Socio-Economic Determinants of Low Birth Weight in Kenya: An Application of Logistic Regression Model

Author(s):  
Edwine Benson Atitwa
2021 ◽  
Vol 2106 (1) ◽  
pp. 012001
Author(s):  
P R Sihombing ◽  
S R Rohimah ◽  
A Kurnia

Abstract This study aims to compare the efficacy of logistic regression model for identifying the risk factors of low-birth-weight babies in Indonesia using the maximum likelihood estimation (MLE)and the Bayesian estimation methods. The data used in this study is secondary data derived from the 2017 Indonesian Demographic Health Survey with a total sample of 16,344 newborn babies. Selection of the best logistic regression model was based on the smaller Bayesian Schwartz Information Criterion (BIC) value. The logistic regression model with the Bayesian estimation method has a smaller BIC value than the MLE method. Twin births, baby girl, maternal age at risk, birth spacing that is too close, iron deficiency, low education, low economy, inadequate drinking water sources have provided a higher risk of low-birth-weight incidence.


PLoS ONE ◽  
2021 ◽  
Vol 16 (2) ◽  
pp. e0246587
Author(s):  
Mesfin Wudu Kassaw ◽  
Ayele Mamo Abebe ◽  
Ayelign Mengesha Kassie ◽  
Biruk Beletew Abate ◽  
Seteamlak Adane Masresha

Background Low birth weight puts a newborn at increased risk of death and illness, and limits their productivity in the adulthood period later. The incidence of low birth weight has been selected as an important indicator for monitoring major health goals by the World Summit for Children. The 2014 World Health Organization estimation of child death indicated that 4.53% of total deaths in Ethiopia were due to low birth weight. The aim of this study was to assess trends of proximate low birth weight and associations of low birth weight with potential determinants from 2011 to 2016. Methods This study used the 2016 Ethiopian Demographic and Health Survey data (EDHS) as data sources. According to the 2016 EDHS data, all the regions were stratified into urban and rural areas. The variable “size of child” measured according to the report of mothers before two weeks of the EDHS takes placed. The study sample refined from EDHS data and used for this further analysis were 7919 children. A logistic regression model was used to assess the association of proximate low birth weight and potential determinates of proximate low birth weight. But, the data were tested to model fitness and were fitted to Hosmer-Lemeshow-goodness of fit. Results The prevalence of proximate low birth weight in Ethiopia was 26.9% (2132), (95%CI = 25.4, 27.9). Of the prevalence of child size in year from 2011 to 2016, 17.1% was very small, and 9.8% was small. In the final multivariate logistic regression model, region (AOR = xx), (955%CI = xx), Afar (AOR = 2.44), (95%CI = 1.82, 3.27), Somalia (AOR = 0.73), (95%CI = 0.55, 0.97), Benishangul-Gumz (AOR = 0.48), (95%CI = 0.35, 0.67), SNNPR (AOR = 0.67), (95%CI = 0.48, 0.93), religion, Protestant (AOR = 0.76), (95%CI = 0.60, 0.95), residence, rural (AOR = 1.39), (95%CI = 1.07, 1.81), child sex, female (AOR = 1.43), (95%CI = 1.29, 1.59), birth type, multiple birth during first parity (AOR = 2.18), (95%CI = 1.41, 3.37), multiple birth during second parity (AOR = 2.92), (95%CI = 1.86, 4.58), preparedness for birth, wanted latter child (AOR = 1.26), (95%CI = 1.09, 1.47), fast and rapid breathing (AOR = 1.22), (95%CI = 1.02, 1.45), maternal education, unable to read and write (AOR = 1.46), (95%CI = 1.56, 2.17), and maternal age, 15–19 years old (AOR = 1.86), (95%CI = 1.19, 2.92) associated with proximate low birth weight. Conclusions The proximate LBW prevalence as indicated by small child size is high. Region, religion, residence, birth type, preparedness for birth, fast and rapid breathing, maternal education, and maternal age were associated with proximate low birth weight. Health institutions should mitigating measures on low birth weight with a special emphasis on factors identified in this study.


