Identifying risk factors of anemia among women of reproductive age in Rwanda to inform designing better interventions – a secondary data analysis, cross-sectional study using the Rwanda Demographic and Health Survey (RDHS) data

Abstract Background Anemia among Women of Reproductive Age (WRA) continues to be among the major public health problems in many developing countries including Rwanda where it was increased comparing 2015 to 2010 Rwanda Demographic and Health Survey (RDHS) reports. A thorough understanding of the its risk factors is necessary to design interventions. However, to the best of our knowledge, no study with national representation assessing anemia risk factors among WRA has been conducted in Rwanda. Therefore, this study aims to identify anemia risk factors among WRA in Rwanda. Methods This was a quantitative, cross-sectional study using secondary data from the 2014-2015 RDHS data. The study population consisted of 6680 WRA who were tested for anemia during the survey. Anemia was defined as having a hemoglobin level equal or below to 10.9 g/dl for a pregnant woman, and hemoglobin level equal or below to 11.9 g/dl for a non-pregnant woman. Pearson’s chi-squared test and multiple logistic regression were conducted for bivariate and multivariable analysis respectively. We reported Odds Ratio (OR), 95% Confidence Intervals (CI) and p-values. Results The overall prevalence of anemia among WRA was 19.2% (95% CI: 18.0 - 20.5). After controlling for other variables, four factors were found associated with lower odds of anemia, they are being obese (OR: 0.61, 95% CI: 0.40 - 0.91), being in rich category (OR: 0.74, 95% CI: 0.63 - 0.87), sleeping under a mosquito net (OR: 0.85, 95% CI: 0.74 - 0.98), and using hormonal contraceptives (OR: 0.61, 95% CI: 0.50 - 0.73). Four factors associated with higher odds of anemia were being underweight (OR: 1.39, 95% CI: 1.09 - 1.78), using an Intra Uterus Device (OR: 1.98, 95% CI: 1.05 - 3.75), and living in the Southern province (OR: 1.45, 95% CI: 1.11 - 1.89) or in the Eastern province (OR: 1.41, 95% CI: 1.06 - 1.88). Conclusion Anemia continues to pose public health challenges; novel public health interventions should consider geographic variations, improve women economic status, and strengthen iron supplementation especially for Intrauterine Device users. Additionally, given the association between anemia and malaria, interventions to prevent malaria should be enhanced.

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Identifying risk factors of anemia among women of reproductive age in Rwanda - a cross-sectional study using secondary data from the Rwanda Demographic and Health Survey 2014/2015

10.21203/rs.2.14859/v3 ◽

2019 ◽

Author(s):

Dieudonne Hakizimana ◽

Marie Paul Nisingizwe ◽

Jenae Logan ◽

Rex Wong

Keyword(s):

