Factors influencing the prevalence of anaemia in female adolescents: A population-based study of rural setting in Karanganyar, Indonesia
Background: Anaemia among women of reproductive age (15–49 years) poses substantial public health concerns, particularly in LMICs, due to its adverse effects during pregnancy and childbirth. Understanding its determinants is pivotal for devising strategies to combat this condition. This study invest...
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| Format: | Article |
| Language: | English |
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Elsevier
2024-01-01
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| Series: | Clinical Epidemiology and Global Health |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2213398423002877 |
| _version_ | 1797303947205017600 |
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| author | Fathimah Sulistyowati Sigit Fiyan Bahrul Ilmi Prisilla Desfiandi Dewantari Saputri Nur Dwi Fajarini Ana Susianti Latifah Agustina Lestari Asaduddien Faras |
| author_facet | Fathimah Sulistyowati Sigit Fiyan Bahrul Ilmi Prisilla Desfiandi Dewantari Saputri Nur Dwi Fajarini Ana Susianti Latifah Agustina Lestari Asaduddien Faras |
| author_sort | Fathimah Sulistyowati Sigit |
| collection | DOAJ |
| description | Background: Anaemia among women of reproductive age (15–49 years) poses substantial public health concerns, particularly in LMICs, due to its adverse effects during pregnancy and childbirth. Understanding its determinants is pivotal for devising strategies to combat this condition. This study investigates the prevalence of anaemia and its associations with anthropometric indices, dietary habits, and menstruation status among female adolescents in Karanganyar, a rural subdistrict in Indonesia. Methods: In this population-based cross-sectional study, a multi-stage sampling method was employed to represent all female high-school students in Karanganyar. Participants underwent capillary haemoglobin testing, anthropometric measurements, and completed dietary intake and menstruation status assessments. Anaemia was defined as Hb < 12.0 g/dL. Logistic regressions were performed to assess the associations between anthropometric indices, dietary intake, menstruation status, and the prevalence of anaemia. Results: Approximately 49 % of female adolescents in Karanganyar had anemia. Both BMI and Mid-Upper-Arm-Circumference exhibited inverse associations with anaemia [AOR(95%CI): 0.87(0.79–0.95) and 0.89(0.81–0.99)]. Compared to individuals with BMI-for-age-Z-Score (BAZ) > -2 SD, those with BAZ < −2 SD had more than double the odds of anaemia [2.43 (0.94–6.29)]. Consumption of fruits [0.32(0.10–0.98)] and vegetables [0.30(0.11–0.78)] were negatively associated with anaemia. No association was observed between menstruation status (length, duration, pads/day) and anaemia. Discussion: High prevalence of anaemia among female adolescents in Karanganyar, and potentially other rural areas in Indonesia, underscores the need for targeted interventions. Being underweight rapidly increases the risk of anaemia, emphasizing the importance of nutritional improvements. Consuming iron-rich fruits and vegetables may prevent anaemia. Menstruation status did not appear to be a determinant of anaemia. |
| first_indexed | 2024-03-08T00:01:02Z |
| format | Article |
| id | doaj.art-a80f520406614ae1ba83aedbd1ae11e4 |
| institution | Directory Open Access Journal |
| issn | 2213-3984 |
| language | English |
| last_indexed | 2024-03-08T00:01:02Z |
| publishDate | 2024-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Clinical Epidemiology and Global Health |
| spelling | doaj.art-a80f520406614ae1ba83aedbd1ae11e42024-02-18T04:39:57ZengElsevierClinical Epidemiology and Global Health2213-39842024-01-0125101500Factors influencing the prevalence of anaemia in female adolescents: A population-based study of rural setting in Karanganyar, IndonesiaFathimah Sulistyowati Sigit0Fiyan Bahrul Ilmi1Prisilla Desfiandi2Dewantari Saputri3Nur Dwi Fajarini4Ana Susianti5Latifah Agustina Lestari6Asaduddien Faras7Department of Public Health Nutrition, Faculty of Public Health, Universitas Indonesia, Depok, Indonesia; Metabolic, Cardiovascular, and Aging Research Cluster, The Indonesian Medical Education and Research Institute, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia; Corresponding author. Department