   
  2 3.15 (0.93–10.69) 0.066 4.09 (0.99–16.87) 0.05
  3 or more 6.30 (1.95–20.39) < 0.01 0.64 (0.03–15.14) 0.78
Maternal factors
Mother’s education
  No education 4.89 (0.99–24.27) 0.05 0.34 (0.026–4.59) 0.42
  Literate 7.13 (1.38–36.82) 0.02 0.57 (0.04–7.80) 0.68
  Primary 4.10 (0.77–21.80) 0.10 0.91 (0.08–10.18) 0.94
  Secondary 1.25 (0.21–7.64) 0.81 0.54 (0.052–5.61) 0.61
  Higher (Ref) 1    1   
Exclusive breastfeeding
  Yes (Ref) 1    1   
  No 0.19 (0.043–0.82) 0.03 0.38 (0.070–2.03) 0.26
  1. Ref. Reference Category, Statistically significant at p < 0.05
  2. a Estimates are adjusted odds ratios and 95% confidence intervals from logistic regression