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Table 5 Multivariate multilevel logistic mixed model regression estimates (odds ratios) of determinants of binary health indicators

From: Social and environmental determinants of child health in Mongolia across years of rapid economic growth: 2000-2010

 

Stunting odds ratios (95% CI)

Underweight odds ratios (95% CI)

2000

2005

2010

2000

2005

2010

Sex

Malea

   

†

†

†

Female

0.87 (0.77-0.98)*

0.95 (0.80-1.13)

0.97 (0.79-1.19)

Age

0-11 monthsa

12-23 months

2.83 (2.29-3.51)***

2.94 (2.20-3.94)***

5.03 (3.47-7.29)***

1.90 (1.48-2.45)***

1.58 (1.02-2.46)*

1.66 (1.07-2.58)*

24-35 months

1.55 (1.24-1.93)***

1.77 (1.31-2.40)***

2.88 (1.95-4.23)***

1.65 (1.27-2.13)***

2.07 (1.36-3.160**

1.36 (0.86-2.15)

36-47 months

1.90 (1.52-2.37)***

2.33 (1.73-3.15)***

2.69 (1.80-4.01)***

1.60 (1.22-2.080**

1.63 (1.04-2.54)*

1.19 (0.73-1.94)

48-59 months

2.06 (1.65-2.56)***

2.25 (1.66-3.05)***

2.79 (1.86-4.19)***

1.68 (1.30-2.18)***

1.59 (1.02-2.49)*

1.17 (0.71-1.94)

Number of children under age 5 in the home

1a

2

1.47 (1.29-1.69)***

1.30 (1.06-1.58)*

1.24 (1.01-1.57)*

1.26 (1.15-1.62)***

1.05 (0.79-1.41)

1.13 (0.83-1.53)

3

1.99 (1.50-2.65)***

1.84 (1.14-2.96)*

1.55 (0.86-2.82)

1.69 (1.19-2.39)**

1.15 (0.57-2.31)

1.43 (0.67-3.07)

Maternal Education level

Nonea

Primary

0.73 (0.46-1.16)

0.62 (0.39-0.98)*

0.72 (0.46-1.13)

0.92 (0.52-1.63)

0.66 (0.36-1.21)

0.74 (0.41-1.35)

Secondary

0.59 (0.37-0.94)*

0.60 (0.41-0.89)*

0.71 (0.49-1.04)

0.69 (0.39-1.22)

0.62 (0.38-1.04)

0.59 (0.36-0.98)*

Vocational

0.53 (0.32-0.88)*

0.43 (0.25-0.72)**

0.47 (0.26-0.85)*

0.89 (0.49-1.64)

0.41 (0.19-0.87)*

0.53 (0.24-1.15)

University

0.45 (0.28-0.73)**

0.45 (0.28-0.71)**

0.55 (0.35-0.87)*

0.57 (0.31-1.04)

0.44 (0.24-0.83)*

0.49 (0.27-0.92)*

Household economic status

Pooresta

Second

0.98 (0.81-1.18)

0.90 (0.68-1.19)

0.70 (0.48-1.00)

0.94 (0.74-1.19)

1.13 (0.76-1.67)

0.65 (0.31-1.40)

Middle

1.03 (0.82-1.29)

0.64 (0.44-0.92)*

0.48 (0.31-0.75)**

0.82 (0.61-1.10)

0.84 (0.50-1.43)

0.69 (0.35-1.34)

Fourth

0.90 (0.69-1.16)

0.49 (0.32-0.75)**

0.47 (0.29-0.76)**

0.95 (0.69-1.32)

0.80 (0.43-1.47)

0.79 (0.44-1.43)

Richest

0.91 (0.49-1.66)

0.48 (0.30-0.77)**

0.24 (0.13-0.45)***

0.78 (0.36-1.67)

0.75 (0.39-1.45)

0.81(0.49-1.34)

Water source

Poora

   

†

†

†

Improved

0.99 (0.81-1.20)

1.23 (0.97-1.55)

1.0 (0.78-1.27)

Sanitation facility

Poora

   

†

†

†

Improved

0.57 (0.33-0.97)*

1.04 (0.80-1.35)

1.06 (0.76-1.47)

Place of Residence

Urbana

Rural

0.96 (0.76-1.22)

0.89 (0.64-1.26)

0.84 (0.61-1.16)

0.93 (0.68-1.28)