2020 ◽  
Author(s):  
Alemneh Mekuriaw Liyew ◽  
Malede Mequanent Sisay ◽  
Achenef Asmamaw Muche

AbstractBackgroundLow birth weight (LBW) was a leading cause of neonatal mortality. It showed an increasing trend in Sub-Saharan Africa for the last one and half decade. Moreover, it was a public health problem in Ethiopia. Even though different studies were conducted to identify its predictors, contextual factors were insufficiently addressed in Ethiopia. There was also limited evidence on the spatial distribution of low birth weight. Therefore, this study aimed to explore spatial distribution and factors associated with low birth weight in Ethiopia.MethodSecondary data analysis was conducted using the 2016 EDHS data. A total of 1502 (weighted sample) mothers whose neonates were weighed at birth five years preceding the survey were included. GIS 10.1, SaTscan, stata, and Excel were used for data cleaning and analysis. A multi-level mixed-effects logistic regression model was fitted to identify factors associated with low birth weight. Finally, hotspot areas from GIS results, log-likelihood ratio (LLR) and relative risk with p-value of spatial scan statistics, AOR with 95% CI and random effects for mixed-effects logistic regression model were reported.ResultsLow birth weight was spatially clustered in Ethiopia. Primary (LLR=11.57; P=0.002) clusters were detected in the Amhara region. Whereas secondary (LLR=11.4; P=0.003;LLR=10.14,P=0.0075) clusters were identified at Southwest Oromia, north Oromia, south Afar, and Southeast Amhara regions. Being severely anemic (AOR=1.47;95%CI1.04,2.01), having no education (AOR=1.82;95%CI1.12,2.96), Prematurity (AOR=5.91;95%CI3.21,10.10) female neonate (AOR=1.38;95%CI1.04,1.84)were significantly associated with LBWConclusionLBW was spatially clustered in Ethiopia with high-risk areas in Amhara,Oromia, and Afar regions and it was affected by socio demographic factors. Therefore, focusing the policy intervention in those geogrsphically low birth weight risk areas and improving maternal education and nutrtion could be vital to reduce the low birth weight disparity in Ethiopia.


2017 ◽  
Vol 44 (5) ◽  
pp. 633-642 ◽  
Author(s):  
Will Kaberuka ◽  
Alex Mugarura ◽  
Javan Tindyebwa ◽  
Debra S. Bishop

Purpose The purpose of this paper is to establish socio-economic factors and maternal practices that determine child mortality in Uganda. Design/methodology/approach The paper examines the role of sex, birth weight, birth order and duration of breastfeeding of a child; age, marital status and education of the mother; and household wealth in determining child mortality. The study employs a logistic regression model to establish which of the factors significantly impacts child mortality in Uganda. Findings The study established that education level, age and marital status of the mother as well as household wealth significantly impact child mortality. Also important are the sex, birth weight, birth order and breastfeeding duration. Research limitations/implications Policies aimed at promoting breastfeeding and education of female children can make a significant contribution to the reduction of child mortality in Uganda. Practical implications Health care intervention programs should focus on single, poor and uneducated mothers as their children are at great risk due to poor and inadequate health care utilization. Originality/value This paper could be the first effort in examining child mortality status in Uganda using a logistic regression model.


2019 ◽  
Vol 25 (2) ◽  
pp. 119-149
Author(s):  
Jonatas Dutra Sallaberry ◽  
Leonardo Flach

ABSTRACT The Brazilian national elections of 2018 constitute a milestone as the first election in the history of the Brazilian public administration in which there was restriction of donations of legal entities. This paper aims to analyze the influence of economic power on electoral choice, for which a prediction model based on financial and political-ideological variables is proposed, identifying if the odds ratio is increased for candidates with greater economic-financial disposition. We proposed a logistic regression model and estimated the probability of success in the electoral campaign and its relationship with the variables. We collected the data from the open base of the Brazilian Electoral Justice, totaling a universe of 46,867 valid applications in 2018 and 2014. The results show a new logistic regression model, in which it was verified that the candidate's condition to seek his re-election is the factor of greater relationship with the ratio of chances of electoral success, increasing by 6 times the chances of a candidate succeeding in the election. Economic-financial variables of interest confirmed the influence that economic power has on the election process in the same way as the dominant ideology in central government, leaving the results of financing by legal entities conflicting.


Author(s):  
Veronika V. Eberharter

Using panel data from the German Socio-Economic Panel (GSOEP), this contribution compares poverty patterns Germany in the 1990s to that in the 1980s. Defining poverty line at half the median equivalent disposable income the paper analyzes income inequality and mobility below the poverty line as well as poverty duration for men and women aged 20 through 50 years. The socio-economic determinants of poverty duration are investigated with a logistic regression model. The empirical results point to an increasing feminization of poverty inequality and immobility in the 1960’s. The influence of gender and educational status on poverty duration is more pronounced in this decade.


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