Multilevel Logistic Regression Analysis of the Determinants of Stillbirth in Ethiopia Using EDHS 2011 Data

Berhie, Kidanemariam Alem; Gebresilassie, Habtamu Gebremariam

doi:10.5336/biostatic.2016-54437

Cited by 7 publications

(8 citation statements)

References 16 publications

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“…Visiting antenatal care for at least once is found to decrease the probability of experiencing adverse pregnancy outcome. Similarly, the finding is correspondence with previous study [15]. Study done in Wollo showed that, Mothers who didn't attend ANC were more than 3 times to have adverse pregnancy outcome, than mothers who attended ANC follow up, OR=3.4.…”

Section: Discussionsupporting

confidence: 90%

Cross-regional Variation of Complex Pregnancy Problems in Ethiopia

Alemayehu¹,

Tilahun²

2021

AJHR

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Adverse pregnancy outcome is a complex outcome of pregnancy other than the normal live birth. It lead to serious health consequences to the mother or the baby. It also can be still major public health and socioeconomic status problems in developing countries where most pregnancies are unplanned, complications. There is disparity of adverse pregnancy outcomes rate from region to region in Ethiopia. Objectives: The main objectives of the study were to identify the important determinant of adverse pregnancy outcomes in Ethiopia. With this study the multilevel logistic regression models were used to explore the major risk factors and regional variations. Different stages of multilevel models like intercept model and slope model were employed to attain the goal of the study. The results indicated that out of 15683 reproductive age of women, 8412 (86.8%) not experiencing adverse pregnancy outcome while 1282 (13.2%) of women have experienced adverse pregnancy outcome at the time of the survey. From multilevel logistic regression, it was found that the random intercept model provided the best fit for the data under consideration. All the fitted models gave the same conclusion that, Age of mother, place of residence, antenatal care visit and delivery place, Parity, Education of mother, Marital status, Anemia level were found to be statistically significant. Conclusion:The random intercept multilevel model provided the best fit for the data under consideration. Furthermore, it is found that not having Antenatal care, residing in rural area, working occupational status, being anemic, increased educational level, never married, divorced, or separated marital status, being in age group of 15-24 or >35 years are associated with increased risk of adverse pregnancy outcome among reproductive age group women in Ethiopia.

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Section: Discussionsupporting

confidence: 90%

Cross-regional Variation of Complex Pregnancy Problems in Ethiopia

Alemayehu¹,

Tilahun²

2021

AJHR

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“…So, all of these articles are subject to an atomistic or ecological fallacy [17,21,22,[29][30][31][32][33][34][35][36][37][38][39]. The factors associated with the unmet need to FP are area-specific which requires a different approach of analysis at a different level [8,24,[40][41][42][43][44][45][46]. So, this study took into account those different levels of analysis and aimed to assess individual and community-level factors associated with unmet need for contraception among reproductive-age women in Ethiopia (EDHS 2016 dataset, 2019).…”

Section: Introductionmentioning

confidence: 99%

Individual and community-level factors associated with unmet need for contraception among reproductive-age women in Ethiopia; a multi-level analysis of 2016 Ethiopia Demographic and Health Survey

et al. 2020

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Background: There is limited evidence on the unmet need for contraceptives among married reproductive-age women especially in developing countries like Ethiopia. Thus, this study aimed to assess individual and communitylevel factors associated with unmet need for contraception among reproductive-age women in Ethiopia. Method: A secondary analysis was done on the 2016 Ethiopian Demographic and Health Survey (EDHS) dataset which were collected cross-sectional. A total of 9056 women who were fecund, married and/or sexually active were included in the analysis. Multi-level mixed-effect logistic regression analysis was done by STATA version 14.0 to identify individual and community-level factors. Adjusted odds ratio with 95% confidence interval was used to show the strength and direction of the association and statistical significance was declared at P value less than 0.05. Result: Factors significantly associated with unmet need were; ages of women between 45 and 49 years [AOR = 2.25, 95% CI: (1.34, 3.79)], greater than or equal to three living children [AOR = 1.87, 95% CI: (1.40, 2.49)], belong to richer household [AOR = 0.73, 95% CI: (0.54, 0.97)], Muslim followers [AOR = 1.37, 95% CI: (1.02, 1.83)], married more than once [AOR = 1.31, 95% CI: (1.06, 1.62)]. From community level variables: belong to the Somali region [AOR = 0.34, 95% CI: (0.19, 0.61)] were significantly associated with unmet need. Conclusion: Both individual and community-level factors were significant determinants of unmet need. From individual-level factors: advanced ages of women, many total numbers of living children, live in the richer wealth quintile, being Muslim follower and married more than once and from community-level variables: belong to the Somali region were significantly associated with unmet need for contraception. The findings suggested that health care providers should mainly focus on women nearly on menopauses, who live in the poorest household and who had many numbers of living children and married more than once to decrease the unmet need for contraceptives.

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“…Those children born from anemic women were found more likely to be stunted and underweighted, low birth weight and intrauterine growth restriction [14][15][16][17][18]. It also found to cause perinatal death [12,[19][20][21][22], delay in cognitive and motor development [23][24][25] and dementia [26]. Anemia in the mother during pregnancy also resulted in anemia in the newborn baby [27,28].…”

Section: Introductionmentioning

confidence: 99%

Trend and determinants of anemia change among pregnant and/or lactating women in Ethiopia: A multivariate decomposition analysis

et al. 2020

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Background Even though anemia was highly targeted in different global strategies, many pregnant and/or lactating women and children were suffering from it and its complications. Besides this, prior trend analysis has not been conducted among pregnant and/or lactating women in Ethiopia. Therefore, this study aimed to assess the trend and determinants of anemia change among pregnant and/or lactating women in Ethiopia. Methods The study utilized two consecutive Ethiopia Demographic and Health Survey (EDHS) datasets. A total of 6,106 and 5,641 pregnant and/or lactating women in 2011 and 2016 survey respectively were included in the analysis. The data were analyzed by using Stata version 14.0. Logit based decomposition analysis was done to identify contributing factors for anemia change and statistical significance was determined by using P-value. Results The trend of anemia was increased from 19% in 2011 to 29% in 2016 EDHS. The analysis revealed that, 8% of the overall change in anemia was because of the change in women’s composition. Changes in the composition of pregnant and/or lactating women according to region, economic status and tobacco and/or cigarette use were the major sources of the change. Greater than 90% of the increase in anemia was due to differences in the coefficient. Mostly, the change in behaviors of the Amhara population, those who had a history of terminated pregnancy and use tobacco and/or cigarette were the sources of the change. Conclusions Anemia among pregnant and/or lactating women was increased against government interventions over the last half-decade in Ethiopia. Programmatic interventions targeting Somali and Dire Dawa regions are still needed to decrease anemia.

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Multilevel Logistic Regression Analysis of the Determinants of Stillbirth in Ethiopia Using EDHS 2011 Data

Cited by 7 publications

References 16 publications

Cross-regional Variation of Complex Pregnancy Problems in Ethiopia

Cross-regional Variation of Complex Pregnancy Problems in Ethiopia

Individual and community-level factors associated with unmet need for contraception among reproductive-age women in Ethiopia; a multi-level analysis of 2016 Ethiopia Demographic and Health Survey

Trend and determinants of anemia change among pregnant and/or lactating women in Ethiopia: A multivariate decomposition analysis

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