Public Health ◽

Risk Factors ◽

Pregnant Woman ◽

Intrauterine Device ◽

Cross Sectional Study ◽

Hemoglobin Level ◽

Reproductive Age ◽

Sectional Study ◽

Women Of Reproductive Age ◽

Cross Sectional

Abstract Background Anemia among Women of Reproductive Age (WRA) continues to be among the major public health problems in many developing countries, including Rwanda, where it increased in prevalence between the 2015 and 2010 Rwanda Demographic and Health Survey (RDHS) reports. A thorough understanding of its risk factors is necessary to design better interventions. However, to the best of our knowledge, no study has been conducted in Rwanda on a nationally representative sample to assess factors associated with anemia among WRA. Accordingly, this study was conducted to address such gap. Methods A quantitative, cross-sectional study was conducted using data from the RDHS 2014-2015 report. The study population consisted of 6680 WRA who were tested for anemia during the survey. Anemia was defined as having a hemoglobin level equal to or below 10.9 g/dl for a pregnant woman, and hemoglobin level equal to or below 11.9 g/dl for a non-pregnant woman. Pearson’s chi-squared test and multiple logistic regression were conducted for bivariate and multivariable analysis, respectively. Results The prevalence of anemia among WRA was 19.2% (95% CI: 18.0 - 20.5). Four factors were found to be associated with lower odds of anemia, including being obese (OR: 0.61, 95% CI: 0.40 - 0.91), being in the rich category (OR: 0.74, 95% CI: 0.63 - 0.87), sleeping under a mosquito net (OR: 0.85, 95% CI: 0.74 - 0.98), and using hormonal contraceptives (OR: 0.61, 95% CI: 0.50 - 0.73). Five factors were associated with higher odds of anemia, including being underweight (OR: 1.39, 95% CI: 1.09 - 1.78), using an intrauterine device (OR: 1.98, 95% CI: 1.05 - 3.75), being separated or widowed (OR: 1.35, 95% CI: 1.09 - 1.67), and living in the Southern province (OR: 1.45, 95% CI: 1.11 - 1.89) or in the Eastern province (OR: 1.41, 95% CI: 1.06 - 1.88). Conclusion Anemia continues to pose public health challenges; novel public health interventions should consider geographic variations in anemia risk, seek to improve women’s economic statuses, and strengthen iron supplementation especially for Intrauterine device users. Additionally, given the association between anemia and malaria, interventions to prevent malaria should be enhanced.

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Identifying risk factors of anemia among women of reproductive age in Rwanda – a cross-sectional study using secondary data from the Rwanda demographic and health survey 2014/2015

BMC Public Health ◽

10.1186/s12889-019-8019-z ◽

2019 ◽

Vol 19 (1) ◽

Cited By ~ 7

Author(s):

Dieudonne Hakizimana ◽

Marie Paul Nisingizwe ◽

Jenae Logan ◽

Rex Wong

Keyword(s):

Public Health ◽

Risk Factors ◽

Pregnant Woman ◽

Intrauterine Device ◽

Cross Sectional Study ◽

Hemoglobin Level ◽

Reproductive Age ◽

Sectional Study ◽

Women Of Reproductive Age ◽

Cross Sectional

Abstract Background Anemia among Women of Reproductive Age (WRA) continues to be among the major public health problems in many developing countries, including Rwanda, where it increased in prevalence between the 2015 and 2010 Rwanda Demographic and Health Survey (RDHS) reports. A thorough understanding of its risk factors is necessary to design better interventions. However, to the best of our knowledge, no study has been conducted in Rwanda on a nationally representative sample to assess factors associated with anemia among WRA. Accordingly, this study was conducted to address such gap. Methods A quantitative, cross-sectional study was conducted using data from the RDHS 2014–2015. The study population consisted of 6680 WRA who were tested for anemia during the survey. Anemia was defined as having a hemoglobin level equal to or below 10.9 g/dl for a pregnant woman, and hemoglobin level equal to or below 11.9 g/dl for a non-pregnant woman. Pearson’s chi-squared test and multiple logistic regression were conducted for bivariate and multivariable analysis, respectively. Results The prevalence of anemia among WRA was 19.2% (95% CI: 18.0–20.5). Four factors were found to be associated with lower odds of anemia, including being obese (OR: 0.61, 95% CI: 0.40–0.91), being in the rich category (OR: 0.74, 95% CI: 0.63–0.87), sleeping under a mosquito net (OR: 0.85, 95% CI: 0.74–0.98), and using hormonal contraceptives (OR: 0.61, 95% CI: 0.50–0.73). Five factors were associated with higher odds of anemia, including being underweight (OR: 1.39, 95% CI: 1.09–1.78), using an intrauterine device (OR: 1.98, 95% CI: 1.05–3.75), being separated or widowed (OR: 1.35, 95% CI: 1.09–1.67), and living in the Southern province (OR: 1.45, 95% CI: 1.11–1.89) or in the Eastern province (OR: 1.41, 95% CI: 1.06–1.88). Conclusion Anemia continues to pose public health challenges; novel public health interventions should consider geographic variations in anemia risk, seek to improve women’s economic statuses, and strengthen iron supplementation especially for Intrauterine device users. Additionally, given the association between anemia and malaria, interventions to prevent malaria should be enhanced.

