scholarly journals Inequality, chronic undernutrition, maternity, and diabetes mellitus as the determinant of anemia among ever-married women in Bangladesh

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
G. M. Rabiul Islam
Keyword(s):  
Diabetes Mellitus ◽  
Population Sample ◽  
Reproductive Age ◽  
Health Concern ◽  
Age Group ◽  
Cross Sectional ◽  
Chronic Undernutrition ◽  
Health Survey Data ◽  
Socio Demographic Factors ◽  
Reproductive Age Group

Abstract Background Anemia is a public health concern at a global level. This study aims to delineate the association between household economic inequalities, and anemia among reproductive age group women in Bangladesh, along with other confounders. Methods A cross-sectional population sample from Bangladesh Demographic and health survey data comprising of 5920 reproductive age group women aged between 15 and 49 years was used in this study. The analyses were performed through the application of proportional odds into four models (viz., Model:1 socio-economic, Model:2 socio-demographic factors, Model 3: diabetics and maternity statis, Model 4: nutritional status.) Results The respondents from low and medium socioeconomic status (SES) households vs. richest households were 1.90 (95% CI, 1.65,2.17; p < .01) and 1.41 (95% CI, 1.12,1.78; p < .01) times more likely to suffer from anemia (Model 1). From the model 2 it appears that he likelihood of being anemic reduces for the low and medium SES groups vs. high SES group when sociodemographic variables are added (OR, 1.69, 95% CI, 1.43,1.99 and OR, 1.35, 95% CI, .07,1.70; p < 0.01, respectively). Model 3 evident that after adding the variables of diabetes and maternity status, the association between having anemia belonging to low and medium SES vs. high SES becomes weaker (OR1.36, 95% CI,0.85,2.15 and OR, 1.15, 95% CI, 0.6,2.19; p > .05, respectively). Moreover, the strength of the association between anemia and the subjects with pregnant vs. the subjects without these (OR: 1.7 (1.12, 4.02; p < 0.05) 1.47(0.11,3.399; p < 0.05) conditions was reduced after factoring body mass index (BMI, model 4). Besides, thin women (MBI < 18.50 Kg/m2) shows significantly become more likely to be anemic in comparison to women of normal BMI (OR:1.34, .92,1.96; p < 0.05) (model 4). Conclusions BMI, pregnancy, and diabetes mellitus were observed to be significantly associated with anemia, and the strength of the association was low with anemia and socioeconomic inequality.

scholarly journals Inequality, Chronic Undernutrition, Maternity, and Diabetes Mellitus as the determinant of anemia among ever-married women in Bangladesh.

2020 ◽  
Author(s):  
GM Islam
Keyword(s):  
Diabetes Mellitus ◽  
Population Sample ◽  
Married Women ◽  
Reproductive Age ◽  
Health Concern ◽  
Age Group ◽  
Cross Sectional ◽  
Proportional Odds Models ◽  
Chronic Undernutrition ◽  
Reproductive Age Group

Abstract Background: Anemia is a public health concern at a global level. This study aims to delineate the association between household economic inequalities, along with other confounders, and anemia among reproductive age group women in Bangladesh.Methods: A cross-sectional population sample comprising of 5920 reproductive age group women aged between 15–49 years was selected, and the analyses were performed through the application of proportional odds models.Results: The respondents from low and medium socioeconomic status (SES) households vs. richest households were 1.90 (95% CI, 1.65–2.17; p<.01) and 1.41 (95% CI, 1.12–1.78; p<.01) times more likely to suffer from anemia. The likelihood of being anemic reduces for the low and medium SES groups vs. high SES group when sociodemographic variables are added (OR, 1.69, 95% CI, 1.43–1.99 and OR, 1.35, 95% CI, .07–1.70; p<0.01, respectively). After adding the variables of diabetes and maternity status, the association between having anemia belonging to low and medium SES vs. high SES becomes weaker (OR,1.36, 95% CI,0.85–2.15 and OR, 1.15, 95% CI, 0.6–2.19; p>.05, respectively). Moreover, the strength of the association between anemia and the subjects with pregnant and lactating vs. the subjects without these conditions was reduced after factoring body mass index (BMI).Conclusions: BMI, pregnancy, and diabetes mellitus were observed to be significantly associated with anemia, and the strength of the association was low with anemia and socioeconomic inequality.

