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Table 2 Adjusted OR/RR and confidence interval of factors significantly associated with birth spacing

From: Factors associated with short birth interval in low- and middle-income countries: a systematic review

Category / subcategory

Author / year of publication

Factor

Outcome (length of birth interval in months)

Adjusted effect size

Confidence interval 95%

Age

 At first pregnancy (years)

de Jonge 2014

18.3 vs 18.6

< 33

0.95

0.92–0.98

 At delivery of the last child (years)

Hailu 2016

17–24 vs > 34

< 36

0.98

0.36–2.66

 

25–29 vs > 34

 

0.9

0.40–2.0

 

30–34 vs > 34

 

2.58

1.08–5.15

de Jonge 2014

22 vs 22.88

< 33

1.11

1.08–1.15

 Of the mother (years)a

Chirwa 2014

15–19 vs 45–49

< 25

2.51

1.56–4.04

 

20–24 vs 45–49

 

1.79

1.27–2.52

 

25–29 vs 45–49

 

1.3

0.93–1.84

 

30–34 vs 45–49

 

1.25

0.89–1.76

 

35–39 vs 45–49

 

1.05

0.74–1.5

 

40–44 vs 45–49

 

0.99

0.69–1.44

 Of the mother (years)b

Begna 2013

20–24 vs 25–29

< 36

1.36

0.53–3.48

 

30–34 vs 25–29

 

0.68

0.39–1.17

 

35–39 vs 25–29

 

0.31

0.17–0.6

 

40–44 vs 25–29

 

0.22

0.10–0.49

 

45–49 vs 25–29

 

0.39

0.15–1.01

Muganyizi 2013

30 vs 15–29

< 24 or > 60

1

0.5–1.7

Exavery 2012

15–19 vs 45–49

< 33

13.65

9.63–19.35

 

20–24 vs 45–49

 

4.3

3.16–5.86

 

25–29 vs 45–49

 

2.4

1.77–3.26

 

30–34 vs 45–49

 

2.07

1.52–2.8

 

35–39 vs 45–49

 

1.64

1.21–2.24

 

40–44 vs 45–49

 

1.31

0.95–1.83

Ismail 2008

One-year increase in age

< 24

0.86

0.8–0.92

Ngianga-Bakwin 2005

< 21 vs > 21 and < 35

< 24

0.58

0.55–0.62

 

> 35 vs > 21 and < 35

 

0.67

0.62–0.72

 Of the woman’s own mother at first pregnancy (years)

Atkin 1992

11–17 vs > 17

< 24

5.1

Not provided

Breastfeeding

 Duration (months)

Hailu 2016

12–23 vs > 23

< 36

60.19

31.61–114.59

Begna 2013

<  25 vs > 24

< 36

30.81

6.97–136.19

Ismail 2008

< 12 vs > 11

< 24

6.18

3.59–10.62

 Type

Chirwa 2014

Exclusive breastfeeding vs Mixed

< 25

1.08

1–1.17

 

Never breastfeeding vs Mixed

 

1.07

0.99–1.15

Ngianga-Bakwin 2005

Exclusive breastfeeding vs No breastfeeding

< 24

0.67

0.58–0.78

 

Mixed feeding vs No breastfeeding

 

0.86

0.82–0.90

Contraception

 Method

Chirwa 2014

Not using contraception vs Modern method

< 25

0.97

0.85–1.08

Ngianga-Bakwin 2005

Using injections vs Using other methods

< 24

1.23

1.1–1.38

Atkin 1992

Postpartum IUD: No/Yes

< 24

26.34

Not provided

 Use

Hailu 2016

No vs Yes

< 36

3.01

1.68–5.39

Muganyizi 2013

No vs Yes

< 24 or > 60

1

0.6–1.8

Begna 2013

No vs Yes

< 36

5.91

4.02–8.69

Ismail 2008

No vs Yes

< 24

3.95

2.21–7.05

Ngianga-Bakwin 2005

No vs Yes

< 24

0.88

0.82–0.93

Todd 2008

Prior contraceptive use: Yes/No

Longer mean birth interval (2.21 ± 0.79 Vs 2.01 ± 0.87 years)

1.25

1.12–1.40

Education of the mother

 

Hailu 2016

No formal education vs Has formal education

< 36

3.4

1.8–6.43

Chirwa 2014

No education vs Secondary or higher

< 25

1.08

0.97–1.19

 

Primary education vs Secondary and higher

 

1.06

1–1.16

de Jonge 2014

Secondary or above vs None or primary education

< 33

1.26

1.09–1.45

Begna 2013

No formal education vs Formal education

< 36

1.89

1.15–3.37

Muganyizi 2013

Primary vs No education

< 24 or > 60

1

0.2–4.6

 

Secondary or above vs No education

 

1.6

0.3–7.3

Exavery 2012

Never been to school vs Secondary/higher

< 33

1.27

1.01–1.60

 

Primary vs Secondary/higher

 