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Risk Factors of Vulvovaginal Candidiasis among Women of Reproductive Age in Xi’an: A Cross-Sectional Study

BioMed Research International ◽

10.1155/2018/9703754 ◽

2018 ◽

Vol 2018 ◽

pp. 1-8 ◽

Cited By ~ 5

Author(s):

Xianling Zeng ◽

Yafei Zhang ◽

Taohong Zhang ◽

Yan Xue ◽

Huiqiu Xu ◽

...

Keyword(s):

Risk Factors ◽

Cross Sectional Study ◽

Vulvovaginal Candidiasis ◽

Reproductive Age ◽

Control Group ◽

Sectional Study ◽

Women Of Reproductive Age ◽

Cross Sectional ◽

Gynecology And Obstetrics ◽

History Of

Purpose. To explore risk factors of vulvovaginal candidiasis (VVC) among women of reproductive age in Xi’an district and then to offer reference for clinical prevention and treatment of VVC. Methods. Patients from the outpatient department of gynecology and obstetrics in the First Affiliated Hospital of Xi’an Jiaotong University from June 2016 to May 2017 were recruited strictly according to the inclusion and exclusion criteria. Participants diagnosed as simple VVC were assigned to the case group, while women who underwent routine gynecological examination and had normal vaginal microflora were assigned to the control group. Then we conducted a questionnaire survey of the two groups and used the logistic regression model to explore the related risk factors of VVC. Results. In the present study, ninety-seven cases were sample VVC patients and eighty-seven cases were healthy women. This cross-sectional study showed that occasionally or never drinking sweet drinks (odds ratio [OR] =0.161, 95% confidence interval [CI] =0.056-0.462, P=0.001), occasionally or never eating sweet foods (OR=0.158, 95%CI=0.054-0.460, P=0.001), and the use of condom (OR=0.265, 95%CI=0.243-0.526, P=0.001) were regarded as protective factors for VVC. In addition, sedentary life style (OR=7.876, 95%CI=1.818-34.109, P=0.006), frequently wearing tights (OR=6.613, 95%CI=1.369-27.751, P=0.018), frequent intravaginal douching (OR=3.493, 95%CI=1.379-8.847, P=0.008), having the first sexual encounter when under 20 years old (OR=2.364, 95%CI=1.181-7.758, P=0.006), the number of sexual partners being over two (OR=3.222, 95%CI=1.042-9.960, P=0.042), history of curettage (OR=3.471, 95%CI=1.317-9.148, P=0.012), history of vaginitis (OR=8.999, 95%CI=2.816-28.760, P<0.001), and not cleaning the vulva before or after sexual encounters (OR=13.684, 95%CI=2.843-65.874, P=0.001) were considered to be risk factors of VVC. Conclusion. In conclusion, risk factors of VVC are various, involving ages, hygienic habits, disease history, and other aspects.

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Risk factors of pre-hypertension and hypertension among non-pregnant women of reproductive age in northeastern Tanzania: a community based cross-sectional study

Tropical Medicine & International Health ◽

10.1111/tmi.13149 ◽

2018 ◽

Vol 23 (11) ◽

pp. 1176-1187 ◽

Cited By ~ 1

Author(s):

Omari A. Msemo ◽

Christentze Schmiegelow ◽

Birgitte B. Nielsen ◽

Hannah Kousholt ◽

Louise G. Grunnet ◽

...

