Severe underweight (> −3SD) | |||
Variables | Model 1† | Model 2‡OR (95% CI) | Model 3§ OR (95% CI) |
Child age group (reference category 0–5 months) | |||
6–11 | 0.95 (0.7 to 1.2) | 0.94 (0.7 to 1.2) | |
12–23 | 1.15 (0.9 to 1.5) | 1.17 (0.9 to 1.5) | |
24–35 | 1.20 (0.9 to 1.6) | 1.19 (0.9 to 1.5) | |
36–47 | 0.65 (0.3 to 1.7) | 0.65 (0.3 to 1.6) | |
48–59 | 0.45 (0.2 to 1.2) | 0.45 (0.2 to 1.1) | |
Child gender (reference category Girls) | |||
Boys | 0.88** (0.8 to 1.0) | 0.88* (0.8 to 1.0) | |
Child birth order (reference category First born) | |||
2 | 1.42*** (1.3 to 1.6) | 1.40*** (1.2 to 1.6) | |
3+ | 2.42*** (1.8 to 3.3) | 2.35*** (1.8 to 3.0) | |
Child size at birth (reference category Large size) | |||
Average | 1.58** (1.2 to 2.2) | 1.58* (1.1 to 2.2) | |
Small | 3.24*** (2.4 to 4.4) | 3.13*** (2.2 to 4.5) | |
Diarrhoea (reference category No) | |||
Yes | 1.60*** (1.4 to 1.9) | 1.58*** (1.4 to 1.8) | |
Breast feeding (reference category Yes) | |||
No | 1.65** (1.1 to 2.4) | 1.69** (1.2 to 2.3) | |
Household sex (reference category female) | |||
Male | 0.80 (0.5 to 1.2) | 0.77 (0.5 to 1.2) | |
Mother’s education (reference category No education) | |||
Primary | 0.70*** (0.6 to 0.8) | 0.82* (0.7 to 1.0) | |
Middle | 0.50*** (0.4 to 0.6) | 0.64*** (0.5 to 0.8) | |
Secondary | 0.44*** (0.3 to 0.6) | 0.60*** (0.5 to 0.8) | |
Higher | 0.27*** (0.2 to 0.4) | 0.37*** (0.3 to 0.5) | |
Mother’s age (reference category age of women <18 years of age) | |||
18–24 | 0.97 (0.7 to 1.4) | 0.98 (0.8 to 1.3) | |
25–35 | 0.98 (0.7 to 1.4) | 0.97 (0.8 to 1.2) | |
36–49 | 0.98 (0.7 to 1.3) | 0.95 (0.7 to 1.2) | |
Prenatal care (reference category 1–4 visits) | |||
More than four visits | 1.11 (1.0 to 1.3) | 1.21 (1.0 to 1.5) | |
Postnatal care to female health worker visit (reference category Yes) | |||
No | 0.89 (1.0 to 1.3) | 0.94 (1.0 to 1.4) | |
Delivery place (reference category Home) | |||
Hospital | 0.79** (0.7 to 0.9) | 0.84* (0.7 to 1.0) | |
Mother smokes (reference category No) | |||
Yes | 0.95 (0.8 to 1.2) | 0.89 (0.7 to 1.1) | |
Father’s education (reference category No education) | |||
Primary | 0.80*** (0.7 to 0.9) | 0.86 (0.7 to 1.0) | |
Middle | 0.63*** (0.5 to 0.8) | 0.71*** (0.6 to 0.8) | |
Secondary | 0.50*** (0.4 to 0.6) | 0.58*** (0.5 to 0.7) | |
Higher | 0.44*** (0.3 to 0.6) | 0.53*** (0.4 to 0.7) | |
Wealth index (reference category Poor) | |||
Middle | 0.78** (0.7 to 0.9) | ||
Rich | 0.59*** (0.5 to 0.7) | ||
HH size (reference category HH size 3–4 members) | |||
5–6 members | 1.05 (0.9 to 1.3) | ||
7–8 members | 1.17 (1.0 to 1.4) | ||
>8 members | 1.07 (0.9 to 1.3) | ||
Ethnicity (Reference category Urdu) | |||
Punjabi | 0.88 (0.6 to 1.2) | ||
Saraikai | 0.82 (0.6 to 1.2) | ||
Others | 0.90 (0.6 to 1.3) | ||
Sanitation facility (reference category Unimproved) | |||
Improved | 0.83** (0.7 to 0.9) | ||
Drinking water facility (reference category Unimproved) | |||
Improved | 1.20 (0.9 to 1.6) | ||
Water treatment (reference category Untreated) | |||
Treated | 0.80 (0.6 to 1.1) | ||
Media exposure (reference category No) | |||
Yes | 0.82** (0.7 to 0.9) | ||
Region (reference category Rural) | |||
Urban | 0.91* (0.8 to 1.0) | 1.04 (0.9 to 1.2) | |
Division (reference category Rawalpindi division) | |||
Bahawalpur | 1.72** (1.2 to 2.4) | ||
D.G. Khan | 1.74** (1.2 to 2.4) | ||
Faisalabad | 1.71*** (1.2 to 2.4) | ||
Gujranwala | 1.17 (0.9 to 1.6) | ||
Lahore | 1.54** (1.1 to 2.1) | ||
Multan | 1.47* (1.1 to 2.1) | ||
Sahiwal | 1.43* (1.0 to 2.0) | ||
Sargodha | 1.45* (1.0 to 2.1) | ||
Constant | −2.85*** | 0.36*** (0.2 to 0.5) | 0.05*** (0.0 to 0.1) |
Variation at different levels | |||
Level 1 (Household) | 1.949*** | 1.961*** | 1.949*** |
Level 2 (Community) | 0.278*** | 0.188*** | 0.165** |
Level 3 (District) | 0.161** | 0.022* | 0.009 |
Log pseudolikelihood | −8067.020 | −13872.00 | −7610.8 |
Observations | 24 042 | 24 042 | 24 042 |
*P<0.05; **p<0.01; ***;<0.001.
†Base model (unconditional three level hierarchical model).
‡Hierarchical model with child and parental characteristics.
§Hierarchical model with child, parental, household and division.