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Table 3 Multivariable multilevel logistic regression analysis results of both individual-level and community-level factors associated with healthcare-seeking behavior in East Africa

From: Factors associated with healthcare-seeking behavior for symptomatic acute respiratory infection among children in East Africa: a cross-sectional study

Variables

Categories

Null model

Model 1

AOR [95% CI]

Model 2

AOR [95% CI]

Model 3

AOR [95% CI]

Age of mothers

15–24

 

1.00

 

1.00

25–34

 

0.94 (0.84- 1.06)

–––––––-

0.94 (0.84—1.06)

35–49

 

0.97 (0.82- 1.14)

–––––––-

0.96 (0.82—1.14)

Mothers educational level

No education

 

1.00

–––––––-

1.00

Primary education

 

1.63 (1.47- 1.82)***

–––––––-

1.62 (1.45—1.82)***

Secondary and above

 

2.01 (1.74- 2.33)***

–––––––-

1.98 (1.70—2.32)***

Mothers occupation

Not working

 

1.00

–––––––-

1.00

Working

 

1.34 (1.20- 1.48)***

–––––––-

1.33 (1.20—1.48)***

Mothers marital status

Married

 

1.00

–––––––-

1.00

Not married

 

1.16 (1.07—1.29)***

–––––––-

1.15 (1.04—1.27)**

Number of a household member

1–4

 

1.00

–––––––-

1.00

5–10

 

1.07 (0.97—1.19)

–––––––-

1.09 (0.99—1.21)

> 10

 

1.53 (1.21—1.92)**

–––––––-

1.53 (1.22—1.92)***

Media access

No

 

1.00

–––––––-

1.00

Yes

 

1.46 (1.33—1.61)***

–––––––-

1.43 (1.20—1.58)***

Wealth index

Poor

 

1.00

–––––––-

1.00

Middle

 

0.94 (0.85—1.04)

–––––––-

0.89 (0.79- 1.01)

Rich

 

1.37 (1.28—1.47)***

–––––––-

1.39 (1.29—1.51)**

Age of child

0–6

 

1.00

–––––––-

1.00

7–23

 

1.54 (1.34—1.78)***

–––––––-

1.59 (1.39—1.82)***

24–59

 

1.09 (0.97—1.22)

–––––––-

1.25 (1.10—1.41)*

Sex of child

Male

 

1.00

–––––––-

1.00

Female

 

0.93 (0.86—1.01)

–––––––-

0.94 (0.87—1.02)

Distance to a health facility

Big problem

 

1.00

–––––––-

1.00

Not big problem

 

1.13 (1.02—1.21)***

–––––––-

1.11 (1.01—1.20)*

Place of delivery

Home

 

1.00

–––––––-

1.00

Health facilities

 

1.72 (1.55—1.90)***

–––––––-

1.77 (1.60—1.95)***

Sex of household head

Male

 

1.00

–––––––-

1.00

Female

 

1.02 (0.92—1.12)

–––––––-

1.01 (0.90—1.11)

Birth order

First

 

1.00

–––––––-

1.00

2–4

 

1.09 (0.96—1.23)

–––––––-

1.08 (0.95—1.22)

5 +

 

1.08 (0.91—1.28)

–––––––-

1.06 (0.89—1.26)

Health insurance status

Insured

 

1.00

–––––––-

1.00

Uninsured

 

0.99 (0.87—1.13)

–––––––-

0.97 (0.85—1.11)

Twin status

Single birth

 

1.00

–––––––-

1.00

Multiple births

 

1.22 (0.94—1.58)

–––––––-

1.21 (0.93—1.58)

Community level variables

Residence

Rural

 

–––––––-

1.00

1.00

Urban

 

–––––––-

1.70 (1.65- 1.80)***

1.53 (1.40- 1.66)***

Community-level media usage

Low

 

–––––––-

1

1.00

High

 

–––––––-

1.23 (1.09- 1.39)**

1.63 (1.49 -1.79)**

Community-level women education

Low

 

–––––––-

1.00

1.00

High

 

–––––––-

1.21 (1.07- 1.36)**

1.51 (1.39- 1.66)**

Community poverty

Low

 

–––––––-

1.00

1.00

High

 

–––––––-

1.02 (0.89—1.11)

1.09 (0.94—1.20)

Random effect

Variance

0.43

0.42

0.39

0.34

ICC

0.12

0.11

0.10

0.09

MOR

1.69

1.66

1.52

1.50

PCV

Reff

2.38

10.26

26.47

Model comparison

Log likelihood ratio

-8795

-6990

-8756

-6988

Deviance

17,590

13,980

17,512

13,976

Mean VIF

 

1.62

1.06

1.60

  1. ICC Inter cluster correlation coefficient, MOR Median odds ratio, PCV proportional change in variance, AOR Adjusted odds ratio, CI Confidence interval, null model without any explanatory variables, Model I with individual independent variables only, Model II with community-level variables only, and Model III with both individual-level and community-level variables
  2. * = P-value < 0.05, ** = P-value < 0.01, *** = P-value < 0.001