Keyword(s):

Risk Factors ◽

Pregnant Women ◽

Cross Sectional Study ◽

Reproductive Age ◽

Sectional Study ◽

Women Of Reproductive Age ◽

Community Based ◽

Cross Sectional

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Prevalence and risk factors of preconception anemia: A community based cross sectional study of rural women of reproductive age in northeastern Tanzania

PLoS ONE ◽

10.1371/journal.pone.0208413 ◽

2018 ◽

Vol 13 (12) ◽

pp. e0208413 ◽

Cited By ~ 2

Author(s):

Omari A. Msemo ◽

Ib C. Bygbjerg ◽

Sofie L. Møller ◽

Birgitte B. Nielsen ◽

Lars Ødum ◽

...

Keyword(s):

Risk Factors ◽

Rural Women ◽

Cross Sectional Study ◽

Reproductive Age ◽

Sectional Study ◽

Women Of Reproductive Age ◽

Community Based ◽

Cross Sectional

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OVARIAN MALIGNANCY

The Professional Medical Journal ◽

10.29309/tpmj/2018.25.02.449 ◽

2018 ◽

Vol 25 (02) ◽

pp. 237-241

Author(s):

Shabana Rafiq ◽

Razia Bibi ◽

Samina Ashraf

Keyword(s):

Cross Sectional Study ◽

Reproductive Age ◽

Ovarian Malignancy ◽

Ovarian Mass ◽

Sectional Study ◽

Women Of Reproductive Age ◽

Cross Sectional ◽

Increased Risk ◽

History Of ◽

Study Setting

Objectives: To determine the frequency of ovarian malignancy in women ofreproductive age presenting with ovarian mass and to determine frequency of factors leadingto ovarian malignancy. Study Design: Cross sectional study. Setting: Department of Obstetrics& Gynaecology, Lady Wallington Hospital, Lahore. Period with Dates: From 05.11.11 to26.06.12. Results: The result of our study reveals majority of the patients between 21-30 yearsi.e. 45.88%(n=39), common age was 24.21+3.76 years, 43.53%(n=37) were nulliparous (inmajority), while frequency of ovarian malignancy in women of reproductive age presenting withovarian mass was recorded in 14.11%(n=12) while frequency of factors leading to ovarianmalignancy was 91.67%(n=11) patients were nulliparous while family history of ovarianmalignancy was in 8.33%(n=1) patients. Conclusions: The frequency of ovarian malignancy ishigher among reproductive age females with increased risk of nulliparity.

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Profil Primigravida Muda dan Luaran Persalinan di Rumah Sakit Dr.Oen Surakarta

Jurnal Kesehatan Reproduksi ◽

10.22146/jkr.37993 ◽

2018 ◽

Vol 5 (1) ◽

pp. 39

Author(s):

Supanji Raharja ◽

Ova Emilia ◽

Poedji Rochjati

Keyword(s):

