Prevalence of anemia and its associated factors among married women in 19 sub-Saharan African countries.
Anemia
DHS
Factors
Global health
Married women
Sub-Saharan Africa
Journal
Archives of public health = Archives belges de sante publique
ISSN: 0778-7367
Titre abrégé: Arch Public Health
Pays: England
ID NLM: 9208826
Informations de publication
Date de publication:
29 Nov 2021
29 Nov 2021
Historique:
received:
13
08
2021
accepted:
10
11
2021
entrez:
29
11
2021
pubmed:
30
11
2021
medline:
30
11
2021
Statut:
epublish
Résumé
Sub-Saharan Africa (SSA) remains the region with the highest burden of anemia globally. Since anemia has both health and non-health-related consequences, its reduction is one of the Sustainable Development Goals. Therefore, this study aimed to examine the prevalence of anemia and its associated factors among married women in SSA. Using Stata version-14 software, the analysis was done on 89,029 married women from the Demographic and Health Surveys of 19 countries in SSA. Pearson Chi-Square test and Binary logistic regression analyses were used to examine the factors associated with anemia. The results were presented using adjusted Odds Ratio (aOR) at a 95% Confidence Interval (CI). A p-value less than or equal to 0.05 (p ≤ 0.05) was considered statistically significant. The pooled analysis showed that 49.7% of married women were anemic. Of these, 1.04% and 15.05% were severely and moderately anemic respectively, and the rest 33.61% were mildly anemic. Husband education (primary school-aOR = 0.84, 95% CI; 0.71-0.99), wealth index (middle-aOR = 0.81, 95% CI; 0.68-0.96, richer-aOR = 0.69, 95% CI; 0.57-0.84, richest-aOR = 0.68, 95% CI; 0.51-0.91), modern contraceptive use (yes-aOR = 0.68, 95% CI; 0.56-0.81) and religion (Muslim-aOR = 1.27, 95% CI; 1.11-1.46, others-aOR = 0.73, 95% CI; 0.59-0.90) were factors associated with anemia among married women. The findings show that nearly half of the married women are affected by anemia. Enhancing partners' educational levels, and economic empowerment of women, strengthening family planning services, and working with religious leaders to reduce the perception and religious beliefs related to food restrictions can be the main focus to reduce the burden of anemia among married women in SSA.
Sections du résumé
BACKGROUND
BACKGROUND
Sub-Saharan Africa (SSA) remains the region with the highest burden of anemia globally. Since anemia has both health and non-health-related consequences, its reduction is one of the Sustainable Development Goals. Therefore, this study aimed to examine the prevalence of anemia and its associated factors among married women in SSA.
METHODS
METHODS
Using Stata version-14 software, the analysis was done on 89,029 married women from the Demographic and Health Surveys of 19 countries in SSA. Pearson Chi-Square test and Binary logistic regression analyses were used to examine the factors associated with anemia. The results were presented using adjusted Odds Ratio (aOR) at a 95% Confidence Interval (CI). A p-value less than or equal to 0.05 (p ≤ 0.05) was considered statistically significant.
RESULTS
RESULTS
The pooled analysis showed that 49.7% of married women were anemic. Of these, 1.04% and 15.05% were severely and moderately anemic respectively, and the rest 33.61% were mildly anemic. Husband education (primary school-aOR = 0.84, 95% CI; 0.71-0.99), wealth index (middle-aOR = 0.81, 95% CI; 0.68-0.96, richer-aOR = 0.69, 95% CI; 0.57-0.84, richest-aOR = 0.68, 95% CI; 0.51-0.91), modern contraceptive use (yes-aOR = 0.68, 95% CI; 0.56-0.81) and religion (Muslim-aOR = 1.27, 95% CI; 1.11-1.46, others-aOR = 0.73, 95% CI; 0.59-0.90) were factors associated with anemia among married women.
CONCLUSION
CONCLUSIONS
The findings show that nearly half of the married women are affected by anemia. Enhancing partners' educational levels, and economic empowerment of women, strengthening family planning services, and working with religious leaders to reduce the perception and religious beliefs related to food restrictions can be the main focus to reduce the burden of anemia among married women in SSA.
Identifiants
pubmed: 34839822
doi: 10.1186/s13690-021-00733-x
pii: 10.1186/s13690-021-00733-x
pmc: PMC8628470
doi:
Types de publication
Journal Article
Langues
eng
Pagination
214Informations de copyright
© 2021. The Author(s).
Références
PLoS One. 2020 Aug 13;15(8):e0236449
pubmed: 32790764
Am J Clin Nutr. 2000 May;71(5 Suppl):1280S-4S
pubmed: 10799402
J Family Med Prim Care. 2018 Nov-Dec;7(6):1288-1293
pubmed: 30613513
Matern Child Nutr. 2018 Nov;14 Suppl 4:e12478
pubmed: 28857410
BMJ Open. 2019 Apr 4;9(4):e027276
pubmed: 30948614
BMJ Sex Reprod Health. 2018 Nov 21;:
pubmed: 30463847
Isr J Health Policy Res. 2013 Dec 19;2(1):50
pubmed: 24354849
Neonatology. 2019;115(3):269-274
pubmed: 30759449
Contraception. 2003 Jan;67(1):1-8
pubmed: 12521650
Nutrients. 2016 Nov 02;8(11):
pubmed: 27827838
Am J Obstet Gynecol. 2020 Oct;223(4):516-524
pubmed: 32184147
BMJ Open. 2015 Apr 14;5(4):e006001
pubmed: 25872935
Am J Clin Nutr. 2017 Jul;106(Suppl 1):416S-427S
pubmed: 28615262
Sci Rep. 2019 Nov 19;9(1):17048
pubmed: 31745104
J Prim Care Community Health. 2017 Jul;8(3):169-175
pubmed: 28606031
BMC Public Health. 2019 Dec 11;19(1):1662
pubmed: 31829161
BMC Public Health. 2020 May 24;20(1):775
pubmed: 32448212
BMJ Open. 2017 Dec 22;7(12):e018007
pubmed: 29275342
Ann N Y Acad Sci. 2019 Aug;1450(1):15-31
pubmed: 31008520
J Nutr. 2014 Jun;144(6):906-14
pubmed: 24717371
Blood. 2013 Apr 4;121(14):2607-17
pubmed: 23355536
Lancet. 2011 Dec 17;378(9809):2123-35
pubmed: 21813172
Blood. 2014 Jan 30;123(5):615-24
pubmed: 24297872
PLoS One. 2020 Sep 11;15(9):e0238957
pubmed: 32915880
Am J Clin Nutr. 2000 May;71(5 Suppl):1285S-7S
pubmed: 10799403
Lancet. 2015 Nov 28;386(10009):2145-91
pubmed: 26321261
BMC Public Health. 2019 Dec 30;19(1):1757
pubmed: 31888579
Obstet Gynecol. 2003 Apr;101(4):653-61
pubmed: 12681866
Int J Surg. 2014 Dec;12(12):1495-9
pubmed: 25046131