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Table 3 Association of early neonatal mortality with risk factors

From: Determinants of early neonatal mortality in Afghanistan: an analysis of the Demographic and Health Survey 2015

Variables

COR (95% CI)

AOR (95% CI)

Individual factors

Sex

 Female

Ref

Ref

 Male

1.5* (1.1–2.1)

1.3 (1.0–1.6)

Birth size

 Average

Ref

Ref

 Smaller than average

1.8* (1.1–2.9)

1.8** (1.2–2.6)

 Larger than average

2.6*** (1.7–3.9)

2.9*** (2.2–3.8)

Multiple gestation

 No

Ref

Ref

 Yes

8.6*** (4.7–15.5)

9.3*** (5.7–15.0)

Maternal factors

Maternal age

 15–18 years

1.8 (0.9–3.6)

1.8* (1.1–3.2)

 19–34 years

Ref

Ref

 35–49 years

1.6* (1.1–2.3)

1.7*** (1.3–2.3)

Birth rank

 Primi

1.2 (0.8–2.0)

1.1 (0.7–1.7)

 Second to fourth pregnancy

Ref

Ref

 Fifth or higher pregnancy

1.9*** (1.3–2.9)

1.4 (0.7–2.8)

Birth Interval

 < 2 years

1.5* (1.0–2.3)

1.7*** (1.3–2.2)

 ≥ 2 years

Ref

Ref

Antenatal factors

Desire for pregnancy

 Wanted then

Ref

 

 Wanted later

0.4* (0.2–0.9)

0.7 (0.4–1.3)

 Wanted no more

1.0 (0.5–1.9)

0.9 (0.5–1.7)

Antenatal care

 No

Ref

Ref

 Yes

0.5*** (0.4–0.7)

0.7* (0.5–0.9)

Delivery factors

Delivery assistance

 Unskilled birth attendant

Ref

 

 Skilled delivery attendant

0.6** (0.4–0.8)

 

Place of delivery

 Home

Ref

Ref

 Hospital/health centre

0.6** (0.4–0.8)

0.7* (0.5–0.9)

Socioeconomic characteristics

Sex of the household head

 Male

Ref

Ref

 Female

0.2* (0.1–0.8)

1.1 (0.3–1.4)

Maternal education level

 No formal education

Ref

Ref

 Primary

0.3* (0.1–0.8)

0.6 (0.3–1.1)

 Secondary or higher

0.7 (0.4–1.5)

1.6 (0.9–2.7)

Paternal education level

 No formal education

Ref

Ref

 Primary

0.8 (0.5–1.2)

0.9 (0.6–1.3)

 Secondary or higher

0.6* (0.4–0.9)

0.7* (0.5–1.0)

Wealth status

 Poorest

Ref

Ref

 Poorer

1.3 (0.8–2.1)

1.0 (0.7–1.5)

 Middle

1.2 (0.7–1.9)

1.2 (0.8–1.8)

 Richer

0.7 (0.4–1.3)

1.1 (0.7–1.7)

 Richest

0.61 (0.3–1.1)

1.1 (0.6–1.1)

Community level variables

Antenatal care utilization

 Low

Ref

Ref

 High

0.71 (0.5–1.1)

1.0 (0.7–1.4)

Utilization of facility delivery

 Low

Ref

Ref

 High

0.6* (0.4–0.9)

1.0 (0.7–1.3)

Community women’s education

 Low

Ref

Ref

 High

0.3* (0.1–0.8)

0.4* (0.2–0.9)

Community poverty

 Low

Ref

 

 High

0.9 (0.6–1.4)

 

Place of residence

 Urban

Ref

Ref

 Rural

1.9* (1.1–3.2)

1.1 (0.7–1.6)

Region

 North Eastern

Ref

Ref

 North Western

0.3*** (0.2–0.6)

0.5** (0.3–0.8)

 Central Eastern

0.8 (0.5–1.3)

1.1 (0.7–1.8)

 Central

0.5* (0.3–0.9)

0.9 (0.6–1.5)

 Central Western

0.6* (0.4–0.9)

0.5* (0.3–0.9)

 Southern Eastern

1.0 (0.6–1.7)

1.0 (0.6–1.6)

 Southern Western

0.9 (0.5–1.6)

0.4*** (0.2–0.6)

  1. 1 - p < 0.2, * p < 0.05, ** p < 0.01, *** p < 0.001, COR crude odds ratio, AOR adjusted odds ratio, CI confidence interval