scholarly journals Burden and determinants of multimorbidity among women in reproductive age group: a cross-sectional study based in India

2021 ◽  
Vol 5 ◽  
pp. 275
Author(s):  
Parul Puri ◽  
Ajinkya Kothavale ◽  
S.K. Singh ◽  
Sanghamitra Pati
Keyword(s):  
Reproductive Age ◽  
Child Health Services ◽  
Health Concern ◽  
Thyroid Disorder ◽  
Age Group ◽  
Women Of Reproductive Age ◽  
Cross Sectional ◽  
Study Objective ◽  
Health Services Needs ◽  
Reproductive Age Group

Background: India's government is currently running several programs with a sole focus on women's health during their child-bearing years. However, none of these programs incorporate the management of chronic health conditions during the reproductive span. This issue is an emerging public health concern; therefore, the present study aims to identify the patterns and correlates of multimorbidity among women in reproductive age groups in India. Methods: The study utilizes nationally-representative cross-sectional data from the Demographic and Health Survey on 661,811 women in the reproductive age group of 15-49 years. The study uses information on seven chronic morbidities, namely asthma, cancers, heart disease, diabetes, tuberculosis, hypertension, and thyroid disorder. Descriptive, bivariate, and multivariable techniques were utilized to accomplish the study objective. Results: The findings show that 17.4 and 3.5 per 100 women of reproductive age suffered from any one morbidity and multimorbidity, respectively. Hypertension, diabetes, and thyroid disorders were commonly occurring morbidities. The prevalence of having any one morbidity or multimorbidity increased with age. Variables like religion, wealth, parity, menopause, consumption of tobacco and alcohol, body mass index, and type of diet were found to be significantly related to the burden of multimorbidity. The prevalence of multimorbidity was found to be higher for women who belong to the Southern, Eastern, and North-Eastern regions of India. Conclusions: Findings suggest the importance of multimorbidity in the context of women of reproductive age. Inclusion of chronic disease management strategies with maternal and child health services needs to be taken into consideration by the program and policymakers. The annexation of social marketing approaches at the primary level of healthcare would assist policy-makers in educating women about the importance of leading a healthy lifestyle. Practicing dietary diversity can help in maintaining optimal estrogen levels, which would further help in decreasing multimorbidity rates among women in India.

scholarly journals Burden and determinants of multimorbidity among women in reproductive age group: a cross-sectional study based in India

2020 ◽  
Vol 5 ◽  
pp. 275
Author(s):  
Parul Puri ◽  
Ajinkya Kothavale ◽  
S.K. Singh ◽  
Sanghamitra Pati
Keyword(s):  
Reproductive Age ◽  
Child Health Services ◽  
Health Concern ◽  
Thyroid Disorder ◽  
Age Group ◽  
Women Of Reproductive Age ◽  
Cross Sectional ◽  
Study Objective ◽  
Health Services Needs ◽  
Reproductive Age Group

