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Anaemia status of preconception young married women in India

Published online by Cambridge University Press:  07 July 2021

Rajeshwari A. Biradar Open the ORCID record for Rajeshwari A. Biradar [Opens in a new window]
Rajeshwari A. Biradar*
Affiliation:
School of Development Studies, Tata Institute of Social Sciences, Mumbai, India
*
Email: [email protected]
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Abstract

The early detection of anaemia is important for its subsequent control and incidence among women of childbearing age. This study aimed to assess the anaemia status of preconception young married women in India using National Family Health Survey-4 data collected in 2015–16. A total 65,238 sample preconception young married women were analysed using univariate, bivariate and multivariate techniques. A majority belonged to the Hindu religion (81.7%), lived in rural areas (64.5%) and had secondary level education (51.8%), and 41.7% had not yet given birth. The percentage suffering from anaemia was 51.3%. The prevalence of anaemia was higher among younger women (55.3%), those from Scheduled Tribes (59.0%), those living in rural areas (52.8%), the non-educated (55.9%), those in the poorest wealth quintile (56.9%), those from the East region (57.0%) and those with a low body mass index (BMI) (58.4%). The adjusted odds ratios indicated that, after controlling for significant background factors, Hindu, Scheduled Tribe, Scheduled Caste, East region, already having a child, too thin for their height and poorer and poorest wealth quintiles had higher odds of suffering from anaemia compared with the reference groups. The odds of suffering from anaemia decreased with age and education. The study showed a high burden of anaemia and associated risk factors among preconception young married women in India. The finding will inform decision-makers when planning interventions to decrease anaemia among women of childbearing age in India.

Keywords

AnaemiaPreconceptionIndia
Type
Research Article
Information
Journal of Biosocial Science , Volume 54 , Issue 4 , July 2022 , pp. 672 - 681
Copyright
© The Author(s), 2021. Published by Cambridge University Press

