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Prevalence of and factors associated with anaemia in women of reproductive age in Bangladesh, Maldives and Nepal: Evidence from nationally-representative survey data

Rahman, Muhammad Ashfikur, Rahman, Muhammad Sazedur, Rahman, Muhammad Aziz, Szymlek-Gay, Ewa A., Uddin, Riaz and Shariful Islam, Sheikh Mohammed 2021, Prevalence of and factors associated with anaemia in women of reproductive age in Bangladesh, Maldives and Nepal: Evidence from nationally-representative survey data, PloS one, vol. 16, no. 1, pp. 1-20, doi: 10.1371/journal.pone.0245335.

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Title Prevalence of and factors associated with anaemia in women of reproductive age in Bangladesh, Maldives and Nepal: Evidence from nationally-representative survey data
Author(s) Rahman, Muhammad Ashfikur
Rahman, Muhammad Sazedur
Rahman, Muhammad AzizORCID iD for Rahman, Muhammad Aziz orcid.org/0000-0003-1665-7966
Szymlek-Gay, Ewa A.ORCID iD for Szymlek-Gay, Ewa A. orcid.org/0000-0002-6533-7945
Uddin, RiazORCID iD for Uddin, Riaz orcid.org/0000-0001-8133-9732
Shariful Islam, Sheikh MohammedORCID iD for Shariful Islam, Sheikh Mohammed orcid.org/0000-0001-7926-9368
Journal name PloS one
Volume number 16
Issue number 1
Article ID e0245335
Start page 1
End page 20
Total pages 20
Publisher PLOS
Place of publication San Francisco, CA
Publication date 2021-01-07
ISSN 1932-6203
1932-6203
Keyword(s) Science & Technology
Multidisciplinary Sciences
Science & Technology - Other Topics
IRON-DEFICIENCY
RISK-FACTORS
SYSTEMATIC ANALYSIS
PREGNANT-WOMEN
LOW-INCOME
BURDEN
academia
pregnancy
professions
water resources
educational attainment
breast feeding
contraception
health surveys
Summary BackgroundAnaemia is a significant public health problem in most South-Asian countries, causing increased maternal and child mortality and morbidity. This study aimed to estimate the prevalence of and factors associated with anaemia in women of reproductive age in Bangladesh, Maldives, and Nepal.MethodsWe used the nationally-representative Demographic and Health Surveys Program data collected from women of reproductive age (15–49 years) in 2011 in Bangladesh (n = 5678), 2016 in Maldives (n = 6837), and 2016 in Nepal (n = 6419). Anaemia was categorized as mild (haemoglobin [Hb] of 10.0–10.9 g/dL for pregnant women and 11.0–11.9 g/dL for non-pregnant women), moderate (Hb of 7.0–9.9 g/dL for pregnant women and 8.0–10.9 g/dL for non-pregnant women), and severe (Hb <7.0 g/dL for pregnant women and <8.0 g/dL for non-pregnant women). Multinomial logistic regression analyses were used to identify factors associated with anaemia.ResultsThe prevalence of anaemia was 41.8% in Bangladesh, 58.5% in Maldives, and 40.6% in Nepal. In Bangladesh, postpartum amenorrhoeic, non-educated, and pregnant women were more likely to have moderate/severe anaemia compared to women who were menopausal, had secondary education, and were not pregnant, respectively. In Maldives, residence in urban areas, underweight, having undergone female sterilization, current pregnancy, and menstruation in the last six weeks were associated with increased odds of moderate/severe anaemia. In Nepal, factors associated with increased odds of moderate/severe anaemia were having undergone female sterilization and current pregnancy.ConclusionAnaemia remains a significant public health issue among 15-49-year-old women in Bangladesh, Maldives, and Nepal, which requires urgent attention. Effective policies and programmes for the control and prevention of anaemia should take into account the unique factors associated with anaemia identified in each country. In all three countries, strategies for the prevention and control of anaemia should particularly focus on women who are pregnant, underweight, or have undergone sterilization.
Language eng
DOI 10.1371/journal.pone.0245335
Indigenous content off
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2021 Rahman et al.
Free to Read? Yes
Use Rights Creative Commons Attribution licence
Persistent URL http://hdl.handle.net/10536/DRO/DU:30146550

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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.