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Table 1 Distribution of participants according to ITN use

From: Factors associated with insecticide-treated net usage among women of childbearing age in Malawi: a multilevel analysis

Variable

Pregnant women

n = 1634

Nonpregnant women with children under 5 years

n = 11,197

Nonpregnant women without children under 5 years

n = 3299

n (%) No

n = 883

n (%) Yes

n = 751

p-valuea

n (%) No

n = 5951

n (%) Yes

n = 5246

p-valuea

n (%) No

n = 2009

n (%) Yes

n = 1290

p-valuea

Individual-level factors

 Age (years)

  

0.977

  

< 0.001***

  

0.061

  15–24

482 (54.3)

405 (45.7)

 

1799 (51.3)

1709 (48.7)

 

321 (65.1)

172 (34.9)

 

  25–34

308 (53.7)

266 (46.2)

 

2538 (52.2)

2326 (47.8)

 

487 (63.5)

280 (36.5)

 

  ≥ 35

93 (53.8)

80 (46.2)

 

1614 (57.1)

1211 (42.9)

 

1201 (58.9)

838 (41.1)

 

 Education

  

0.001**

  

< 0.001***

  

< 0.001***

  No education

100 (17.4)

475 (82.6)

 

952 (62.4)

573 (37.6)

 

405 (66.1)

208 (33.9)

 

  Primary education

599 (55.7)

476 (44.3)

 

4046 (54.9)

3316 (45.1)

 

1219 (63.1)

713 (36.9)

 

  Secondary+

184 (42.2)

252 (57.8)

 

953 (41.3)

1357 (58.7)

 

385 (51.1)

369 (48.9)

 

 Occupation

  

0.643

  

0.064

  

0.038*

  Unemployed

291 (55.0)

238 (45.0)

 

1656 (51.3)

1574 (46.7)

 

494 (64.8)

268 (35.2)

 

  Employed

592 (53.6)

513 (46.4)

 

4295 (53.9)

3672 (46.1)

 

1515 (59.7)

1022 (40.3)

 

 Religion

  

0.925

  

0.073

  

0.729

  Catholic

158 (50.8)

153 (49.2)

 

1067 (50.4)

1051 (49.6)

 

438 (60.2)

290 (39.8)

 

  Protestant

569 (54.3)

478 (45.7)

 

4000 (54.9)

3280 (45.1)

 

1370 (61.4)

860 (38.6)

 

  Muslim and other

156 (56.5)

120 (43.5)

 

884 (55.3)

715 (44.7)

 

201 (58.9)

140 (41.1)

 

 Wealth

  

0.005**

  

< 0.001***

  

< 0.001***

  Poor

449 (59.1)

311 (40.9)

 

2782 (59.2)

1916 (40.8)

 

627 (67.8)

298 (32.2)

 

  Middle

153 (51.0)

147 (49.0)

 

1190 (52.8)

1064 (47.2)

 

402 (63.2)

234 (36.8)

 

  Rich

281 (49.0)

293 (51.0)

 

1979 (46.6)

2266 (53.4)

 

980 (56.4)

758 (43.6)

 

 Region

  

0.487

  

0.579

  

0.873

  Northern

117 (54.9)

96 (45.1)

 

731 (51.6)

686 (48.4)

 

231 (62.4)

139 (37.6)

 

  Central

399 (54.4)

335 (45.6)

 

2569 (53.9)

2195 (46.1)

 

888 (60.1)

589 (39.9)

 

  Southern

367 (54.3)

320 (46.6)

 

2651 (52.9)

2365 (47.1)

 

890 (60.9)

572 (39.1)

 

 Residence

  

0.056

  

< 0.001***

  

0.016*

  Rural

778 (55.4)

626 (44.6)

 

5195 (54.6)

4325 (45.4)

 

1628 (65.2)

867 (34.8)

 

  Urban

105 (45.7)

125 (54.3)

 

756 (45.1)

920 (54.9)

 

381 (54.1)

323 (45.9)

 

 Altitude (m)

  

0.863

  

0.922

  

