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Table 3 Multilevel logistic regression model of factors associated with acute malnutrition in 6–59 months age children during the war in Tigray, Northern Ethiopia, 2021 (n = 3,614)

From: Prevalence and multi-level factors associated with acute malnutrition among children aged 6–59 months from war affected communities of Tigray, Northern Ethiopia, 2021: a cross-sectional study

Individual and community-level variables

Model 1

Model 2

Model 3

Model 4

Intercept-only AOR(95% CI)

Individual-level variables

AOR(95% CI)

Community-level variables

AOR(95% CI)

Multilevel (combined) variables

AOR(95% CI)

Child age (months)

6–8 (ref)

 

1

 

1

9–11

 

1.00(0.82,1.21)

 

1.03(0.84,1.24)

12–23

 

0.58(0.38,0.86)**

 

0.58(0.38,0.87)**

24–59

 

0.12(0.10,0.17)***

 

0.13(0.10,0.18)***

Child sex

Male (ref)

 

1

 

1

Female

 

1.24(1.04,1.47)*

 

1.24(1.05,1.48)*

Supplemented with Vitamin A

Yes (ref)

 

1

 

1

No

 

1.31(1.02,1.69)*

 

1.30(1.05,1.65)*

Diarrhea in the last nine months

No (ref)

 

1

 

1

Yes

 

1.26(1.01,1.57)*

 

1.22(1.02,1.53)*

Fever

No (ref)

 

1

 

1

Yes

 

1.25(1.01,1.54)*

 

1.19(0.96,1.48)

Drinking water source

Improved (ref)

  

1

1

Unimproved

  

1.25(1.05,1.48)**

1.31(1.08,1.58)**

Toilet facility

Improved (ref)

  

1

1

Unimproved

  

1.12(0.94,1.35)

1.24(1.01,1.52)*

HFIAS

Food secure (ref)

  

1

1

Mildly food insecure

  

2.00(1.28,3.12)**

2.36(1.42,3.91)**

Moderately food insecure

  

1.10(0.82,1.47)

1.14(0.82,1.58)

Severely food insecure

  

1.58(1.22,2.04)***

1.55(1.16,2.07)***

Random error

Community level variance (SE)

0.29(0.03)***

0.33(0.029)***

0.27(0.04)**

0.19(0.02)***

ICC

0.15

0.10

0.12

0.03

Model fit statistics

AIC

16,354.505

9,213.778

16,423.071

8,322.105

BIC

16.360.696

9,219.845

16,429.260

8,328.231

  1. Significant at *p < 0.05; ** p < 0.01; *** P < 0.001
  2. AOR Adjusted Odds Ratio, CI Confidence Interval, AIC Akaike information criterion, BIC Bayesian information criterion, HFIAS Household food insecurity access scale, ref Reference category