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Table 4 Predictors of suboptimal birth spacing among childbearing women in 35 SSA countries, 2010–2021

From: Suboptimal birth spacing practice and its predictors among reproductive-age women in Sub-Saharan African countries: a multilevel mixed-effects modeling with robust Poisson regression

Covariates

Birth Spacing

UPR (95% CI)

APR (95% CI)

Optimal

Suboptimal

Residence

   

 Urban

43,847 (35.4)

28,142 (28.9)

1.00

1.00

 Rural

79,989 (64.6)

69,120 (71.1)

1.19 (1.16, 1.20)

1.10 (1.12, 1.15)*

Distance to a health facility

   

 Not a big problem

73,971 (61.3)

54,355 (57.9)

1.00

1.00

 Big problem

46,627 (38.7)

39,446 (42.1)

1.08 (1.06, 1.09)

1.00 (0.98, 1.05)

Decision on healthcare utilization

   

 Has participation

74,644 (60.3)

52,410 (53.9)

1.00

1.00

 No participation

49,145 (39.7)

44,815 (46.1)

1.16 (1.14, 1.17)

1.02 (0.99, 1.04)

Current age

   

 35–49

59,480 (48.0)

36,061 (37.1)

1.00

1.00

 25–34

53,470 (43.2)

43,451 (44.7)

1.19 (1.17, 1.20)

1.31(1.29, 1.33)*

 15–24

10,886 (8.8)

17,750 (18.2)

1.64 (1.62, 1.17)

2.05 (2.01, 2.09)*

Husband education

   

 Higher education

44,293 (35.8)

29,236 (30.1)

1.00

1.00

 Primary education

35,833 (28.9)

28,596 (29.4)

1.12 (1.09, 1.13)

1.02 (1.01, 1.04)*

 No formal education

43,607 (35.2)

39,359 (40.5)

1.19 (1.17, 1.21)

1.04 (1.02, 1.06)*

Media exposure

   

 Exposed

84,205 (68.1)

60,570 (62.4)

1.00

1.00

 Not exposed

39,504 (31.9)

36,565 (37.6)

1.14 (1.13, 1.16)

1.08 (1.07, 1.11)*

Household wealth

   

 Rich

52,529 (42.4)

33,357 (34.3)

1.00

1.00

 Middle

24,832 (20.1)

19,962 (20.5)

1.15 (1.13, 1.17)

1.03 (1.01, 1.05)*

 Poor

46,475 (37.5)

43,943 (45.2)

1.25 (1.23, 1.27)

1.06 (1.05, 1.08)*

Ever used contraceptives

   

 Yes

69,869 (56.4)

44,001 (45.2)

1.00

1.00

 No

53,967 (43.6)

53,261 (54.8)

1.28 (1.27, 1.30)

1.18 (1.16, 1.20)*

Unmet family planning need

   

 No

96,509 (77.9)

72,982 (75.1)

1.00

1,00

 Yes

27,310 (22.1)

24,268 (24.9)

1.09 (1.08, 1.11)

1.04 (1.03, 1.06)*

Birth order

   

  ≤ 3

53,168 (42.9)

38,388 (39.5)

1.00

1.00

  ≥ 4

70,668 (57.1)

58,874 (60.5)

1.08 (1.07, 1.10)

1.31 (1.28, 1.34)*

Ideal number of children

   

  ≤ 5

71,975 (58.1)

46,994 (48.3)

1.00

1.00

  ≥ 6

51,861 (41.9)

50,268 (51.7)

1.25 (1.23, 1.26)

1.14 (1.13, 1.16)*

  1. UPR unadjusted prevalence ratio; APR adjusted prevalence ratio; *statistically significant variables at p-value less than 0.05