Determinants of moderate‐to‐severe anaemia among women of reproductive age in <scp>T</scp>anzania: analysis of data from the 2010 <scp>T</scp>anzania demographic and health survey

Wilunda, Calistus; Massawe, Siriel; Jackson, Caroline

doi:10.1111/tmi.12199

Cited by 42 publications

(52 citation statements)

References 33 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In this study, the use of hormonal contraceptives was associated with lower risk of anemia among WRA, while the use of IUDs was associated with higher risk. Using hormonal contraceptive can be resulted in less bleeding during the menstruation, which ultimately reduces blood loss over time (29,30); similar findings were seen in other studies conducted in 14 different low-and middle-income countries including Tanzania and Ethiopia (31) (24)(32). Another study conducted in seven countries also found that hormonal contraceptive users had higher haemoglobin and ferritin levels compared to non-users (33).…”

Section: Discussionsupporting

confidence: 81%

Risk factors of anemia among Women of Reproductive Age in Rwanda: implications for designing better interventions

Hakizimana¹,

Mp²,

Logan³

et al. 2019

Preprint

View full text Add to dashboard Cite

Background Anemia among Women of Reproductive Age (WRA) continues to be among the major public health problems in many developing Rwanda where It was increased comparing 2015 to 2010 Demographic and Health Survey (DHS) reports. A thorough understanding of the its risk factors is necessary to design new better approaches. However, to the best of our knowledge, no study assessing factors associated with anemia among WRA has been conducted. Therefore, this study aims to identify anemia risk factors among WRA in Rwanda. Methods This was a quantitative, cross-sectional study using secondary data from the Rwanda Demographic and Health Survey (RDHS) 2014-2015. The study population consisted of 6680 WRA who were tested for anemia during the survey. Anemia was defined as having equal or below to 10.9 g/dl for a pregnant woman, and hemoglobin level equal or below to 11.9 g/ for a non-pregnant woman. Pearson’s chi-squared test and multiple logistic regression were conducted for bivariate and multivariable analysis respectively. We reported Odds Ratio (OR), 95% Confidence Intervals (CI) and p-values. We used Stata version 14.2 for all analyses. Results The prevalence of anemia among WRA was 19.2% (95% CI: 18.0 - 20.5). After controlling for other variables, the factors associated with were being obese (OR: 0.61, 95% CI: 0.40 - 0.91), being in rich category (OR: 0.74, 95% CI: 0.63 - 0.87), sleeping under a mosquito net (OR: 0.85, 95% CI: 0.74 - 0.98), and using hormonal contraceptives (OR: 0.61, 95% CI: 0.50 - 0.73). The factors associated with higher odds of anemia were being underweight (OR: 1.39, 95% CI: 1.09 - 1.78), using an Intra Uterus Device (OR: 1.98, 95% CI: 1.05 - 3.75), and living in the Southern province (OR: 1.45, 95% CI: 1.11 - 1.89) or in the Eastern province (OR: 1.41, 95% CI: 1.06 - 1.88). Conclusion Anemia continues to pose public health challenges; novel public health interventions should consider geographic variations, improve women economic status, and strengthen iron supplementation especially for IUD users. Additionally, given the association between anemia and malaria, interventions to prevent malaria should be enhanced.

show abstract

Section: Discussionsupporting

confidence: 81%

Risk factors of anemia among Women of Reproductive Age in Rwanda: implications for designing better interventions

Hakizimana¹,

Mp²,

Logan³

et al. 2019

Preprint

View full text Add to dashboard Cite

show abstract

“…Anaemia is usually associated with disadvantaged populations where people of lower education and income are at increased risk for anaemia. Previous studies conducted in Tanzania (14), Mali (15), and India (16) showed higher risk of anaemia among non-educated and poor women. It is possible that non-educated and poor women have lower access to health information and healthcare facilities compared to educated and wealthy women.…”

