scholarly journals Multilevel Logistic Regression Using MLwiN: Referrals to Physiotherapy

Author(s):  
Alastair H. Leyland ◽  
Peter P. Groenewegen
2020 ◽  
Author(s):  
Lukman Bola Solanke ◽  
Omolayo Bukola Oluwatope ◽  
Yinusa Rasheed Adebayo ◽  
Olaoye James Oyeleye ◽  
Benjamin Bukky Ilesanmi ◽  
...  

Abstract Background The means of transportation available to pregnant women in households may serve either as a driver or deterrent of institutional delivery. However, how household means of transportation associates with place of delivery has been less explored in Nigeria. Methods This study was based on pooled data of 2008-2013 Nigeria Demographic and Health Survey. The study analysed a weighted sample size of 6,540 women. The multilevel logistic regression model was applied using STATA 14. Results The study revealed 37% institutional delivery among women in Nigeria. Women whose household mode of transport were cars were twice more likely to have institutional delivery compared to women who had no viable household means of transportation (AOR=2.044, p<0.01; CI=1.781-2.345). Women who live in communities with high proportions of households with no means of transportation were 12.8% less likely to have institutional delivery (AOR=0.872, p=0.01; CI: 0.788-0.967). Women who live in communities with high proportions of household who owned motorcycle compared to those in communities with low proportion were 31.9% more likely to have institutional delivery (AOR=1.319, p<0.05; CI: 1.071-1.625). Women who live in communities with high proportions of households who owned cars compared to those in communities with low proportion were more than three times more likely to have institutional delivery (AOR=3.146, p<0.01; CI: 2.621-3.777).Conclusion Means of transportation significantly explains choice of place of child delivery in urban Nigeria. A public-private transport support programme to reduce transportation burden among pregnant women is imperative in the country.


Author(s):  
Phoebe Harpainter ◽  
Sridharshi C. Hewawitharana ◽  
Danielle L. Lee ◽  
Anna C. Martin ◽  
Wendi Gosliner ◽  
...  

Many quick-service restaurants (QSRs) instituted voluntary kids’ meal default beverage standards (standards) between 2013 to 2017. Little is known about impacts of standards on QSR drive-through practices and on customer choices. This study assessed differences in restaurant practices including kids’ meal beverages shown on menu boards, offered by cashiers, and selected by customers in QSRs with and without voluntary standards. Observations (n = 111) and customer surveys (n = 84) were conducted in 2018 at QSRs with standards (n = 70) and without (n = 41) in low-income California, U.S. neighborhoods. Kids’ meal beverages on menu boards (n = 149) and offered by cashiers (n = 185) at QSRs with and without standards were analyzed using multilevel logistic regression. Significantly more menu boards at QSRs with standards (n = 103) vs. without (n = 46) featured only milk, water or unsweetened juice (65.1% vs. 4.4%; p < 0.001). Most cashiers at QSRs with standards and QSRs without (53.1%, 62.5%) asked what drink the data collector wanted rather than first offering default beverages. A small sample of customer interviews found that customers at QSRs with standards most commonly ordered juice (37.0%); at QSRs without standards, soda (45.5%). Although menu boards showed healthier kids’ meal beverages at QSRs with standards than without, cashier behavior was inconsistent. Results suggest additional measures (legislation, implementation support, enforcement) may be needed to ensure optimal implementation.


2020 ◽  
Vol 48 (1) ◽  
Author(s):  
Zemenu Tadesse Tessema ◽  
Tadele Amare Zeleke

Abstract Background Alcohol is a psychoactive substance that is widely consumed in the world. Alcohol use is one of the world’s leading risk factors for disease and disability. It affects individuals’ physical, mental, economic, and social issues. To our knowledge, there is limited study on alcohol consumption and associated factors. Therefore, this study aimed to determine the prevalence and predictors of alcohol use in Ethiopia by using the 2016 Ethiopian Demographic and Health Survey. Methods This study was based on the most recent Ethiopian Demographic and Health Survey 2016. A total of 12,594 men at the age of 15 to 59 were included in this study. Considering the hierarchical nature of EDHS data, a multilevel logistic regression model was applied. The ICC, MOR, and the LR test were done to assess the presence of a significant clustering effect. Besides, deviance was used for model comparison since the models were nested models. Variables with a p value ≤ 0.2 in the bivariable analysis were considered for the multivariable analysis. In the multilevel logistic regression, the adjusted odds ratio (AOR) with 95% confidence interval (CI) was reported to declare the strength and significance of the association between the dependent variable and independent variables. Results The prevalence of alcohol drinking in this study was 46.64% with a 95% CI of 45.00 to 47.00%. Age groups 30–44 (AOR = 1.30, 95% CI 1.08, 1.56) and 45–59 (AOR = 1.38, 95% CI 1.10, 1.74), Orthodox religion follower (AOR = 0.36, 95% CI 0.24, 0.55), media exposure (AOR = 1.67, 95% CI 1.41, 2.20), khat chewing (AOR = 3.08, 95% CI 2.54, 3.74), smoking (AOR = 2.18, 95% CI 1.71, 2.79), having no occupation (AOR = 0.34, 95% CI 0.22, 0.51), and region were the predictors of alcohol use in Ethiopia. Conclusions Nearly half of the Ethiopian population reported alcohol use at least once in their lifetime. Old age, Orthodox religion followers, media exposure, khat chewing, smoking, and having no occupation were predictors of alcohol use in Ethiopia. Therefore, health education about the risk of alcohol used is highly recommended. In addition, khat chewing and smoking control mechanisms should be designed and given special attention. Advertising alcohol through media is better to be controlled. Job opportunities should also be created for those who have no occupation to mitigate alcohol use in Ethiopia.


2019 ◽  
Vol 31 (5) ◽  
pp. 673-695
Author(s):  
Jeffrey S. Nowacki

The current study examined whether measures of structural gender equality conditioned the effects of defendant gender on incarceration decisions. Using data from the State Court Processing Statistics (SCPS) database, multilevel logistic regression was used to examine the relationship between both case- and county-level variables on incarceration decisions on a sample of defendants sentenced in state courts. Results indicated that women were less likely to be sentenced to prison than men, but there was no gender difference for jail and noncustodial sentences; however, the structural gender equality measures exerted only slight influences over sentencing outcomes.


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