National, regional, and global estimates of anaemia by severity in women and children for 2000–19: a pooled analysis of population-representative data

Stevens, Gretchen A; Paciorek, Christopher J.; Flores-Urrutia, Monica C; Borghi, Elaine; Namasté, Sorrel; Wirth, James P.; Suchdev, Parminder S.; Ezzati, Majid; Rohner, Fabian; Flaxman, Seth; Rogers, Lisa M.

doi:10.1016/s2214-109x(22)00084-5

Cited by 216 publications

(195 citation statements)

References 27 publications

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“…In the first two years of life, the child has rapid mental development and physical growth which demands the highest nutritional supply [ 7 ]. As of 2019, an estimated 269 million children suffered from anemia with nearly two-thirds in Asia and Africa [ 8 , 9 ]. The highest prevalence of anemia among children was observed in sub-Saharan Africa (46%—66%) [ 3 , 10 , 11 ].…”

Section: Introductionmentioning

confidence: 99%

Individual-and community-level factors associated with anemia among children aged 6–23 months in sub-Saharan Africa: evidence from 32 sub-Saharan African countries

Seifu

Tesema

2022

Arch Public Health

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Background Anemia among children aged 6–23 months is a major public health problem worldwide specifically in sub-Saharan Africa (SSA). Anemia during the childhood period causes significant short-and long-term health consequences. However, there is a paucity of evidence on Anemia among children aged 6–23 months in SSA. Therefore, this study examined the individual- and community-level factors associated with anemia among children aged 6–23 months in sub-Saharan Africa. Methods A secondary data analysis was done based on the most recent Demographic and Health Survey (DHS) of 32 sub-Saharan African countries. A total weighted sample of 51,044 children aged 6–23 months was included for analysis. We have used a multilevel proportional odds model to identify predictors of severity levels of anemia. Variables with p < 0.2 in the bivariable analysis were considered for the multivariable analysis. In the multivariable multilevel proportional odds model, the Adjusted Odds Ratio (AOR) with the 95% Confidence Interval (CI) was reported to declare the statistical significance and strength of the association. Results In this study, about 76.6% (95% CI: 76.2%, 76.9%) of children aged 6–23 months in sub-Saharan Africa were anemic. In the multivariable multilevel proportional odds model, being female, being aged 18–23 months, higher level of maternal education, being larger size at birth, belonging to a wealthier household, getting four ANC visits and above, advanced maternal age, and belonging to a community with high maternal education were significantly associated with lower odds of higher levels of anemia. On the other hand, being twin birth, being smaller size at birth, being of a higher order of birth, having fever in the last two weeks, and distance to a health facility were significantly associated with higher odds of higher levels of anemia. Conclusion The study found that more than three-fourths of children aged 6–23 months in sub-Saharan Africa were anemic. This finding proved that the severity levels of anemia among children in sub-Saharan Africa remain a serious public health concern. Therefore, to curve this problem enhancing maternal education, promoting maternal health service utilization, and improving health care access is crucial. In addition, health care providers better give special emphasis to twin births, higher-order birth, and those belonging to poor households to reduce the incidence of anemia among children aged 6–23 months in SSA.

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Section: Introductionmentioning

confidence: 99%

Individual-and community-level factors associated with anemia among children aged 6–23 months in sub-Saharan Africa: evidence from 32 sub-Saharan African countries

Seifu

Tesema

2022

Arch Public Health

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“…Secara global, regional, dan di hampir semua negara, kemajuan anemia pada wanita berusia 15-49 tahun tidak cukup untuk memenuhi target nutrisi global WHA untuk mengurangi separuh prevalensi anemia pada tahun 2030, dan prevalensi anemia pada anak-anak juga tetap tinggi. Diperlukan pemahaman yang lebih baik tentang penyebab anemia yang spesifik konteks dan penerapan kualitas tindakan multisektoral yang efektif untuk mengatasi penyebab-penyebab ini (Stevens et al, 2022) Berdasarkan Riset Kesehatan Dasar (Riskesdas) Tahun 2018, angka anemia pada ibu hamil mencapai 48,9 persen. Sementara target global nutrisi tahun 2025 adalah menurunkan angka anemia pada wanita usia subur (WUS) hingga mencapai 50 persen.…”

