Modern Contraceptive Methods Predict Hemoglobin Levels Among Women of Childbearing Age from DHS 2016

Teshome, Anissa Abebe; Berra, Wondu Garoma; Huryi, Aschalew Fikru

doi:10.2147/oajc.s329045

Cited by 10 publications

(8 citation statements)

References 22 publications

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“…This was in agreement with a case-control study conducted in West Ethiopia that reported higher odds of anemia among pregnant women with a MUAC of less than 23 cm (AOR = 3.42; 95% CI: 2.07, 5.63) [27]. Malnutrition during pregnancy may be caused by poor dietary intake [4], low pre-pregnancy BMI (< 18.5 kg/m 2 ) [28], accompanied by infections and infestations, which is common in LMICs [29].…”

Section: Discussionsupporting

confidence: 92%

Prevalence and factors associated with anemia among pregnant women in East Lombok district during the COVID-19 pandemic

Ameline,

Chandra,

Htet

et al. 2023

Preprint

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Background Maternal anemia is a major public health problem that has detrimental effects on pregnancy and birth outcomes. The threat of food insecurity and nutritional deficiencies is growing as a result of the COVID-19 pandemic. The aim of this study was to determine the prevalence and risk factors of anemia among pregnant women in East Lombok during the pandemic. Methods This community-based cross-sectional study is part of an observational cohort study entitled “UKRI-GCRF Action Against Stunting Hub (AASH)” in rural areas of East Lombok, Indonesia, from August 2021 to February 2022. Data were collected from women (18-40 years) in their third trimester pregnancy (N=446). Data collection included hemoglobin, mid-upper arm circumference, intestinal helminth infections, and structured questionnaires for sociodemographic, dietary diversity, pregnancy-related, reduced coping strategy index and COVID-19-related variables. The association between anemia and its determinants was analyzed using binary logistic regression model. Results Anemia was found in 40.8% of pregnant women. During the pandemic, 74.7% and 28.9% of women reported a decrease in household income and food expenditure whereas 47% of them reported having medium-to-high coping strategies against the pandemic. Higher RCSI scores (≥5) was associated with food insecurity, decrease in household income, older age (>35 years), low education level, multiparity, receiving government assistance targeted for poor families, but with contraceptive use. In logistic regression, anemia was significantly associated with chronic energy deficiency (CED, AOR=1.92; 95%CI: 1.06-3.48), inadequate dietary diversity (AOR=1.58; 95%CI: 1.02-2.45), and non-use of contraception (AOR=1.58; 95%CI: 1.02-2.45). Conclusions CED, inadequate dietary diversity, and non-use of contraception were major contributors to anemia in pregnancy in the area. The findings highlight the importance of improving anemia control program among pregnant women in rural areas like East Lombok and improving policy to strengthen their resilience to natural phenomenon such as COVID-19.

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Section: Discussionsupporting

confidence: 92%

Prevalence and factors associated with anemia among pregnant women in East Lombok district during the COVID-19 pandemic

Ameline,

Chandra,

Htet

et al. 2023

Preprint

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“…22 Similarly, another study's result demonstrated the likelihood of anemia was decreased by around 40% as opposed to those who practiced the barrier method of contraception (OR=0.6,95% CI: 0.45 to 1.12). 23 While mentioning parity, multiparous females were found to have reduced serum ferritin levels (and hence low hemoglobin) as compared to the controls, indicating that multiple pregnancies do play a role in the context of the iron content inside the body. 24 Likewise, our study also had similar findings that the prevalence of anemia and iron deficiency was more among multiparous females as compared to nulliparous females.…”

Section: Discussionmentioning

confidence: 98%

Prevalence of anemia and its associated factors among women of reproductive age group attending Gaur Provincial Hospital: A cross-sectional study

Chaurasiya¹,

Gurung²,

Karki³

et al. 2022

F1000Res

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Background: Anemia is a principal public health concern. Worldwide one-third of women of reproductive age are affected. A 2016 survey showed that 41% of women in Nepal had anemia with the highest prevalence in Pradesh two. A complex interaction among socio-political, biological, and ecological elements determines anemia. Assessing the factors would help in minimizing anemia and its consequences. The study aimed to determine the prevalence of anemia in the reproductive age group and the factors affecting anemia. Methods: A hospital-based cross-sectional study was conducted among women of the reproductive age group (15–45) from 15th April to 15th June 2022 after ethical clearance was obtained from the Nepal health research council (Ref. 2737/2022). Regarding data collection, 375 women participants were selected via a simple random sampling technique. Participants underwent an interview after informed written consent followed by blood sample collection. Through a semi-structured questionnaire, the data was obtained. Then data entry and its analysis were performed via Microsoft Excel 2019 and Statistical Package for Social Sciences version 22.0. Results: The study showed that 229 (61.3%) females of the reproductive age group had anemia. Inadequate nutrition (OR 3.0, 1.9–5.0), breastfeeding (OR 7.3, 4.5–11.9), and rural place of residence (OR 4.2, 2.5–7.0) were significantly associated with anemia, with a corresponding odds ratio at 95% confidence each. Conclusions: The prevalence of anemia was higher among women of the reproductive age group compared to provincial and national prevalence. The interventions should be focused on breastfeeding, nutrition, and rural women to combat anemia.

