Table 3

Factors associated with home delivery among women aged 15–24 years in Nigeria

FactorsModel I†Model II‡Model III§/Model IV¶
AOR95% CIAOR95% CIAOR95% CIAOR95% CI
External environmental factors
 Region of residence
  North-Central1.86**1.16 to 3.031.63*1.02 to 2.551.230.76 to 2.001.250.76 to 2.02
  North-East6.89***4.18 to 11.352.59***1.52 to 4.371.97*1.14 to 3.341.96*1.15 to 3.38
  North-West10.70***6.65 to 17.174.18***2.53 to 6.852.94***1.80 to 4.832.95***1.78 to 4.90
  South-East0.590.34 to 1.020.720.40 to 1.310.650.37 to 1.140.631.78 to 4.90
  South-South2.84***1.76 to 4.625.63***3.48 to 9.153.81***2.38 to 6.063.72***2.34 to 5.90
  South-West1.00(Reference)1.00(Reference)1.00(Reference)1.00(Reference)
 Rural-urban residence
  Rural3.53***2.67 to 4.651.61**1.22 to 2.121.39*1.06 to 1.851.41*1.06 to 1.85
  Urban1.00(Reference)1.00(Reference)1.00(Reference)1.00(Reference)
Predisposing factors
 Maternal education level
  None2.53***1.86 to 3.482.00***1.44 to 2.731.97***1.43 to 2.73
  Primary1.43**1.13 to 1.851.36*1.05 to 1.801.35*1.03 to 1.76
  Secondary/higher1.00(Reference)1.00(Reference)1.00(Reference)
 Husband/partner’s education level
  None1.75***1.30 to 2.361.44*1.05 to 2.011.46*1.06 to 2.05
  Primary1.200.92 to 1.521.120.86 to 1.451.110.86 to 1.47
  Secondary/higher1.00(Reference)1.00(Reference)1.00(Reference)
 Wealth index
  Poor3.04***2.05 to 4.562.70***1.75 to 4.162.73***1.75 to 4.22
  Middle1.45*1.05 to 1.971.59*1.12 to 2.281.61*1.13 to 2.33
  Rich1.00(Reference)1.00(Reference)1.00(Reference)
 Maternal religion
  Islam1.71**1.16 to 2.511.88**1.26 to 2.761.91**1.29 to 2.82
  Traditional/other1.470.79 to 2.711.790.86 to 3.661.800.89 to 3.70
  Christianity1.00(Reference)1.00(Reference)1.00(Reference)
 Parity
  ≥41.74*1.13 to 2.681.87**1.29 to 2.751.86**1.28 to 2.75
  2–31.56***1.65***1.65***
  11.001.34 to 1.81
(Reference)
1.001.34 to 2.07
(Reference)
1.001.34 to 2.07
(Reference)
 Frequency of listening to radio
  Not at all1.33*1.04 to 1.661.060.83 to 1.331.070.85 to 1.34
  <once a week1.46***1.17 to 1.791.46**1.15 to 1.861.46**1.16 to 1.87
  ≥once a week1.00(Reference)1.00(Reference)1.00(Reference)
Enabling factors
 Health insurance cover
  No2.34**1.16 to 4.712.33**1.15 to 4.70
  Yes1.00(Reference)1.00(Reference)
 Antenatal attendance
  <4 times3.80***3.00 to 4.853.812.99 to 4.84
  ≥4 times1.00(Reference)1.00(Reference)
 Distance to health facility
  Big problem1.48**1.15 to 1.881.47**1.13 to 1.89
  Not a big problem1.00(Reference)1.00(Reference)
Need factor
 Desire for pregnancy
  Later1.110.81 to 1.56
  No more4.200.95 to 18.77
  Then1.00(Reference)
  • *p<0.05, **p<0.01, ***p<0.0001.

  • Factors included in modelling: region of residence, rural-urban residence, wealth index, maternal age, maternal education level, maternal occupation, husband education level, maternal religion, maternal marital status, parity, frequency of reading newspapers, frequency of listening to radio, frequency of watching television, health insurance coverage, distance to health facility, permission to visit health facility, companionship to health facility, getting money to pay, attitude of health workers, antenatal visits, desire for pregnancy. ‘Knowledge of pregnancy complications’ was not included in the multivariable analysis as about 58% of its information was missing.

  • †Model 1: External environmental factors only.

  • ‡Model II: Predisposing factors added to Model I.

  • §Model III: Enabling factors added to Model I.

  • ¶Model IV: Need factor added to Model III.

  • AOR, adjusted OR.