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Table 3 Factors associated with SAM in children aged 6 - 59 months

From: Diet and nutritional status among hospitalised children in Hawassa, Southern Ethiopia

Variable

SAM

  

Crude analysis

 

Adjusted analysis

 
 

No (%)

Yes (%)

Total

OR

95% CI

p-value

OR

95% CI

p-value

Inherent

Sex

  Female

83 (79.3)

33 (47.1)

116 (63.7)

ref

  

ref

  

  Male

31 (26.3)

35 (50.0)

66 (36.3)

2.84

2.67 - 3.01

< 0.001

4.62

2.30 - 9.16

< 0.001

Age child

-

-

-

1

0.97 - 1.03

0.863

-

-

-

Immediate factors

DDS7

-

-

-

0.74

0.66 - 0.84

< 0.001

0.78

0.65 - 0.95

0.012

HAZ

-

-

-

0.83

0.83 - 0.83

< 0.001

1.02

0.91 - 1.13

0.767

Hospital admission last 12 months?

  No

79 (66.9)

35 (50.0)

114 (60.6)

ref

  

-

-

-

  Yes

39 (33.1)

35 (50.0)

74 (39.4)

2.02

0.94 - 4.32

0.068

-

-

-

Symptoms of diarrhoea, fever or cough two weeks prior to admission

  No

63 (53.4)

25 (35.7)

88 (46.8)

ref

  

ref

  

  Yes

55 (46.6)

45 (64.3)

100 (53.2)

2.06

1.38 - 3.07

< 0.001

1.37

0.88 - 2.11

0.162

Mothers education

  No school

37 (31.4)

29 (41.4)

66 (35.1)

ref

  

ref

  

  Primary

44 (37.3)

29 (41.4)

73 (38.8)

0.84

0.45 - 1.56

0.584

1.5

0.51 - 4.39

0.454

  Secondary

36 (30.51)

10 (14.3)

46 (24.5)

0.35

0.30 - 0.40

< 0.001

1.92

0.41 - 9.10

0.409

Occupation mother

  Unemployed

87 (73.7)

52 (74.3)

139 (73.9)

ref

  

-

-

-

  Employed

31 (26.7)

17 (24.3)

17 (24.3)

0.92

0.38 - 2.23

0.849

-

-

-

Fathers education

  No school

28 (23.7)

14 (20.0)

42 (22.3)

ref

  

ref

  

  Primary

29 (24.6)

32 (45.7)

61 (31.5)

2.2

2.14 - 2.27

< 0.001

1.42

1.16 - 1.74

0.001

  Secondary

58 (49.2)

12 (17.1)

70 (37.2)

0.41

0.28 - 0.60

< 0.001

0.42

0.37 - 0.48

< 0.001

Fathers occupation

  Unemployed

56 (47.5)

42 (60.0)

98 (52.1)

ref

  

ref

  

  Employed

59 (50.0)

19 (27.1)

78 (41.5)

0.43

0.22 - 0.84

0.013

1.41

0.59 - 3.37

0.433

SE-index

  Lowest index group

27 (23.7)

35 (50.0)

62 (33.7)

ref

  

ref

  

  Middle index group

36 (31.6)

25 (35.7)

61 (33.2)

0.54

0.27 - 1.05

0.07

0.3

0.24 - 0.37

< 0.001

  Highest index group

51 (44.7)

10 (14.3)

61 (33.2)

0.15

0.06 - 0.38

< 0.001

0.11

0.01 - 1.29

0.081

Food security

  Insecure

49 (41.5)

35 (50.0)

84 (44.7)

ref

  

-

-

-

  Secure

55 (46.6)

32 (45.7)

87 (46.3)

0.81

0.20 - 3.23

0.771

-

-

-

  1. Abbreviations: SAM severe acute malnutrition, OR odds ratio, CI confidence interval, DDS7 Dietary diversity score 7 days before admission, HAZ height-for-age z-score, SE-index socioeconomic index