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Table 4 Factors associated with childhood anemia severity in multivariable POM considering anemic status as outcome variable with three ordered categories

From: Anemia severity among children aged 6–59 months in Gondar town, Ethiopia: a community-based cross-sectional study

Variable

Categories

Anemic status and severity level(n(%))

Bivariable POM Analysis

Multivariable POM analysis

Severe or moderate anemia (n(%))

Mild anemia (n(%))

No anemia

cPOR (95%CI)

p-value

aPOR (95%CI)

p-value

Age of child (months)

6–11

18 (24.3)

18 (24.3)

38 (51.4)

10.20 (4.81, 21.71)

< 0.001

13.9 (5.5, 35.02)

< 0.001

12–23

30 (16.6)

45 (24.9)

106 (58.6)

7.17 (3.56, 14.24)

< 0.001

8.53 (3.8, 19.18)

< 0.001

24–35

20 (11.5)

27 (15.5)

127 (73.0)

3.88 (1.92, 7.82)

< 0.001

4.77 (1.67, 10.04)

< 0.001

36–47

7 (4.5)

26 (16.8)

122 (78.7)

2.67 (1.29, 5.55)

0.008

3.58 (1.67, 7.65)

0.001

48–59

3 (2.4)

8 (6.5)

112 (91.1)

1.00

 

1.00

 

Maternal age

< 25 years

19 (11.5)

41 (24.8)

105 (63.6)

1.51 (1.04, 2.19)

0.032

0.94 (0.60, 1.47)

0.7794

> 35 years

7 (9.2)

13 (17.1)

56 (73.7)

0.98 (0.57, 1.69)

0.943

0.92 (0.49, 1.74)

0.806

25–35 years

52 (11.2)

70 (15)

344 (73.8)

1.00

 

1.00

 

Maternal education

No formal education

27 (12.3)

42 (19.1)

151 (68.6)

1.57 (1.06, 2.34)

0.025

1.19 (0.72, 1.96)

0.489

Primary education

27 (12.9)

44 (21)

139 (66.2)

1.74 (1.17, 2.59)

0.006

1.71 (1.10, 2.65)

0.017

Secondary and above

24 (8.7)

38 (13.7)

215 (77.6)

1.00

 

1.00

 

ANC visits

Never visited

10 (21.3)

12 (25.5)

25 (53.2)

2.23 (1.06, 4.69)

0.035

1.42 (0.59, 3.39)

0.433

1–4 time visited

59 (10.0)

101 (17.2)

428 (72.8)

0.94 (0.55, 1.61)

0.831

0.72 (0.39, 1.31)

0.281

More than 4 times visited

9 (12.5)

11 (15.3)

52 (72.2)

1.00

 

1.00

 

Child’s birth place

At home

26 (17.9)

29 (20.0)

90 (62.1)

1.8 (1.23, 11.99)

0.002

1.64 (1.3, 2.61)

0.038

At health institution

52 (9.3)

95 (16.9)

145 (73.8)

1.00

 

1.00

 

Frequency of Complementary feeding

< 3 times per day

7 (25.9)

7 (25.9)

13 (48.1)

2.68 (1.22, 5.92)

0.015

2.46 (1.02, 5.77)

0.003

3–4 times per day

57 (10.5)

90 (16.9)

394 (72.8)

0.91 (0.61, 1.37)

0.853

1.51 (0.94, 2.43)

0.181

>  4 times per day

14 (10.1)

27 (19.4)

98 (70.5)

1.00

 

1.00

 

Loss of appetite

Yes

17 (12.1)

34 (24.3)

89 (63.6)

1.51 (1.02, 2.20)

0.039

1.14 (0.74, 1.75)

0.554

No

61 (10.8)

90 (15.9)

416 (73.4)

1.00

 

1.00

 

Presence of morbidity symptom

Yes

18 (11.8)

38 (25.0)

96 (63.2)

1.54 (1.06, 11.60)

0.025

1.46 (0.83, 2.58)

0.191

No

60 (10.8)

86 (15.5)

409 (73.7)

1.00

 

1.00

 

Child being breastfed

Yes

52 (17.3)

71 (23.6)

178 (59.1)

2.88 (2.08, 4.01)

< 0.001

1.24 (0.76, 2.03)

0.382

No

26 (6.4)

53 (13.1)

327 (80.5)

1.00

 

1.00

 

Presence of Diarrhea

Yes

8 (9.6)

23 (27.7)

52 (62.7)

1.43 (0.89, 2.30)

0.135

0.64 (0.31, 1.31)

0.222

No

70 (11.2)

101 (16.2)

453 (72.6)

1.00

 

1.00

 

Preceding birth interval

12–24 months

10 (12)

16 (19.3)

57 (68.7)

1.04 (0.62, 1.75)

0.882

1.0 (0.52, 1.92)

0.9963

25–48 months

20 (13.4)

24 (16.1)

105 (70.5)

0.99 (0.65, 1.51)

0.949

0.76 (0.42, 1.35)

0.346

> 48 months

17 (9.1)

26 (14.0)

143 (76.9)

0.69 (0.46, 1.05)

0.087

0.71 (0.40, 1.24)

0.231

First child

31 (10.7)

58 (20.1)

200 (69.1)

1.00

 

1.00

 

Maternal marital status

Unmarried*

13 (14.8)

18 (20.5)

57 (64.8)

1.43 (0.90, 2.28)

0.126

1.8 (1.07, 3.03)

0.026

Married

65 (10.5)

106 (17.1)

448 (72.4)

1.00

 

1.00

 

Pre-lactal feeding

Yes

8 (13.8)

13 (22.4)

37 (63.8)

1.44 (0.83, 2.50)

0.194

1.33 (0.71, 2.46)

0.37

No

70 (10.8)

111 (17.1)

468 (72.1)

1.00

 

1.00

 

Family monthly income

<$108

54 (12.1)

88 (19.7)

308 (68.2)

1.54 (1.09, 2.18)

0.015

1.35 (0.91, 2.01)

0.136

≥$108

24 (9.2)

36 (13.8)

201 (77.0)

1.00

 

1.00

 

Family size

> 5

17 (11.9)_

26 (18.2)

100 (69.9)

0.95 (0.61, 1.47)

0.819

1.51 (0.83, 2.77)

0.179

 

4–5

33 (10.5)

47 (15.0)

234 (74.5)

0.84 (0.53, 1.10)

0.145

1.16 (0.71, 1.90)

0.562

 

< 4

28 (11.2)

51 (20.4)

171 (68.4)

1.00

 

1.00

 
  1. The outcome variable, anemia, was classified in three ordered categories as 0 = no anemia, 1 = Mild anemia, and 2 = Moderate or Severe anemia; The reference category of each independent variables was set last during analysis; aPOR: adjusted Proportional Odds Ratio; cPOR: crude Proportional Odds Ratio; CI: confidence Interval; POM: Proportional Odds Model; Unmarried*: includes single, divorced and widowed
  2. Model fitness information: Test of parallel lines for the proportional odds assumption: Chi-square = 19.123, df = 25, p-value = 0.791; Goodness-of-fit test of overall model: Pearson Chi-square = 1275.797, df = 1225, p-value = 0.152, Pseudo R2 = 0.182