0.80 (0.53-1.22)

1.05 (0.70-1.59)

Region of Residence

Ulaanbaatara

West

1.59 (1.19-2.13)**

1.07 (0.73-1.58)

1.39 (0.91-2.15)

2.55 (1.67-3.91)***

1.05 (0.66-1.67)

1.14 (0.66-1.98)

Khangai

1.75 (1.31-2.32)***

0.73 (0.50-1.08)

0.94 (0.60-1.46)

1.31 (−.90-1.90)

1.10 (0.70-1.71)

0.99 (0.57-1.73)

Central

1.28 (0.98-1.67)

0.66 (0.44-0.98)*

0.91 (0.58-1.42)

1.78 (1.20-2.63)**

0.87 (0.54-1.40)

0.93 (0.53-1.64)

East

1.48 (1.07-2.04)*

1.23 (0.79-1.91)

0.94 (0.59-1.47)

1.76 (1.19-2.61)**

1.00 (0.59-1.69)

0.64 (0.46-1.51)

Log-Likelihood

−13,690.34

−8410.07

−18,777.09

−14,821.67

−9651.77

−20,591.32

Classification: % correct

76.9

80.5

87.1

86.9

93.8

96.0

Number of children

5927

336

3713

5927

3363

3716

  

Immunisation odds ratios (95% CI)

2010

 

2000

2005

Sex

Malea

†

†

†

Female

Age

0-11 monthsa

   

12-23 months

2.29 (1.78-2.95)***

0.78 (0.57-1.07)

0.86 (0.53-1.42)

24-35 months

2.87 (2.21-3.73)***

0.52 (0.38-0.71)***

0.98 (0.60-1.60)

36-47 months

2.78 (2.13-3.64)***

0.41 (0.30-0.56)***

1.13 (0.67-1.85)

48-59 months

2.36 (1.82-3.06)***

0.25 (0.18-0.33)***

1.22 (0.74-2.01)

Number of children under age 5 in the home

1a

†

†

†

2

3

Maternal Education level

Nonea

Primary

1.18 (0.64-2.18)

0.72 (0.41-1.27)

1.05 (0.46-2.39)

Secondary

1.14 (0.61-2.11)

0.87 (0.53-1.44)

1.15 (0.58-2.32)

Vocational

1.24 (0.64-2.40)

0.83 (0.45-1.53)

0.89 (0.34-2.34)

University

1.55 (0.81-2.95)

0.86 (0.50-1.50)

1.18 (0.54-2.58)

Household economic status

Pooresta

Second

1.02 (0.78-1.34)

1.12 (0.80-1.57)

0.92 (0.57-1.47)

Middle

1.31 (0.92-2.21)

1.39 (0.91-2.12)

0.87 (0.50-1.51)

Fourth

1.50 (1.03-2.20)*

1.47 (0.91-2.36)

0.77 (0.41-1.45)

Richest

1.46 (0.89-2.40)

1.48 (0.91-1.93)

0.69 (0.33-1.45)

Water source

Poora

Improved

1.44 (1.08-1.90)*

1.25 (0.94-1.65)

1.18 (0.82-1.68)

Sanitation facility

Poora

†

†

†

Improved

Place of Residence

Urbana

Rural

3.16 (1.71-5.82)***

1.68 (0.95-2.97)

0.96 (0.62-1.48)

Region of Residence

Ulaanbaatara

   

West

0.37 (0.16-0.82)*

0.61 (0.30-1.22)

1.07 (0.59-1.95)

Khangai

0.32 (0.15-0.71)**

1.09 (0.57-2.07)

1.54 (0.87-2.74)

Central

0.24 (0.12-0.50)***

2.64 (1.33-5.25)**

1.14 (0.63-2.07)

East

0.08 (0.03-0.20)***

1.57 (0.68-3.61)

0.94 (0.50-1.77)

Log-Likelihood

−15,972.66

−8606.55

−22,040.53

Classification: % correct

88.0

84.4

97.8%

Number of children

6184

3547

3953

  1. Statistical significance of effect on outcome in multivariate analysis: *p < 0.05, **p < 0.01, ***p < 0.001. The model was adjusted for the cluster effect
  2. †represents missing odds ratios are for variables not significant in bivariate analysis so not included in the multivariate model. Prevalence values for each outcome can be found in Table 4
  3. adenotes the reference category