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Table 1 Socioeconomic, demographic, and healthcare level factors associated with adverse outcomes amongst recently delivered women having live birth in India (2019–21) (n = 174,947)

From: Unraveling the complexity of selected adverse neonatal outcomes in India: a multilevel analysis using data from a nationally representative sample survey

Variables

ANO [weighted sample- (n = 46,342)]

Total births [weighted sample- (N = 174,947)]

%

Unadjusted OR

Individual level

Age of women (5-year age group yrs.)

 15–19

1484

3397

30.4%

Ref

 20–24

13,345

35,409

27.4%

0.84*** [0.79; 0.89]

 25–29

17,119

50,577

25.3%

0.75*** [0.71; 0.80]

 30–34

8616

27,720

23.7%

0.71*** [0.66; 0.75]

 35–39

3447

11,142

23.6%

0.72*** [0.67; 0.77]

 40–44

846

2759

23.5%

0.75*** [0.68; 0.83]

 45–49

252

730

25.7%

0.85 [0.71; 1.02]

High risk fertility behavior

 No

30,013

115,895

25.9%

Ref

 Yes

16,329

59,052

27.7%

1.09*** [1.07; 1.12]

Mother's educational Status

 Illiterate

9739

34,144

28.5%

Ref

 Primary

5877

20,526

28.6%

1.01 [0.97, 1.04]

 Secondary

23,731

90,071

26.3%

0.90*** [0.87, 0.92]

 Higher

6996

30,206

23.2%

0.76*** [0.73, 0.78]

Height of the mother (in cm.) (Refusal = 5915)

 < = 150

18,562

64,057

29.0%

Ref

 150–155

14,602

56,864

25.7%

0.85*** [0.83, 0.87]

 > 155

11,589

48,111

24.1%

0.78*** [0.76, 0.80]

Tobacco or alcohol consumption (any mode)

 Yes

1,546

5,678

27.2%

Ref

 No

44,796

169,268

26.5%

1.03 [0.98, 1.11]

Intention to become pregnant

 Then

42,288

160,964

26.3%

Ref

 Later

2,084

7,078

29.4%

1.17*** [1.11, 1.23]

 No more

1,971

6,905

28.5%

1.12*** [1.06, 1.18]

Received ante-natal care

 No

3,025

10,712

28.2%

Ref

 Yes

43,318

164,235

26.4%

0.91*** [0.87, 0.95]

ANC registration status

 No

3,105

10,742

28.9%

Ref

 Yes

43,237

164,205

26.3%

0.88*** [0.84, 0.92]

Timing of first ANC checkup of ANC visits

 First Trimester

31,941

122,534

26.1%

Ref

 Second Trimester

9,092

32,852

27.7%

1.09*** [1.06, 1.12]

 Third Trimester

2,198

8,509

25.8%

0.99 [0.94, 1.04]

Number of ANC checkups

 No ANC

3,025

10,712

28.2%

Ref

 1- 4 visits

24,175

85,986

28.1%

0.99 [0.95, 1.04]

 More than 4 visits

18,466

76,005

24.3%

0.82*** [0.78, 0.85]

Perceived Birth Preparedness and Complication Readiness (BPCR)

 None

5,140

18,105

28.4%

Ref

 At least one

26,401

98,391

26.8%

0.93*** [0.89, 0.96]

 All

14,801

58,451

25.3%

0.86*** [0.82, 0.89]

Getting medical help for self is problem?

 No

6,428

26,820

24.0%

Ref

 Low

11,522

46,343

24.9%

1.05*** [1.01, 1.09]

 Moderate

16,361

59,950

27.3%

1.19*** [1.15, 1.23]

 High

12,031

41,834

28.8%

1.28*** [1.24, 1.33]

Perceived quality of antenatal checkups

 None/Some

11,486.28

40,532.41

28.3%

Ref

 All

34,856.04

134,414.50

25.9%

0.89*** [0.86, 0.91]

Experience of complications

 No

15,216

58,396

26.1%

Ref

 Any one

11,330

43,450

26.1%

1.00 [0.97, 1.03]

 Any two

10,698

39,957

26.8%

1.04*** [1.01, 1.07]

 Three & more

9,098

33,145

27.4%

1.07*** [1.04, 1.11]

Household level

Wealth index

 Poorest

11,269

39,839

28.3%

Ref

 Poorer

10,463

36,811

28.4%

1.01 [0.98, 1.04]

 Middle

8,799

34,249

25.7%

0.88*** [0.85,0.91]

 Richer

8,630

33,650

25.6%

0.87*** [0.85, 0.90]

 Richest

7,182

30,398

23.6%

0.78*** [0.76, 0.81]

Sex of the household head

 Male

39,292

148,557

26.4%

Ref

 Female

7,050

26,389

26.7%

1.01 [0.98, 1.04]

Source of drinking water

 Unclean

1,628

6,337

25.7%

Ref

 Clean

41,836

158,247

26.4%

1.04 [0.98, 1.10]

Type of cooking fuel

 Unclean fuel

21,731

78,807

27.6%

Ref

 Clean fuel

21,845

86,270

25.3%

0.89*** [0.87, 0.91]

Media Exposure

 Not at all

13,454

46,814

28.7%

Ref

 Less than/at least once

32,888

128,133

25.7%

0.86*** [0.84, 0.88]

Family size

 1 to 4

12,950

48,571

26.7%

Ref

 5 to 6

17,066

65,853

25.9%

0.96** [0.94, 0.99]

 > = 7

16,326

60,523

27.0%

1.02 [0.99, 1.04]

Caste

 General

8,475

32,694

25.9%

Ref

 SC

10,953

39,627

27.6%

1.09*** [1.06, 1.13]

 ST

4,418

17,291

25.6%

0.98 [0.94, 1.02]

 OBC

19,800

75,232

26.3%

1.02 [0.99, 1.05]

Religion

 Hindu

37,263

139,207

26.8%

Ref

 Muslim

7,224

27,843

25.9%

0.96*** [0.93, 0.99]

 Other

1,856

7,897

23.5%

0.84*** [0.80, 0.89]

Community level

Residential Status

 Urban

12,307

49,341

24.9%

Ref

 Rural

34,035

125,606

27.1%

1.12*** [1.09, 1.15]

Maternal community education status

 High

39,341

150,337

26.2%

Ref

 Low

7,001

24,610

28.4%

1.12*** [1.09, 1.16]

Maternal community economic status

 High

35,878

136,882

26.2%

Ref

 Low

10,465

38,065

27.5%

1.07*** [1.04, 1.09]

Region

 Southern

6,501

29,723

21.9%

Ref

 Central

14,290

48,055

29.7%

1.51*** [1.46, 1.56]

 North

3,315

11,276

29.4%

1.49*** [1.42, 1.56]

 Eastern

11,662

45,129

25.8%

1.24*** [1.20, 1.29]

 Northeastern

1,548

7,091

21.8%

1.00 [0.94, 1.06]

 Western

9,027

33,673

26.8%

1.31*** [1.26, 1.36]

  1. Authors calculation
  2. p < 0.05**; p < 0.001***; not significant—no star sign [p value based on logistic regression results]