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Factors associated with anaemia among adolescent boys and girls 10–19 years old in Nepal.
- Source :
- Maternal & Child Nutrition; Jan2022 Supplement S1, Vol. 18, p1-14, 14p
- Publication Year :
- 2022
-
Abstract
- We used data from the 2016 Nepal National Micronutrient Status Survey to evaluate factors associated with anaemia (World Health Organization cut‐points using altitude‐ and smoking‐adjusted haemoglobin [Hb]) among nationally representative samples of adolescents 10–19 years. Hb, biomarkers of micronutrients, infection and inflammation were assessed from venous blood. Sociodemographic and household characteristics, dietary diversity, pica and recent morbidity were ascertained by interview. We explored bivariate relationships between candidate predictors and anaemia among boys (N = 967) and girls (N = 1,680). Candidate predictors with P < 0.05 in bivariate analyses were included in sex‐specific multivariable logistic regression models. Anaemia prevalence was 20.6% (95% confidence interval [CI] [17.1, 24.1]) among girls and 10.9% (95% CI [8.2, 13.6]) among boys. Among girls, living in the Mountain and Hill ecological zones relative to the Terai (adjusted odds ratio [AOR] 0.28, 95% CI [0.15, 0.52] and AOR 0.42, 95% CI [0.25, 0.73], respectively), ln ferritin (μg/L) (AOR 0.53, 95% CI [0.42, 0.68]) and ln retinol binding protein (RBP) (μmol/L) (AOR 0.08, 95% CI [0.04, 0.16]) were associated with reduced anaemia odds. Older age (age in years AOR 1.19, 95% CI [1.12, 1.27]) and Janajati ethnicity relative to the Muslim ethnicity (AOR 3.04, 95% CI [1.10, 8.36]) were associated with higher anaemia odds. Among boys, ln RBP [μmol/L] (AOR 0.25, 95% CI [0.10, 0.65]) and having consumed flesh foods (AOR 0.57, 95% CI [0.33, 0.99]) were associated with lower anaemia odds. Open defecation (AOR 2.36, 95% CI [1.15, 4.84]) and ln transferrin receptor [mg/L] (AOR 3.21, 95% CI [1.25, 8.23]) were associated with increased anaemia odds. Anaemia among adolescents might be addressed through effective public health policy and programs targeting micronutrient status, diet and sanitation. [ABSTRACT FROM AUTHOR]
- Subjects :
- CLUSTER sampling
C-reactive protein
BIOMARKERS
STATISTICS
SAMPLE size (Statistics)
TRANSFERRIN
CONFIDENCE intervals
ANTHROPOMETRY
FERRITIN
INFLAMMATION
MULTIVARIATE analysis
INGESTION
RISK assessment
SEX distribution
MATHEMATICAL variables
INFECTION
ANEMIA
DISEASE prevalence
MALNUTRITION
GLYCOPROTEINS
VITAMIN A
ENZYME-linked immunosorbent assay
QUESTIONNAIRES
CHI-squared test
DESCRIPTIVE statistics
STATISTICAL sampling
MICRONUTRIENTS
IRON deficiency anemia
ODDS ratio
LOGISTIC regression analysis
DATA analysis software
PROBABILITY theory
DISEASE risk factors
ADOLESCENCE
Subjects
Details
- Language :
- English
- ISSN :
- 17408695
- Volume :
- 18
- Database :
- Complementary Index
- Journal :
- Maternal & Child Nutrition
- Publication Type :
- Academic Journal
- Accession number :
- 154795454
- Full Text :
- https://doi.org/10.1111/mcn.13013