Secondary Data ◽

Cross Sectional Study ◽

Young Age ◽

Reproductive Age ◽

Perinatal Morbidity ◽

Sectional Study ◽

Cross Sectional ◽

Level Of Education ◽

Adolescent Women ◽

Important Health

Background: Pregnancy at a young age has become an important health problem both in developed and developing countries. Pregnancy at a young age increases the risk of maternal and perinatal morbidity and mortality. This is because adolescent women who are not ready both physically and psychologically to get pregnant.Obsjective: This study aims to identify and analyze labor in young primigravida (<20 years) with pathological labor in hospital Dr.Oen Surakarta.Method: This was an observational analytic study without intervention in the form of comparative cross sectional study conducted in young primigravida group age <20 years and primigravida group age 20 to 34 years old, who underwent labor in hospital delivery room. Dr.Oen Surakarta. This study used secondary data from the medical record of pregnant women who gave birth at RS.Dr.Oen Surakarta from January 1, 2011 to December 31, 201. A comparison between young primigravids (<20 years) in which pathologic pathways were performed with primigravida of reproductive age (20-34 years) experienced pathological labor were conducted.Result and Discussion: The number of deliveries in young primigravida (<20 years) was 61 people (6.65%) whereas in primigravida (21-35 years) there were 856 people (93.34%). Younger primigravids have lower levels of education than the primigravida age of reproductive age (p 0.00, CI 3.557 - 11.227). The younger primigravida has a tendency to give birth outside its residence area compared to primigravida of reproductive age (p 0.00; CI 0.050,178). Unmarried status in the young primigravida is greater than that of primigravida of reproductive age (p 0.00, CI 0.011 - 0,229) .An Antenatal Care on Primigravida reproductive age is more regular than young primigravida (p 0.03; CI 0.255 - 0.97) . Young primigravida tended to have anemia (p = 0.00, OR 8.4 CI 3.22 - 21.93) The risk of prematurity was higher in young primigravids than in the reproductive age primigravida (p 0.01, OR 2.9 CI 1, 16 - 7.25). Younger primigravids have a higher risk for pathologic delivery compared to primigravida of reproductive age (p 0.05 OR 0.56 CI 0.315 - 1.01).Conclusions: There are differences in terms, level of education, marital status, residence, regularity of ANC between young primigravida and prmigravida of reproductive age. The study found that young primigravids have a higher risk of occurrence of anemia, prematurity and pathologic delivery compared with healthy reproductive age primigravids.Keywords: young primigravida, primigravida healthy reproductive age, risk factors

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

BMC Pregnancy and Childbirth ◽

10.1186/s12884-020-03250-x ◽

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.

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Factors associated with anaemia and iron deficiency among women of reproductive age in Northeast Thailand: a cross-sectional study

BMC Public Health ◽

10.1186/s12889-020-8248-1 ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Jutatip Jamnok ◽

Kanokwan Sanchaisuriya ◽

Pattara Sanchaisuriya ◽

Goonnapa Fucharoen ◽

Supan Fucharoen ◽

...

Keyword(s):

Iron Deficiency ◽

Cross Sectional Study ◽

Reproductive Age ◽

Sectional Study ◽

Northeast Thailand ◽

Women Of Reproductive Age ◽

Cross Sectional ◽

Factors Associated

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Gestational and congenital syphilis: maternal, neonatal characteristics and outcome of cases

Revista Brasileira de Saúde Materno Infantil ◽

10.1590/1806-93042017000400010 ◽

2017 ◽

Vol 17 (4) ◽

pp. 781-789 ◽

Cited By ~ 2

Author(s):

Larissa Gramazio Soares ◽

Bruna Zarpellon ◽

Leticia Gramazio Soares ◽

Tatiane Baratieri ◽

Maicon Henrique Lentsck ◽

...

Keyword(s):

Pregnant Woman ◽

Congenital Syphilis ◽

Secondary Data ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Adequate Treatment ◽

Prophylactic Measure ◽

Basic Care ◽

Compulsory Notification

Abstract Objectives: to describe the occurrence of gestational and congenital syphilis in Guarapuava-PR, according to maternal, neonatal characteristics and outcome of cases. Methods: cross-sectional study, retrospective, held in Guarapuava/PR, with secondary data collected in the laboratory of clinical analyses and information system of Compulsory Notification, collected between October 2015 and August/2016, the variables were described through absolute and relative frequencies. Results: of the 40 newborn (NB) children ofpregnant women with syphilis, 30.0% had congenital syphilis. The variables that were associated with were: gestational quarter of positive examination (p=0.008), number of antenatal consultations (p=0.041), gestational risk stratification (p= 0.041) and treatment of partner (p<0.001). The variables that were associated with the occurrence of congenital syphilis were: risk classification at birth (p=0.004) and examination VDRL in the peripheral blood of the NB (p=0.004). Conclusions: reinforcing prenatal, with the early capture of the pregnant woman by basic care, expansion of the diagnostic coverage and timely and adequate treatment of the pregnant woman and partner, as a prophylactic measure of a possible reinfection.

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