of Public Health Nutrition, Faculty of Public Health, Universitas Indonesia, Depok, Indonesia.West Tegal Community Health Center, Tegal, Indonesia; Faculty of Medicine, Universitas Islam Sultan Agung, Semarang, IndonesiaFaculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, IndonesiaFaculty of Medicine, Universitas Sebelas Maret, Surakarta, IndonesiaFaculty of Medicine, Universitas Sebelas Maret, Surakarta, IndonesiaFaculty of Medicine, Universitas Islam Sultan Agung, Semarang, IndonesiaEka Hospital, South Tangerang, Indonesia; Faculty of Medicine, Universitas Trisakti, Jakarta, IndonesiaFaculty of Medicine, Universitas Sebelas Maret, Surakarta, IndonesiaBackground: Anaemia among women of reproductive age (15–49 years) poses substantial public health concerns, particularly in LMICs, due to its adverse effects during pregnancy and childbirth. Understanding its determinants is pivotal for devising strategies to combat this condition. This study investigates the prevalence of anaemia and its associations with anthropometric indices, dietary habits, and menstruation status among female adolescents in Karanganyar, a rural subdistrict in Indonesia. Methods: In this population-based cross-sectional study, a multi-stage sampling method was employed to represent all female high-school students in Karanganyar. Participants underwent capillary haemoglobin testing, anthropometric measurements, and completed dietary intake and menstruation status assessments. Anaemia was defined as Hb < 12.0 g/dL. Logistic regressions were performed to assess the associations between anthropometric indices, dietary intake, menstruation status, and the prevalence of anaemia. Results: Approximately 49 % of female adolescents in Karanganyar had anemia. Both BMI and Mid-Upper-Arm-Circumference exhibited inverse associations with anaemia [AOR(95%CI): 0.87(0.79–0.95) and 0.89(0.81–0.99)]. Compared to individuals with BMI-for-age-Z-Score (BAZ) > -2 SD, those with BAZ < −2 SD had more than double the odds of anaemia [2.43 (0.94–6.29)]. Consumption of fruits [0.32(0.10–0.98)] and vegetables [0.30(0.11–0.78)] were negatively associated with anaemia. No association was observed between menstruation status (length, duration, pads/day) and anaemia. Discussion: High prevalence of anaemia among female adolescents in Karanganyar, and potentially other rural areas in Indonesia, underscores the need for targeted interventions. Being underweight rapidly increases the risk of anaemia, emphasizing the importance of nutritional improvements. Consuming iron-rich fruits and vegetables may prevent anaemia. Menstruation status did not appear to be a determinant of anaemia.http://www.sciencedirect.com/science/article/pii/S2213398423002877AnaemiaBMIDietary intakeMenstruationMid-upper arm circumference (MUAC)Underweight |
| spellingShingle | Fathimah Sulistyowati Sigit Fiyan Bahrul Ilmi Prisilla Desfiandi Dewantari Saputri Nur Dwi Fajarini Ana Susianti Latifah Agustina Lestari Asaduddien Faras Factors influencing the prevalence of anaemia in female adolescents: A population-based study of rural setting in Karanganyar, Indonesia Clinical Epidemiology and Global Health Anaemia BMI Dietary intake Menstruation Mid-upper arm circumference (MUAC) Underweight |
| title | Factors influencing the prevalence of anaemia in female adolescents: A population-based study of rural setting in Karanganyar, Indonesia |
| title_full | Factors influencing the prevalence of anaemia in female adolescents: A population-based study of rural setting in Karanganyar, Indonesia |
| title_fullStr | Factors influencing the prevalence of anaemia in female adolescents: A population-based study of rural setting in Karanganyar, Indonesia |
| title_full_unstemmed | Factors influencing the prevalence of anaemia in female adolescents: A population-based study of rural setting in Karanganyar, Indonesia |
| title_short | Factors influencing the prevalence of anaemia in female adolescents: A population-based study of rural setting in Karanganyar, Indonesia |
| title_sort | factors influencing the prevalence of anaemia in female adolescents a population based study of rural setting in karanganyar indonesia |
| topic | Anaemia BMI Dietary intake Menstruation Mid-upper arm circumference (MUAC) Underweight |
| url | http://www.sciencedirect.com/science/article/pii/S2213398423002877 |
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