PMID- 38347505 OWN - NLM STAT- MEDLINE DCOM- 20240214 LR - 20240215 IS - 1471-2458 (Electronic) IS - 1471-2458 (Linking) VI - 24 IP - 1 DP - 2024 Feb 12 TI - Prevalence and determinants of anaemia among women of reproductive age in Aspirational Districts of India: an analysis of NFHS 4 and NFHS 5 data. PG - 437 LID - 10.1186/s12889-024-17789-3 [doi] LID - 437 AB - BACKGROUND: Over one-third of women worldwide suffer from anaemia. The prevalence of anaemia is particularly pronounced among women of reproductive age (WRA) in developing countries, such as India. No prior study has ever exclusively studied the prevalence of anaemia across the Aspirational Districts of India. Therefore, the purpose of this study was to examine the prevalence of anaemia across Aspirational Districts of India and to identify the determinants of anaemia among WRA in these districts. METHODS: From the National Family Health Survey (NFHS)-4 (2015-16) and NFHS-5 (2019-21), data on 114,444 and 108,782 women aged 15-49 from Aspirational Districts were analyzed in our study, respectively. Bivariate statistics and multivariable binary logistic regression were used to identify the determinants of anaemia. RESULTS: The national prevalence of anaemia among WRA has increased from 53% in NFHS-4 to 57% in NFHS-5 whereas anaemia among WRA in Aspirational Districts has increased from 58.7% in NFHS-4 to 61.1% in NFHS-5. Between 2015 and 2021, over 60% of Aspirational Districts experienced an increase in the prevalence of anaemia and one-fourth, specifically 29 out of 112, observed a rise by at least 10 percentage points (pp). Notably, there are significant variations in anaemia prevalence among districts, with Simdega and Udalgiri having the highest anaemia prevalence in NFHS-4 and NFHS-5 at 78.2% and 81.5%, respectively. During this period, Barpeta followed by Udalgiri of Assam have witnessed the maximum increase with 29.4% and 26.7% respectively. Moreover, pooled regression results show women with three to four children [AOR: 1.13, 95% CI: 1.08-1.17], women who breastfeed [AOR: 1.17, 95% CI: 1.13-1.20], Scheduled Tribe women [AOR: 1.39, 95% CI: 1.35-1.44], poorest women [AOR: 1.27, 95% CI: 1.22-1.33] and women those who consume fish occasionally [AOR: 1.14, 95% CI: 1.12-1.17] were more likely to be anaemic. CONCLUSION: The significant increase in anaemia among WRA in Aspirational Districts of India is a matter of concern. Given the rise in anaemia among WRA, determinants-based and district-specific measures must be designed and implemented to reduce the prevalence of anaemia among Aspirational Districts of India. CI - (c) 2024. The Author(s). FAU - Let, Subhojit AU - Let S AUID- ORCID: 0000-0002-5692-6027 AD - Department of Geography, Banaras Hindu University, Varanasi, India. FAU - Tiwari, Seema AU - Tiwari S AUID- ORCID: 0000-0001-5755-6251 AD - Geography Section, Mahila Maha Vidyalaya, Banaras Hindu University, Varanasi, Uttar Pradesh, India. FAU - Singh, Aditya AU - Singh A AUID- ORCID: 0000-0003-3031-5225 AD - Department of Geography, Banaras Hindu University, Varanasi, India. adityasingh@bhu.ac.in. AD - Girl Innovation, Research, and Learning (GIRL) Center, Population Council, New York, NY, United States of America. adityasingh@bhu.ac.in. FAU - Chakrabarty, Mahashweta AU - Chakrabarty M AUID- ORCID: 0000-0001-5151-9572 AD - Department of Geography, Banaras Hindu University, Varanasi, India. mahashweta.c1997@gmail.com. LA - eng PT - Journal Article DEP - 20240212 PL - England TA - BMC Public Health JT - BMC public health JID - 100968562 SB - IM MH - Child MH - Humans MH - Female MH - Prevalence MH - *Anemia/epidemiology MH - India/epidemiology MH - Reproduction MH - Logistic Models MH - *Respiration Disorders PMC - PMC10860231 OTO - NOTNLM OT - Anaemia OT - Aspirational Districts OT - Hemoglobin OT - India OT - NFHS OT - WRA OT - Women of Reproductive age OT - Women's Health COIS- The authors declare no competing interests. EDAT- 2024/02/13 00:42 MHDA- 2024/02/13 06:44 PMCR- 2024/02/12 CRDT- 2024/02/12 23:42 PHST- 2023/05/20 00:00 [received] PHST- 2024/01/16 00:00 [accepted] PHST- 2024/02/13 06:44 [medline] PHST- 2024/02/13 00:42 [pubmed] PHST- 2024/02/12 23:42 [entrez] PHST- 2024/02/12 00:00 [pmc-release] AID - 10.1186/s12889-024-17789-3 [pii] AID - 17789 [pii] AID - 10.1186/s12889-024-17789-3 [doi] PST - epublish SO - BMC Public Health. 2024 Feb 12;24(1):437. doi: 10.1186/s12889-024-17789-3.