0.168

  < 1600

876 (54.0)

745 (46.0)

 

5916 (53.1)

5215 (46.9)

 

1994 (60.8)

1285 (39.2)

 

  ≥ 1600

7 (53.8)

6 (46.2)

 

35 (45.0)

31 (47.0)

 

15 (75.0)

5 (15.0)

 

 Parity

  

< 0.001***

  

< 0.001***

  

0.189

  Primigravida

275 (62.8)

163 (37.2)

 

61 (81.3)

14 (18.7)

 

282 (66.5)

142 (33.5)

 

  Secundigravida

168 (43.5)

218 (56.5)

 

1011 (49.6)

1027 (50.4)

 

193 (58.5)

137 (41.5)

 

  Multigravida

440 (54.3)

370 (45.7)

 

4879 (53.7)

4205 (46.3)

 

1535 (60.3)

1011 (39.7)

 

 Children under 5 years in HH

  

0.682

  

0.739

  

–

  None

350 (55.5)

281 (44.5)

 

NA

NA

 

NA

NA

 

  One

410 (53.5)

356 (46.5)

 

3602 (53.3)

3155 (46.7)

 

NA

NA

 

  ≥ 2

123 (52.0)

114 (48.0)

 

2349 (52.9)

2091 47.1)

 

NA

NA

 

 Number of HH members

  

0.011*

  

< 0.001***

  

0.049*

  < 5

505 (50.8)

489 (49.2)

 

1888 (47.7)

2072 (52.3)

 

943 (58.5)

670 (41.5)

 

  ≥ 5

378 (59.1)

262 (40.9)

 

4063 (56.1)

3174 (43.9)

 

1066 (63.2)

620 (36.8)

 

 Number of ITNs in HH

  

< 0.001***

  

< 0.001***

  

< 0.001***

  < 2

730 (64.8)

397 (35.2)

 

4835 (68.7)

2202 (31.3)

 

1689 (80.0)

423 (20.0)

 

  ≥ 2

153 (30.2)

354 (69.8)

 

1116 (26.8)

3044 (73.2)

 

320 (27.0)

867 (73.0)

 

 IRS

  

0.234

  

0.340

  

0.234

  No

832 (54.6)

693 (45.4)

 

5605 (53.3)

4909 (46.7)

 

1918 (61.2)

1215 (38.8)

 

  Yes

51 (46.8)

58 (53.2)

 

346 (50.7)

336 (49.3)

 

91 (54.8)

75 (45.2)

 

 Media exposure

  

0.013*

  

< 0.001***

  

< 0.001***

  No

582 (57.2)

435 (42.8)

 

3946 (56.3)

3063 (43.7)

 

1241 (64.4)

685 (35.6)

 

  Yes

301 (48.8)

316 (51.2)

 

2005 (47.9)

2183 (52.1)

 

768 (55.9)

605 (44.1)

 

 Distance to HF

  

0.001**

  

0.001**

  

<0.001**

  No problem

330 (48.2)

354 (51.8)

 

2462 (50.7)

2392 (49.3)

 

856 (56.8)

651 (43.2)

 

  Problem

553 (58.2)

397 (41.8)

 

3489 (55.0)

2854 (45.0)

 

1153 (64.3)

639 (35.7)

 

 Women’s autonomy in HC decisions

  

0.791

  

0.088

  

0.468

  Self

133 (55.6)

106 (44.4)

 

1160 (55.1)

944 (44.9)

 

405 (61.4)

255 (38.6)

 

  Husband alone

305 (52.6)

275 (47.4)

 

1929 (54.0)

1641 (46.0)

 

600 (62.8)

355 (37.2)

 

  With others

445 (54.6)

370 (45.4)

 

2862 (51.8)

2661 (48.2)

 

1005 (59.6)

680 (40.4)

 

 Health behaviour

  

0.529

  

< 0.001***

  

0.008**

  Poor

115 (55.3)

93 (44.7)

 

788 (60.6)

512 (39.4)

 

225 (68.2)

105 (31.8)

 

  Moderate

441 (49.6)

