PMID- 38296277
OWN - NLM
STAT- MEDLINE
DCOM- 20240214
LR  - 20240214
IS  - 2044-6055 (Electronic)
IS  - 2044-6055 (Linking)
VI  - 14
IP  - 1
DP  - 2024 Jan 31
TI  - Prevalence of anaemia among married women with recent birth history and high-risk 
      fertility behaviour: secondary data analysis of the National Family Health 
      Survey-India (2019-21).
PG  - e073395
LID - 10.1136/bmjopen-2023-073395 [doi]
LID - e073395
AB  - OBJECTIVES: To describe the prevalence of anaemia among currently married women 
      with high-risk fertility behaviour (HRFB) based on age, parity and birth spacing 
      indicators. DESIGN: Cross-sectional study. SETTINGS AND PARTICIPANTS: Fifth round 
      of the National Family Health Survey (NFHS) was conducted in India (2019-2021) 
      and included a nationally representative sample of 724, 115 women in the 
      reproductive age group (15-49). Our analysis focused exclusively on married women 
      who had given birth in the preceding 5 years. PRIMARY AND SECONDARY OUTCOME 
      MEASURES: The prevalence of anaemia with HRFB was the primary outcome, and the 
      likelihood of having anaemia due to HRFB was the secondary outcome. DATA AND 
      METHODS: Secondary data analysis of the NFHS-5 (2019-2021) datasets was done 
      using a weighted analysis to determine anaemia prevalence in different HRFB 
      categories. Bivariate analysis was done using the chi(2) test, and multiple binary 
      logistic regression analyses were done to estimate the odds of having anaemia due 
      to HRFB after adjusting for known confounders. A p value <0.05 was reported as 
      statistically significant. RESULTS: The final analysis comprised 145,468 women, 
      of whom 59.1% had anaemia. About 53.1% of women depicted 'No risk' fertility 
      behaviour, and 34.6% and 12.3% had single and multiple HRFB. Women with 
      'no-risk,' single and multiple HRFB had anaemia prevalence rates of 58.1%, 59.4% 
      and 63.1%, respectively. Women with 'Single risk' had an 18% higher likelihood 
      (1.18; 1.13-1.22) of having anaemia after controlling for confounding variables, 
      compared with the HRFB category with 'No risk.' Women with 'Multiple risks' 
      showed a 6% higher likelihood (adjusted OR 1.06; 95% CI 1.03 to 1.08). 
      CONCLUSIONS: Anaemia remains a prevalent issue in India, and HRFB is observed as 
      a significant contributing factor. This vulnerable group can be targeted through 
      multiple interventions and further our efforts to realise our anaemia-related 
      goals.
CI  - (c) Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. No 
      commercial re-use. See rights and permissions. Published by BMJ.
FAU - Das, Milan
AU  - Das M
AD  - International Institute for Population Sciences, Mumbai, Maharashtra, India.
FAU - Verma, Madhur
AU  - Verma M
AUID- ORCID: 0000-0002-1787-8392
AD  - Department of Community and Family Medicine, All India Institute of Medical 
      Sciences, Bathinda, Punjab, India drmadhurverma@gmail.com.
FAU - Barman, Papai
AU  - Barman P
AD  - International Institute for Population Sciences, Mumbai, Maharashtra, India.
FAU - Behera, Deepak Kumar
AU  - Behera DK
AD  - Economics and Finance Department, The Business School, RMIT International 
      University of Vietnam, Ho Chi Minh, Vietnam.
LA  - eng
PT  - Journal Article
DEP - 20240131
PL  - England
TA  - BMJ Open
JT  - BMJ open
JID - 101552874
SB  - IM
MH  - Pregnancy
MH  - Humans
MH  - Female
MH  - Cross-Sectional Studies
MH  - *Reproductive History
MH  - Prevalence
MH  - Secondary Data Analysis
MH  - *Anemia/epidemiology
MH  - Fertility
MH  - Health Surveys
MH  - India/epidemiology
PMC - PMC10831430
OTO - NOTNLM
OT  - Maternal medicine
OT  - PUBLIC HEALTH
OT  - Primary Health Care
OT  - Risk Factors
COIS- Competing interests: None declared.
EDAT- 2024/02/01 00:42
MHDA- 2024/02/04 12:42
PMCR- 2024/01/31
CRDT- 2024/01/31 20:43
PHST- 2024/02/04 12:42 [medline]
PHST- 2024/02/01 00:42 [pubmed]
PHST- 2024/01/31 20:43 [entrez]
PHST- 2024/01/31 00:00 [pmc-release]
AID - bmjopen-2023-073395 [pii]
AID - 10.1136/bmjopen-2023-073395 [doi]
PST - epublish
SO  - BMJ Open. 2024 Jan 31;14(1):e073395. doi: 10.1136/bmjopen-2023-073395.