Background: India's government is currently running several programs with a sole focus on women's health during their child-bearing years. However, none of these programs incorporate the management of chronic health conditions during the reproductive span. This issue is an emerging public health concern; therefore, the present study aims to identify the patterns and correlates of multimorbidity among women in reproductive age groups in India. Methods: The study utilizes nationally-representative cross-sectional data from the Demographic and Health Survey on 661,811 women in the reproductive age group of 15-49 years. The study uses information on seven chronic morbidities, namely asthma, cancers, heart disease, diabetes, tuberculosis, hypertension, and thyroid disorder. Descriptive, bivariate, and multivariable techniques were utilized to accomplish the study objective. Results: The findings show that 17.4 and 3.5 per 100 women of reproductive age suffered from any one morbidity and multimorbidity, respectively. Hypertension, diabetes, and thyroid disorders were commonly occurring morbidities. The prevalence of having any one morbidity or multimorbidity increased with age. Variables like religion, wealth, parity, menopause, consumption of tobacco and alcohol, body mass index, and type of diet were found to be significantly related to the burden of multimorbidity. The prevalence of multimorbidity was found to be higher for women who belong to the Southern, Eastern, and North-Eastern regions of India. Conclusions: Findings suggest the importance of multimorbidity in the context of women of reproductive age. Inclusion of chronic disease management strategies with maternal and child health services needs to be taken into consideration by the program and policymakers. The annexation of social marketing approaches at the primary level of healthcare would assist policy-makers in educating women about the importance of leading a healthy lifestyle. Practicing dietary diversity can help in maintaining optimal estrogen levels, which would further help in decreasing multimorbidity rates among women in India.

scholarly journals Prevalence of Goiter and Associated Factors among Women of Reproductive Age Group in Demba Gofa Woreda, Gamo Gofa Zone, Southwest Ethiopia: A Community-Based Cross-Sectional Study

2020 ◽  
Vol 2020 ◽  
pp. 1-9
Author(s):  
Befikaduwa Zekarias ◽  
Frehiwot Mesfin ◽  
Bezatu Mengiste ◽  
Adane Tesfaye ◽  
Lemma Getacher
Keyword(s):  
Logistic Regression ◽  
Iodine Deficiency ◽  
Associated Factors ◽  
Sampling Technique ◽  
Iodized Salt ◽  
Reproductive Age ◽  
Age Group ◽  
Women Of Reproductive Age ◽  
Cross Sectional ◽  
Reproductive Age Group

Background. Iodine deficiency disorder is a major public health problem in Ethiopia that is more common in women of reproductive age. However, it is not well addressed and there is a lack of information on its prevalence and associated factors in women of reproductive age group. Therefore, the objective of this study was to assess goiter prevalence and associated factors among women of reproductive age in the Demba Gofa woreda, Gamo Gofa Zone, Southwest Ethiopia. Methods. A community-based cross-sectional study was used among 584 randomly selected women in the reproductive age group from February 05 to April 20, 2016. A simple random sampling technique was used to select the study kebeles, and a systematic random sampling technique was used to select the study samples. Data were collected through a pretested questionnaire, and the goiter examination was done clinically for each participant. The collected data were coded and entered into a computer for statistical analysis using EpiData version 3.2 and analyzed using SPSS version 20. Variables with a P value ≤0.25 in bivariate logistic regression analysis were entered into multivariate logistic regression analysis, and finally, variables with a P value <0.05 in multivariate logistic regression were considered significantly associated with the dependent variable. Results. The total goiter rate was 43%, 95% CI = 39.2–46.9. Cassava consumption (AOR: 2.02, 95% CI: 1.03–4), salt wash before use (AOR: 3.14, 95% CI: 1.1–11.3), salt use after >2 months of purchase (AOR: 11, 95% CI: 5–26), family history of goiter (AOR: 4.6, 95% CI: 1.4–15.8), and poor knowledge of iodized salt (AOR: 2.7, 95% CI: 1.4–5.5) were significant factors associated with goiter. Conclusion. Iodine deficiency was found to be severe in women of reproductive age in the study area. This showed that women of reproductive age, especially during pregnancy, are exposed to iodine deficiency and its adverse effects at delivery. Thus, they need urgent supplementation with iodine, improved access to foods rich in iodine, and intake of iodized salt. Additionally, health education should focus on the importance of iodized salt, the proper method of use, and the prevention of iodine deficiency, which are highly recommended to minimize the problem.

scholarly journals Associated factors of pregnancy spacing among women of reproductive age Group in South of Iran: cross-sectional study

