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Prevalence and determinants of anaemia in women of reproductive age in Sudan: analysis of a cross-sectional household survey

BMC public health, 2020-07, Vol.20 (1), p.1125-1125, Article 1125 [Peer Reviewed Journal]

COPYRIGHT 2020 BioMed Central Ltd. ;2020. This work is licensed under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. ;The Author(s) 2020 ;ISSN: 1471-2458 ;EISSN: 1471-2458 ;DOI: 10.1186/s12889-020-09252-w ;PMID: 32680488

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Title:
Prevalence and determinants of anaemia in women of reproductive age in Sudan: analysis of a cross-sectional household survey
Author: Elmardi, Khalid Abdelmutalab ; Adam, Ishag ; Malik, Elfatih Mohammed ; Abdelrahim, Tarig Abdalla ; Elhag, Mousab Siddig ; Ibrahim, Abdalla Ahmed ; Babiker, Mariam Adam ; Elhassan, Asma Hashim ; Kafy, Hmooda Toto ; Elshafie, Azza Tageldin ; Nawai, Lubna Mohammed ; Abdin, Mujahid Sheikhedin ; Kremers, Stef
Subjects: Adolescent ; Adult ; Age ; Anaemia ; Anemia ; Anemia - epidemiology ; Anemia - etiology ; Birth weight ; Camps ; Cluster Analysis ; Cross-Sectional Studies ; Demographic aspects ; Diagnosis ; Diagnostic systems ; Diagnostic tests ; Disease transmission ; Displaced persons ; Family Characteristics ; Female ; Forecasts and trends ; Haemoglobin ; Health facilities ; Hemoglobin ; Hemoglobins - analysis ; Households ; Humans ; Infections ; Logistic Models ; Logistic regression ; Low-birth-weight ; Malaria ; Malaria - epidemiology ; Parasites ; Population ; Population studies ; Populations ; Poverty - statistics & numerical data ; Pregnancy ; Pregnancy Complications - epidemiology ; Pregnancy Complications - etiology ; Pregnant women ; Prevalence ; Principal components analysis ; Public health ; Refugees ; Refugees - statistics & numerical data ; Regression analysis ; Regression models ; Risk Factors ; Rural areas ; Rural Population - statistics & numerical data ; Rural populations ; Sampling designs ; Social Determinants of Health - statistics & numerical data ; Studies ; Sudan - epidemiology ; Surveys and Questionnaires ; Urban areas ; Urban Population - statistics & numerical data ; Urban populations ; Variables ; Vector-borne diseases ; Women ; Women's health ; Women's Health - statistics & numerical data ; Womens health ; Young Adult
Is Part Of: BMC public health, 2020-07, Vol.20 (1), p.1125-1125, Article 1125
Description: Anaemia is a global health problem and women in reproductive age (WRA) are amongst the most affected population. Its consequences include low birth weight and maternal mortality. This study aimed to assess the prevalence of anaemia and to identify its determinants in Sudanese women in reproductive age. A population-based cross-sectional study was conducted in Sudan in 2016. A multi-stage stratified cluster sampling design was executed with consideration of rural population, urban population, and internally displaced persons/refugees camps residents. All women in reproductive age (15-49 years), classified by pregnancy status, in the targeted households were surveyed and personal characteristic data were collected. Their haemoglobin level and malaria infection (using rapid diagnostic test, RDT) were assessed. The World Health Organization (WHO) haemoglobin level cut-off for defining anaemia and severe anaemia in pregnant and non-pregnant women was used. Logistic regression analyses were performed. A total of 4271 women (WRA) of which 421 (9.9%) pregnant women (PW) were included in the study. The overall anaemia prevalence in WRA was 35.6%. It was 36.0 and 35.5% in PW and non-pregnant women (NPW), respectively. The average haemoglobin level was found to be 113.9 g/L (SD 16.3) and 123.2 g/L (SD 15.7) for PW and NPW respectively. Severe anaemia prevalence was 1.2% in each group. In the logistic regression model, anaemia was associated with malaria infection in PW (aOR 4.100, 95%CI 1.523-11.039, p = 0.003), NPW (aOR 2.776, 95%CI 1.889-4.080, p < 0.001), and WRA (aOR 2.885, 95%CI 2.021-4.119, p < 0.001). Other identified determinants of anaemia in NPW was living in camps (aOR 1.499, 95%CI 1.115-2.017, p = 0.007) and in WRA was being in the poorest economic class (aOR 1.436, 95%CI 1.065-1.936, p = 0.018). Anaemia is a public health problem in Sudan. The study supported the association between malaria infection and anaemia, but not with low and moderate malaria transmission areas. Resources need to be allocated for all anaemic populations with special attention for the populations in most need and interventions need to be implemented based on local variations. Malaria control interventions, specifically case management, may have a major impact in reducing anaemia prevalence in low to moderate malaria transmission areas.
Publisher: England: BioMed Central Ltd
Language: English
Identifier: ISSN: 1471-2458
EISSN: 1471-2458
DOI: 10.1186/s12889-020-09252-w
PMID: 32680488
Source: GFMER Free Medical Journals
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Prevalence and determinants of anaemia in women of reproductive age in Sudan: analysis of a cross-sectional household survey

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