Section: Pendahuluanunclassified

Analisis Faktor Risiko Anemia dalam Kehamilan pada Masa Pandemi Covid-19

Arnianti¹,

Adeliana²,

Hasnitang³

2022

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Pendahuluan: Anemia menjadi salah satu faktor penyebab kematian ibu secara tidak langsung. Anemia dalam kehamilan merupakan kondisi ibu dengan kadar hemoglobin ibu kurang dari 11,0 g/dL pada trimester pertama dan ketiga serta kadar hemoglobin kurang dari 10,5 g/dL pada trimester kedua. Tujuan: Mengetahui faktor yang mempengaruhi anemia dalam kehamilan pada masa pandemi Covid-19. Metode: Penelitian ini menggunakan studi observasional analitik dengan desain studi kasus-kontrol. Metode pengambilan sampel menggunakan teknik Purposive Sampling. Besar sampel dalam penelitian ini adalah 99 sampel yang terdiri dari 33 kasus dan 66 kontrol. Data diperoleh dari tiga puskesmas yang berada di Kota Palopo yaitu, Puskemas Bara Permai, Puskemas Benteng, Puskesmas Wara Selatan. Hasil: Analisis statistik didapatkan umur ibu hamil (OR=7,368; sig (0,000 < 0,05), paritas (OR=2,754; sig=0,047 < 0,05), jarak kehamilan (OR=2,925; Sig-p=0,022), pendidikkan (OR=3,750; sig-p=0,003), kepatuhan mengkonsumsi tablet Fe (OR=4,214; Sig-p=0,006, dan status LiLA (OR=27,125; Sig-p=0,000). Kesimpulkan: Bahwa terdapat pengaruh yang bermakna antara umur ibu hamil, paritas, jarak kehamilan, pendidikan, kepatuhan konsumsi tablet Fe dan Status LiLA terhadap anemia dalam kehamilan.

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“…Anemia is a serious global public health problem particularly affecting young children and pregnant women. In 2019, the global prevalence of anemia among pregnant women aged 15-49 years was 36% (95% CI: 34-9%) and it was 27% (95% CI: 21-35%) in east and southeast Asia [1]. In China, the reported prevalence was relatively low, varying from 10.5% to 23.5% [2][3][4][5], but it still cannot be ignored.…”

Section: Introductionmentioning

confidence: 99%

Association of Vitamin D in Different Trimester with Hemoglobin during Pregnancy

Peng

Cheng

et al. 2022

Nutrients

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The association between vitamin D and hemoglobin has been suggested. Vitamin D can affect erythropoiesis by the induction of erythroid progenitor cell proliferation and enhance iron absorption by regulating the iron-hepcidin-ferroportin axis in monocytes. However, this relationship in pregnant women is scarce. The purpose of this study was to investigate the association between plasma vitamin D levels with hemoglobin concentration in pregnant women considering each trimester and iron supplementation. The data were obtained from Zhoushan Pregnant Women Cohort, collected from 2011 to 2018. Plasma 25(OH)D was measured in each trimester using liquid chromatography–tandem mass spectrometry. Generalized estimating equations and multiple linear regressions were performed. Finally, 2962 pregnant women and 4419 observations in the first trimester were included in this study. Plasma 25(OH)D in first trimester (T1) (β = 0.06, p = 0.0177), second trimester (T2) (β = 0.15, p < 0.0001), and third trimester (T3) (β = 0.12, p = 0.0006) were positively associated with Hb. Association between plasma 25(OH)D levels in T1 and Hb concentration was positively associated with gestational age (β = 0.005, p = 0.0421). Pregnant women with VD deficiency in T1 (OR = 1.42, 95% CI: 1.07–1.88) or T2 (OR = 1.94, 95% CI: 1.30–2.89) presented an increased risk of anemia, compared with women without VD deficiency. Moreover, the significant relationship between VD and Hb was only observed among women with iron supplementation during pregnancy. Plasma 25(OH)D levels in each trimester were positively associated with Hb concentration. Iron supplementation might be an important factor affecting the relationship between VD and Hb.

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National, regional, and global estimates of anaemia by severity in women and children for 2000–19: a pooled analysis of population-representative data

Cited by 216 publications

References 27 publications

Individual-and community-level factors associated with anemia among children aged 6–23 months in sub-Saharan Africa: evidence from 32 sub-Saharan African countries

Individual-and community-level factors associated with anemia among children aged 6–23 months in sub-Saharan Africa: evidence from 32 sub-Saharan African countries

Analisis Faktor Risiko Anemia dalam Kehamilan pada Masa Pandemi Covid-19

Association of Vitamin D in Different Trimester with Hemoglobin during Pregnancy

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