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Table 3 Adjusted coverage ratios (95%IC, p-value) in indigenous women compared to the reference category, by approach and country (Bolivia & Mexico)

From: How the choice of ethnic indicator influences ethnicity-based inequities in maternal health care in four Latin American countries: who is indigenous?

Ethnicity Identification criteria

Approach

A1. Direct references

A2. Adjusted reference groups

A3. Integrate indigenous population

Coverage ratio

SI vs Non-SI

SIL vs Non-SIL

IH vs Non-IH

SI vs Non-Indigenous

SIL vs Non-Indigenous

IH vs Non- Indigenous

SI or SIL or IH vs Non-Indigenous

Bolivia

 Before and during pregnancy

  Contraceptive use

0.70

(0.64;0.77)

0.000

0.89

(0.81;0.98)

0.013

0.61

(0.55;0.67)

0.000

0.64

(0.58;0.71)

0.000

0.59

(0.52;0.67)

0.000

0.59

(0.53;0.65)

0.000

0.69

(0.63;0.76)

0.000

  Antenatal care (skilled provider)

0.97

(0.95;0.98)

0.000

0.99

(0.98;1.01)

0.531

0.96

(0.95;0.98)

0.000

0.97

(0.95;0.98)

0.000

0.97

(0.95;0.99)

0.001

0.96

(0.95;0.98)

0.000

0.97

(0.96;0.99)

0.000

  First antenatal care visit in 1st trimester

0.95

(0.91;0.99)

0.014

0.98

(0.93;1.03)

0.433

0.92

(0.87;0.96)

0.000

0.96

(0.91;1.01)

0.120

0.94

(0.89;1.00)

0.067

0.94

(0.89;0.99)

0.017

0.97

(0.93;1.02)

0.311

  Four or more antenatal care visits

0.90

(0.87;0.93)

0.000

1.00

(0.96;1.04)

0.900

0.90

(0.87;0.93)

0.000

0.90

(0.87;0.94)

0.000

0.91

(0.87;0.95)

0.000

0.90

(0.87;0.94)

0.000

0.92

(0.89;0.96)

0.000

 Birth and postpartum period

  Skilled birth atendant

0.90

(0.88;0.93)

0.000

0.97

(0.94;1.01)

0.145

0.90

(0.87;0.92)

0.000

0.91

(0.88;0.93)

0.000

0.89

(0.86;0.93)

0.000

0.91

(0.88;0.93)

0.000

0.93

(0.90;0.95)

0.000

  Postpartum care visit

0.95

(0.94;0.97)

0.000

0.99

(0.97;1.02)

0.589

0.95

(0.93;0.96)

0.000

0.96

(0.94;0.98)

0.000

0.95

(0.93;0.98)

0.000

0.95

(0.94;0.97)

0.000

0.97

(0.95;0.98)

0.000

Mexico

 Before and during pregnancy

  Contraceptive use

0.96

(0.91;1.02)

0.213

0.86

(0.74;0.99)

0.037

0.92

(0.83;1.02)

0.114

0.97

(0.91;1.03)

0.270

0.88

(0.76;1.01)

0.078

0.94

(0.85;1.05)

0.255

0.98

(0.92;1.04)

0.517

  Antenatal care (skilled provider)

0.98

(0.96;1.00)

0.094

0.94

(0.88;1.01)

0.084

0.95

(0.90;1.01)

0.099

0.98

(0.96;1.00)

0.086

0.93

(0.88;1.00)

0.038

0.95

(0.90;1.00)

0.052

0.98

(0.96;1.01)

0.140

  First antenatal care visit in 1st trimester

0.99

(0.92;1.07)

0.857

0.95

(0.86;1.05)

0.330

0.93

(0.83;1.05)

0.243

0.99

(0.92;1.06)

0.711

0.95

(0.85;1.06)

0.362

0.94

(0.83;1.06)

0.322

0.98

(0.91;1.06)

0.647

  Four or more antenatal care visits

0.98

(0.94;1.01)

0.159

0.85

(0.77;0.95)

0.003

0.89

(0.81;0.96)

0.005

0.97

(0.94;1.00)

0.053

0.85

(0.77;0.93)

0.001

0.88

(0.82;0.96)

0.002

0.97

(0.94;1.00)

0.027

 Birth and postpartum period

  Skilled birth atendant

0.98

(0.96;0.99) 0.011

0.88

(0.80;0.96)

0.004

0.92

(0.85;0.98)

0.012

0.98

(0.96;0.99)

0.008

0.87

(0.80;0.95)

0.002

0.91

(0.85;0.97)

0.005

0.98

(0.96;1.00)

0.022

  Postpartum care visit

0.98

(0.96;1.01)

0.149

0.91

(0.85;0.98)

0.009

0.95

(0.89;1.00)

0.052

0.98

(0.96;1.01)

0.144

0.91

(0.86;0.98)

0.008

0.95

(0.90;1.00)

0.043

0.98

(0.96;1.01)

0.160

  1. Notes: All models were adjusted by age, education, socioeconomic level, place of residence, marital status, health insurance and social programs related to maternity. SI: Self-identification, SIL: Spoken indigenous language, HI: Indigenous household