448 (50.4)

 

3700 (53.9)

3169 (46.1)

 

1250 (61.7)

777 (38.3)

 

  Good

217 (50.8)

210 (49.2)

 

1463 (48.3)

1564 (51.7)

 

534 (56.7)

408 (43.3)

 

Community-level factors

 Community employment

  

0.034*

  

0.170

  

0.316

  Low

279 (54.9)

229 (45.1)

 

1943 (52.4)

1762 (47.6)

 

548 (57.7)

401 (42.3)

 

  Middle

237 (48.2)

255 (51.8)

 

1721 (51.5)

1619 (48.5)

 

698 (62.5)

418 (37.5)

 

  High

367 (57.9)

267 (42.1)

 

2287 (55.1)

1865 (44.9)

 

763 (61.8)

471 (38.2)

 

 Community education

  

0.356

  

0.007**

  

0.130

  Low

363 (56.5)

279 (43.5)

 

2287 (56.1)

1793 (43.9)

 

672 (62.3)

407 (37.7)

 

  Middle

303 (51.3)

288 (48.7)

 

2045 (53.0)

1815 (47.0)

 

763 (63.0)

449 (37.0)

 

  High

217 (54.1)

184 (45.9)

 

1619 (49.7)

1638 (50.3)

 

574 (51.8)

434 (48.2)

 

 Community wealth

  

0.014*

  

< 0.001***

  

0.088

  Low

389 (57.9)

283 (42.1)

 

2426 (56.2)

1894 (43.8)

 

695 (64.7)

379 (35.3)

 

  Middle

301 (55.2)

244 (44.8)

 

2141 (53.8)

1837 (46.2)

 

638 (60.7)

413 (39.3)

 

  High

193 (46.3)

224 (53.7)

 

1384 (47.7)

1515 (52.3)

 

676 (57.6)

498 (42.4)

 

 Community distance to HF

  

0.402

  

0.009**

  

0.128

  Low

255 (54.0)

217 (46.0)

 

1367 (49.0)

1424 (51.0)

 

675 (60.9)

434 (39.1)

 

  Middle

315 (53.8)

271 (46.2)

 

2288 (53.8)

1967 (46.2)

 

798 (63.1)

466 (36.9)

 

  High

343 (56.6)

263 (43.4)

 

2296 (55.3)

1854 (44.7)

 

636 (62.0)

390 (38.0)

 

 Community ITN coverage

  

< 0.001***

  

< 0.001***

  

< 0.001***

  Low

422 (61.6)

263 (38.4)

 

2803 (63.1)

1638 (36.9)

 

969 (72.8)

362 (27.2)

 

  Middle

314 (54.2)

265 (45.8)

 

2189 (52.4)

1988 (47.6)

 

697 (60.2)

460 (39.8)

 

  High

147 (39.7)

223 (60.3)

 

959 (37.2)

1620 (62.8)

 

343 (42.3)

468 (57.7)

 

 Community women’s autonomy in HC decisions

  

0.124

  

0.106

  

0.883

  Low

357 (57.9)

260 (42.9)

 

2108 (55.1)

1719 (44.9)

 

611 (61.8)

378 (38.2)

 

  Middle

262 (50.1)

261 (49.9)

 

2033 (53.4)

1776 (46.6)

 

694 (60.8)

447 (39.2)

 

  High

263 (53.3)

230 (46.7)

 

1810 (50.8)

1751 (49.2)

 

704 (60.2)

465 (39.8)

 

 Community IRS coverage

  

0.989

  

0.521

  

0.736

  Low

288 (36.5)

500 (63.5)

 

4262 (53.5)

3709 (46.5)

 

1490 (61.1)

947 (39.9)

 

  High

295 (54.0)

251 (46.0)

 

1689 (52.3)

1537 (47.7)

 

519 (60.2)

343 (39.8)

 
  1. HF health facility, IRS indoor residual spraying, HH household, HC health care, ITN insecticide-treated nets
  2. * p < 0.05; ** p < 0.01; *** p < 0.001
  3. aPearson’s Chi square test