Factors associated with anaemia among adolescent boys and girls 10–19 years old in Nepal
| العنوان: | Factors associated with anaemia among adolescent boys and girls 10–19 years old in Nepal |
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| المؤلفون: | Zuguo Mei, Debendra P. Adhikari, Nira Joshi, Kedar Raj Parajuli, Sanjay Rijal, Stanley Chitekwe, Maria Elena Jefferds, Naveen Paudyal, Ralph D. Whitehead, Ram Padarth Bichha, Nicole D Ford, Rafael Flores-Ayala |
| المصدر: | Maternal and Child Nutrition, Vol 18, Iss S1, Pp n/a-n/a (2022) Maternal & Child Nutrition |
| بيانات النشر: | Wiley, 2022. |
| سنة النشر: | 2022 |
| مصطلحات موضوعية: | Male, 0301 basic medicine, RC620-627, Dietary diversity, iron deficiency Anaemia, Supplement Articles, Logistic regression, Pediatrics, vitamin A, World health, RJ1-570, Odds, Hemoglobins, Young Adult, 03 medical and health sciences, 0302 clinical medicine, iron, Nepal, Nutrition in Nepal: Three Decades of Progress for Children and Women, Prevalence, Humans, Medicine, Micronutrients, 030212 general & internal medicine, Child, Nutritional diseases. Deficiency diseases, Public health policy, anaemia, 030109 nutrition & dietetics, Nutrition and Dietetics, business.industry, Public Health, Environmental and Occupational Health, Obstetrics and Gynecology, Anemia, Odds ratio, micronutrient malnutrition, Gynecology and obstetrics, Micronutrient, Confidence interval, adolescent, Ferritins, Pediatrics, Perinatology and Child Health, RG1-991, Supplement Article, Female, business, Demography |
| الوصف: | 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. |
| اللغة: | English |
| تدمد: | 1740-8695 1740-8709 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::ee92bda18305cb1c933b9e80557518b6Test https://doaj.org/article/c3b6ba7f9c2d4258acb9d0bb99776a66Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....ee92bda18305cb1c933b9e80557518b6 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 17408695 17408709 |
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