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Tania Dehesh ◽  
Elaheh Salarpour ◽  
Neda Malekmohammadi ◽  
Sepideh Arjomand Kermani
Keyword(s):  
Cross Sectional Study ◽  
Reproductive Age ◽  
Recurrent Event ◽  
Age Group ◽  
Sectional Study ◽  
Women Of Reproductive Age ◽  
Cross Sectional ◽  
Pregnancy Spacing ◽  
Contraception Use ◽  
Reproductive Age Group

Abstract Background Optimal pregnancy spacing is an important incidence in reproductive women’s health. Short or long pregnancy spacing leads to the greatest health, social and economic problems such as increase in maternal and infant mortality and morbidity, and adverse pregnancy outcomes. The aim of this study is to assess the mean of pregnancy spacing and associated factors of pregnancy spacing among women of reproductive age group with recurrent event analysis. Methods The fertility history of 1350 women aged 15–49 years was collected in this cross-sectional study. The women were selected through multistage random sampling method from a list of clinics in 2018. Some predictors were collected from their records and others were collected by face-to-face interview. The recurrent event survival analysis was used to explore the effect of predictors on pregnancy spacing. The R software program was used for analysis. Results There were nine predictors that had significant effect on pregnancy spacing. These predictors included the age of mother at marriage, mother’s BMI, contraception use, breast feeding duration of the previous child, the education level of husband, the sex preference of the mother, presence of abortion or stillbirth in the preceding pregnancies, income sufficiency, and mother’s awareness of optimum pregnancy interval. The most influential predictors; contraception use (HR = 2.34, 95%CI = 1.23 to 2.76, P < 0.001) and income sufficiency (HR = 2.046, 95%CI = 1.61 to 3.02, P = 0.018) lead to longer and son preference of mother (HR = 2.231, 95%CI = 1.24 to 2.81, P = 0.023) lead to shorter pregnancy spacing. Conclusion The up to date contraception tool should be at hand for couples to manage their pregnancy intervals. The unfavorable economic situation of a family leads to long pregnancy spacing. Despite the relative equality of the status of girls and boys in today’s societies, the desire to have a son child is still an important factor in shorter pregnancy spacing. The benefit of optimal pregnancy spacing should be more announced.

scholarly journals Knowledge, attitude and practice of family planning among reproductive age group women of urban and rural areas of Gadag: a comparison study

2020 ◽  
Vol 7 (6) ◽  
pp. 2221
Author(s):  
Jannatbi Iti ◽  
Roshan Mudaraddi
Keyword(s):  
Family Planning ◽  
Demographic Factors ◽  
Fundamental Rights ◽  
Reproductive Age ◽  
World Population ◽  
Age Group ◽  
Effective Measure ◽  
The World ◽  
Socio Demographic Factors ◽  
Reproductive Age Group

Background: India is the second most populous country in the world 1.311 million (2015). With only 2.4% of the world land area India is supporting 17.5% of the world population. The rampant population growth has been viewed as the greatest obstacle to the economic and social advancement. Reproductive choice is one of the most fundamental rights of a couple. Empowering a woman to control her fertility allows her to complete her education or employment aspirations. Aim and objective of the study was to know the distribution of socio-demographic factors which influence KAP about FP methods among eligible reproductive age group women.Methods: A community based cross sectional study was done from 27 March 2017 to 20 April 2017 in rural and urban areas of Gadag Taluk in women of eligible reproductive age group with a sample size of 560.Results: 25.4% of the women are in the age group of 28-32 years. Majority of the women belonged to Hindu (87.5%) and 11.1% Muslims. Highest proportion of women have completed middle and high school which amounts to 42.3%. and 17.7% were illiterates. 43.6% of the respondents married at the age of 20-24 years, 48.2% of the women were homemakers, 3.6% were professionals and 1.8% were semi-professionals and 23.2% were unskilled.Conclusions: Family planning is the most effective measure to bring control on the population. Knowing the socio-demographic factors which influence the adoption of family planning methods is of utmost importance to plan for birth control and spacing children especially for the policy makers.

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