1.09

0.87–1.37

Ngianga-Bakwin 2005

No education vs Secondary education or higher

< 24

1.16

1.06–1.26

 

Primary education vs Secondary education or higher

 

1.11

1.03–1.20

Sirivong 2003

Literate vs Illiterate

Birth spacing (length not specified)

0.27

0.08–0.84

Marital status

 

Muganyizi 2013

Not in marriage vs In marriage

< 24 or > 60

0.9

0.4–2.1

Exavery 2012

Previously married (widowed or divorced) vs Married

< 33

0.56

0.48–0.66

 

Single vs Married

 

0.64

0.57–0.73

Atkin 1992

Women who were in a legal or consensual union at 5 months: Yes / No

< 24

6.9

Not provided

Miscellaneous

 Intervention

Abdullah 2018

Intervention: integrated post-partum family planning and maternal and newborn health. Control: maternal and newborn health only.

< 24

0.81

0.69–0.95

 Occupational group

de Jonge 2014

Tea garden resident: Yes vs No

< 33

1.41

1.07–1.87

 Religion

 

Other vs Muslim

 

0.68

0.53–0.87

 Time period

Ngianga-Bakwin 2005

1998–2001 vs 1991–1993

< 24

0.9

0.84–0.95

Occupation

 Husband

Begna 2013

Daily worker vs Animal husbandry

< 36

2.19

1.01–4.79

 

Farmers vs Animal husbandry

 

0.49

0.24–1

 

Merchant vs Animal husbandry

 

0.72

0.36–1.43

 

Others vs Animal husbandry

 

1.17

0.47–5.92

 Mother

Hailu 2016

Farmer vs Others

< 36

2.68

0.31–23.23

 

Housewife vs Others

 

1

0.17–5.86

 

Merchant vs Others

 

1.46

0.16–13.24

Muganyizi 2013

Employment Business vs Salary employment

< 24 or > 60

1.1

0.6–2.1

 

Employment Housewife/others vs Salary employment

 

1.6

0.7–3.4

Parity (children)

 

de Jonge 2014

> 3 vs 1

< 33

0.28

0.19–0.41

 

2 vs 1

 

0.53

0.44–0.63

 

3 vs 1

 

0.38

0.29–0.51

Muganyizi 2013

> 3 vs 2

< 24 or > 60

1.8

0.9–3.7

 

3 vs 2

 

0.9

0.5–1.5

Begna 2013

2 vs > 4

< 36

3.73

1.50–9.25

 

3&4 vs > 4

 

2.69

1.23–5.92

Exavery 2012

> 3 vs 2

< 33

2.54

2.25–2.85

 

3 vs 2

 

1.29

1.19–1.40

Ismail 2008

Parity (no further explanation)

< 24

1.46

1.22–1.76

Previous pregnancy

 Outcome

de Jonge 2014

Adverse outcome of any previous pregnancy: Yes / No

< 33

2.1

1.83–2.40

Muganyizi 2013

Immediate past pregnancy loss: Yes / No

< 24 or > 60

2.5

1.3–4.7

Exavery 2012

Birth: Multiple vs Singleton

< 33

0.74

0.57–0.96

Ismail 2008

History of abortion: Yes vs No

< 24

0.09

0.02–0.34

 Place of delivery

Hailu 2016

Health institution vs Home

< 36

1.53

0.61–3.8

Exavery 2012

Elsewhere vs Health facility

< 33

1.85

1.71–2

 Planned

Hailu 2016

No vs Yes

< 36

1.44

0.9–2.61

Sex of the previous child

 

Hailu 2016

Female vs Male

< 36

6.79

3.65–12.63

Begna 2013

Female vs Male

< 36

1.72

1.17–2.52

Socioeconomic level

 Household assetsc

de Jonge 2014

0–3 vs > 3

< 33

1.42

1.22–1.65

 Income

Hailu 2016

Wealth index: Fourth vs Richest

< 36

3.96

1.41–11.13

 

Wealth index: Middle vs Richest

 

3.98

1.39–11.38

 

Wealth index: Second vs Richest

 

6.46

2.26–8.48

 

Wealth index: Poorest vs Richest

 

14.33

4.65–44.15

Chirwa 2014

Low vs High

< 25

0.98

0.8–1.01

 

Middle vs High

 

0.86

0.77–0.94

Ngianga-Bakwin 2005

Low vs High

< 24

1.18

1.10–1.26

 

Middle vs High

 

1.25

1.17–1.34

 Place of residence

Chirwa 2014

Rural vs Urban

< 25

1.07

0.97–1.13

Exavery 2012

Rural vs Urban

< 33

1.04

0.95–1.13

Ngianga-Bakwin 2005

Urban vs Rural

< 24

0.85

0.79–0.9

  1. Significant results are shown in bold
  2. aWhen the study was conducted
  3. bDid not specify a definition of age of the mother
  4. cElectricity, radio/tape recorder, fan, TV, fridge, phone, generator and bicycle