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“…In fact, progesterone increases appetite and results in faster metabolism, while estrogen facilitates lipid metabolism and fat accumulation in the adipose tissue in the cell [ 22 ]. On the contrary, using those modern contraceptive methods; especially hormonal contraceptives had a high potential to improve the hemoglobin level among women of childbearing age [ 66 ]. Because of this paradoxical effect among modern contraceptive users, the co-occurrence of overweight/obesity and anemia is less likely to develop than for non-users and those on traditional methods.…”

Section: Discussionmentioning

confidence: 99%

Spatial distribution and associated factors of co-occurrence of overweight/obesity and Anemia among women in the reproductive age in sub-Saharan Africa: A multilevel analysis, DHS 2016–2021

Getnet,

Sisay,

Alem

2024

PLoS ONE

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Background Overweight/obesity is one of the major public health problems that affect both developed and developing nations. The co-occurrence of overweight/obesity and anemia is thought to be largely preventable if detected early. To date, no spatial analyses have been performed to identify areas of hotspots for the co-occurrence of overweight/obesity and anemia among reproductive women in sub-Saharan Africa. Therefore, this study aimed to assess the spatial distribution and associated factors of the co-occurrence of overweight/obesity and anemia among women of reproductive age. Methods Data for the study were drawn from the Demographic and Health Survey, a nationally representative cross-sectional survey conducted in the era of Sustainable Development Goals, in which the World Health Assembly decided and planned to cease all forms of malnutrition by 2030. Seventeen sub-Saharan African countries and a total weighted sample of 108,161 reproductive women (15–49 years) were included in our study. The data extraction, recoding and analysis were done using STATA V.17. For the spatial analysis (autocorrelation, hot-spot and interpolation), ArcGIS version 10.7 software, and for the SaTScan analysis, SaTScan version 10.1 software was used. Descriptive statistics were presented using frequency tables and percentages. We employed multilevel logistic regression to investigate associated factors. In the multivariable analysis, variables with a p-value of ≤0.05 are considered as a significant factor associated with co-occurrence of overweight/obesity and anemia among women aged 15–49 years. Results The overall co-occurrence of overweight/obesity and anemia among women in sub-Saharan Africa was 12% (95%CI: 9–14%). The spatial analysis revealed that the co-occurrence of overweight/obesity and anemia among women significantly varied across sub-Saharan Africa. (Global Moran’s I = 0.583163, p<0.001). In the spatial window, the primary-cluster was located in Liberia, Guinea, Gambia, Sira Leon, Mauritania, Mali, Cameron and Nigeria with a Log-Likelihood Ratio (LRR) of 1687.30, and Relative Risk (RR) of 2.58 at a p-value < 0.001. In multilevel analysis, women aged 25–34 years (AOR = 1.91, 95%CI: 1.78, 2.04), women aged 35–49 years (AOR = 2.96, 95% CI: 2.76, 3.17), married (AOR = 1.36, 95% CI: 1.27, 1.46), widowed (AOR = 1.22, 95%CI: 1.06, 1.40), divorced (AOR = 1.36, 95% CI: 1.23, 1.50), media exposure (AOR = 1.31, 95%CI: 1.23, 1.39), middle income (AOR = 1.19, 95%CI: 1.11, 1.28), high income/rich (AOR = 1.36, 95%CI: 1.26, 1.46), not working (AOR = 1.13, 95% CI:1.07, 1.19), traditional contraceptive utilization (AOR = 1.39, 95%CI: 1.23, 1.58) and no contraceptive use (AOR = 1.27, 95%CI: 1.20, 1.56), and no health insurance coverage (AOR = 1.36, 95%CI: 1.25, 1.49), were individual level significant variables. From community-level variables urban residence (AOR = 1.61, 95%CI: 1.50, 1.73), lower middle-income country (AOR = 2.50, 95%CI: 2.34, 2.66) and upper middle-income country (AOR = 2.87, 95%CI: 2.47, 3.34), were significantly associated with higher odds of co-occurrence of overweight/ obesity and anemia. Conclusion and recommendations The spatial distribution of the co-occurrence of overweight/obesity and anemia was significantly varied across the sub-Saharan African country. Both individual and community-level factors were significantly associated with the co-occurrence of overweight/obesity and anemia. Therefore, public health programmers and other stalk holders who are involved in maternal healthcare should work together and give priority to hotspot areas of co-occurrence in sub-Saharan Africa.

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Modern Contraceptive Methods Predict Hemoglobin Levels Among Women of Childbearing Age from DHS 2016

Cited by 10 publications

References 22 publications

Prevalence and factors associated with anemia among pregnant women in East Lombok district during the COVID-19 pandemic

Prevalence and factors associated with anemia among pregnant women in East Lombok district during the COVID-19 pandemic

Prevalence of anemia and its associated factors among women of reproductive age group attending Gaur Provincial Hospital: A cross-sectional study

Spatial distribution and associated factors of co-occurrence of overweight/obesity and Anemia among women in the reproductive age in sub-Saharan Africa: A multilevel analysis, DHS 2016–2021

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