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References

Al Kibria, GM, Swasey, K, Hasan, MZ, Sharmeen, A and Day, B (2019) Prevalence and factors associated with underweight overweight and obesity among women of reproductive age in India. Global Health Research and Policy 4(1), 24.CrossRefGoogle ScholarPubMed
Anchang-Kimbi, JK, Nkweti, VN, Ntonifor, HN, Apinjoh, TO, Chi, HF, Tata, RB and Achidi, EA (2017) Profile of red blood cell morphologies and causes of anaemia among pregnant women at first clinic visit in the mount Cameroon area: a prospective cross sectional study. BMC Research Notes 10(1), 1–7.CrossRefGoogle ScholarPubMed
Baig-Ansari, N, Badruddin, SH, Karmaliani, R, Harris, H, Jehan, I, Pasha, O and Goldenberg, RL (2008) Anemia prevalence and risk factors in pregnant women in an urban area of Pakistan. Food and Nutrition Bulletin 29(2), 132–139.CrossRefGoogle Scholar
Balarajan, Y, Ramakrishnan, U, Özaltin, E, Shankar, AH and Subramanian, SV (2011) Anaemia in low-income and middle-income countries. The Lancet 378(9809), 2123–2135.CrossRefGoogle ScholarPubMed
Bentley, ME and Griffiths, PL (2003) The burden of anemia among women in India. European Journal of Clinical Nutrition 57(1), 52–60.CrossRefGoogle ScholarPubMed
Berns, SD, Kott, A and DeGroat, N (2010) Toward improving the outcome of pregnancy III: enhancing perinatal health through quality, safety and performance initiatives. March of Dimes National Foundation, White Plains, NY. URL: https://www.marchofdimes.org/toward-improving-the-outcome-of-pregnancy-iii.pdf (accessed 11th December 2020).Google Scholar
Chowdhury, R, Taneja, S, Dhabhai, N, Mazumder, S, Upadhyay, RP, Sharma, S and Bahl, R (2020) Burden of preconception morbidity in women of reproductive age from an urban setting in North India. PloS One 15(6), e0234768.CrossRefGoogle ScholarPubMed
Debi, S, Basu, G, Mondal, R, Chakrabarti, S, Roy, SK and Ghosh, S (2020) Compliance to iron-folic-acid supplementation and associated factors among pregnant women: a cross-sectional survey in a district of West Bengal India. Journal of Family Medicine and Primary Care 9(7), 3613.Google Scholar
Doke, PP, Gothankar, JS, Patil, AV, Pore, PD, Palkar, SH, Deshpande, AV and Chutke, AP (2020) Knowledge and Behaviour about Preconception Care among Women Desiring Conception from Tribal and Non-Tribal Areas; A Qualitative Study Using Focused Group Discussions. URL: https://assets.researchsquare.com/files/rs-27052/v1/b0eeb771-757d-4e1f-978e-f90408830802.pdf(accessed 11th December 2020).Google Scholar
Figueiredo, AC, Gomes-Filho, IS, Silva, RB, Pereira, PP, Da Mata, FA, Lyrio, AO and Pereira, MG (2018) Maternal anemia and low birth weight: a systematic review and meta-analysis. Nutrients 10(5), 601,CrossRefGoogle ScholarPubMed
Freda, MC, Moos, MK and Curtis, M (2006) The history of preconception care: evolving guidelines and standards. Maternal and Child Health Journal 10(1), 43–52.CrossRefGoogle ScholarPubMed
Galloway, R, Dusch, E, Elder, L, Achadi, E, Grajeda, R, Hurtado, E and Stephen, C (2002) Women’s perceptions of iron deficiency and anemia prevention and control in eight developing countries. Social Science & Medicine 55(4), 529–544.CrossRefGoogle ScholarPubMed
Government of India (2020a) Maternal Mortality Ratio (MMR) (Per 100000 Live Births). URL: https://niti.gov.in/content/maternal-mortality-ratio-mmr-100000-live-births (accessed 11th December 2020).Google Scholar
Government of India (2020b) Umbrella ICDS. URL: https://wcd,nic,in/schemes-listing/2404 (accessed 11th December 2020).Google Scholar
Government of India (2020c) National Iron Plus Initiative for Anemia Control. URL: https://www.nhp.gov.in/national-iron-plus-initiative-for-anemia-control_pg. (accessed 11th December 2020).Google Scholar
Gupta, S, Pingali, P and Pinstrup-Andersen, P (2019) Women’s empowerment and nutrition status: the case of iron deficiency in India. Food Policy 88, 101763.CrossRefGoogle Scholar
Halli, SS and Biradar, RA (2020) Is distribution a problem in iron-folic acid consumption in India? An exploration of district level household survey. Open Family Studies Journal 12, doi: 10.2174/1874922402012010034.CrossRefGoogle Scholar
IIPS (1995) India National Family Health Survey Report 1992–93: 2015–16. International Institute for Population Sciences, Mumbai.Google Scholar
IIPS (2017) National Family Health Survey Report (NFHS-4) 2015–16. International Institute for Population Sciences, Mumbai.Google Scholar
Ismail, IM, Kahkashan, A, Antony, A and Sobhith, V (2017) Role of socio-demographic and cultural factors on anemia in a tribal population of North Kerala India. International Journal of Community Medicine and Public Health 3(5), 1183–1188.Google Scholar
Kapil, U, Kapil, R and Gupta, A (2019) National iron plus initiative: current status and future strategy. Indian Journal of Medical Research 150(3), 239.CrossRefGoogle ScholarPubMed
Ministry of Health and Family Welfare (2014) India Newborn Action Plan . New Delhi Child Health Division, Ministry of Health and Family Welfare, Government of India. URL: https://vikaspedia.in/health/nrhm/national-health-mission/india-newborn-action-plan (accessed 11th December 2020).Google Scholar
Mithra, P, Unnikrishnan, B, Rekha, T, Nithin, K, Mohan, K, Kulkarni, V and Agarwal, D (2014) Compliance with iron-folic acid (IFA) therapy among pregnant women in an urban area of south India. African Health Sciences 14(1), 255–260.CrossRefGoogle Scholar
James, JA, George, LS and Fernandes, S (2019) Preconception care: existing knowledge in Karnataka India and need for an intervention. Women Health Open Journal 5(1), 12–15.CrossRefGoogle Scholar
Singh, R (2018) Recent changes in health status of women in Bihar through National Family Health Survey window. Journal of Clinical and Diagnostic Research 12(4), IE01–IE05.Google Scholar
Stevens, GA, Finucane, MM, De-Regil, LM, Paciorek, CJ, Flaxman, SR, Branca, F and Nutrition Impact Model Study Group (2013) Global regional and national trends in haemoglobin concentration and prevalence of total and severe anaemia in children and pregnant and non-pregnant women for 1995–2011: a systematic analysis of population-representative data. The Lancet Global Health 1(1), e16–e25.CrossRefGoogle ScholarPubMed
Velikkakam, T, Fiuza, JA and Gaze, ST (2017) Overview of hookworm infection in humans. In Singh, S (ed.), Neglected Tropical Diseases – South Asia. Springer, Cham. URL: https://doi.org/10.1007/978-3-319-68493-2_4 Google Scholar
World Health Organization (2011) Hemoglobin Concentrations for the Diagnosis of Anemia and Assessment of Severity, Vitamin and Mineral Nutrition Information System. URL: http://www,who,int/vmnis/indicators/haemoglobin,pdf (accessed 10th December 2020.Google Scholar
World Health Organization (2014) Global Nutrition Targets 2025: Anaemia Policy Brief. URL: http://apps,who,int/iris/bitstream/handle/10665/148556/WHO_NMH_NHD_14,4_eng,pdf?ua%20=%201 (accessed 10th December 2020.)Google Scholar
Zhang, SM, Willett, WC, Selhub, J, Hunter, DJ, Giovannucci, EL, Holmes, MD and Hankinson, SE (2003) Plasma folate vitamin B6 vitamin B12 homocysteine and risk of breast cancer. Journal of the National Cancer Institute 95(5), 373–380.CrossRefGoogle ScholarPubMed