Section: Discussionmentioning

confidence: 75%

Prevalence and risk factors of anaemia among ever-married women in Jordan

Arabyat

Al-Taani

2019

East Mediterr Health J

View full text Add to dashboard Cite

Background: Anaemia is associated with poor health outcomes and is considered a serious public health problem particularly in low-and middle-income countries. Specific subgroups are at higher risk of anaemia, such as women of reproductive age. Aims: This study examined the prevalence and risk factors of anaemia among ever-married women in Jordan using a secondary analysis of the Jordan Population and Family Health Survey. Methods: This is a secondary analysis of data from a nationally representative sample of ever-married women aged 15-49 years that were tested for haemoglobin levels in the 2012 JPFHS. Anaemia was categorized according to the WHO criteria. Univariate and multivariate logistic regression analyses were used to investigate risk factors associated with anaemia. Results: The prevalence of any anaemia was 37.3%; specifically, 20% had mild anaemia (haemoglobin 11.0-11.9 g/dl), 16.3% had moderate anaemia (hemoglobin 8.0-10.9 g/dl) and 1% had severe anaemia (haemoglobin < 8.0 g/dl). Factors that were associated with anaemia in the multivariate regression included urban women (P = 0.01), living in the north (P = 0.014) or south regions (P = 0.013) of Jordan, having multiple children (P < 0.001), being pregnant (P < 0.01), and using IUD as a contraceptive method (P < 0.001). Conclusions: A high prevalence of anaemia among ever-married women of reproductive age in Jordan was noticed. The results emphasize the importance of urgent public health interventions to prevent anaemia in Jordan, particularly among high-risk subgroups.

show abstract

“…One possible explanation is that women with severe anemia avoid pregnancy for health reasons or women are more cognizant of the importance of and responsibility involved in treating anemia during pregnancy, although the effect could be exactly the opposite in that severe anemia has a negative effect on fertility. The findings in a study from Tanzania that looked at factors associated with moderate and severe anemia in women of childbearing age pregnant women found that pregnant women had significantly more moderate to severe anemia [35].…”

Section: Discussionmentioning

confidence: 98%

Anemia among Muslim Bedouin and Jewish women of childbearing age in Southern Israel

2015

View full text Add to dashboard Cite

There are inequalities in health indicators among different ethnic groups living in the same region and receiving the same medical services. Anemia is a global problem. Although the prevalence of anemia is not high in Israel, differences among ethnic groups have not been studied. Our objective was to assess anemia among Bedouin and Jewish women of childbearing age in southern Israel. A retrospective observational study was conducted based on data from computerized medical records. Seven thousand eight hundred seventy-one women in the study clinics underwent complete blood counts and had blood hemoglobin levels of 11 g/dl or below. The Jewish patients were older (31.7 vs. 29.7 years, P < 0.001), practiced birth control more (24.2 vs. 9.9 %, P < 0.001), and adhered to it more (81.1 vs. 61.9 %, P < 0.001). Bedouin women had more children (3.7 vs. 1.9, P < 0.001), and more Bedouin women were pregnant during the study period (49.3 vs. 35.0 %, P < 0.001). The most prevalent types of anemia were iron deficiency and anemia of chronic disease. Two types of anemia were proportionally higher among Jewish women, anemia of chronic disease (18.1 vs. 9.7 %, P < 0.001) and folic acid deficiency (3.3 vs. 2.2 %, P > 0.001). The adherence rates for treatment were very low. Three factors associated with severe anemia (hemoglobin below 8 g/dl) were being Bedouin (odds ratio (OR) = 1.295, P < 0.001), use of birth control (OR = 0.419, P < 0.001), and pregnancy (OR = 0.447, P < 0.001). Being a Bedouin woman is a risk factor for severe anemia, and adherence to treatment for anemia is very low in both groups. These findings should be addressed in a national program to reduce health inequalities.

show abstract

Determinants of moderate‐to‐severe anaemia among women of reproductive age in Tanzania: analysis of data from the 2010 Tanzania demographic and health survey

Cited by 42 publications

References 33 publications

Risk factors of anemia among Women of Reproductive Age in Rwanda: implications for designing better interventions

Risk factors of anemia among Women of Reproductive Age in Rwanda: implications for designing better interventions

Prevalence and risk factors of anaemia among ever-married women in Jordan

Anemia among Muslim Bedouin and Jewish women of childbearing age in Southern Israel

Contact Info

Product

Resources

About