scholarly journals Annual Prevalence, Health Expenditures, and Co-Morbidities Trend of Iron Deficiency Anemia in Korea: National Health Insurance Service Data from 2002 to 2013

Author(s):  
Yoo-Jin Park ◽  
Hee-Sook Lim ◽  
Tae-Hee Kim

Despite improvements in nutritional status, iron deficiency anemia (IDA) remains a debilitating nutritional problem worldwide. We estimate annual IDA prevalence rates by sex and age and the trends therein in Korea. We also calculate the health expenditures of IDA and its co-morbidities by analyzing claims data in the National Health Information Database from 2002 to 2013. All analyses were performed based on diagnosis codes of IDA (D50, D50.0, D50.8, and D50.9) regardless of whether IDA was the principal or a coexisting disease. Trends in IDA prevalence rates were evaluated by calculating annual percent changes (APCs) in prevalence. The health expenditures of IDA were calculated based on the direct medical costs (outpatient and hospitalization costs, pharmaceutical costs) and direct non-medical costs (travel costs). The overall IDA prevalence in both sexes increased approximately 2.3-fold from 2002 to 2013; the APC was +7.6%. In females, the prevalence of IDA was highest in aged 30–39 and 40–49 years. The APC was highest in those aged <10 years (+18.2%), followed by those aged ≥80 (+14.7%) and 70–79 (+9.8%) years. In males, the prevalence rates were highest in aged <10 years, followed by those aged ≥60 years. The APC was highest in those aged <10 years (+19.1%), followed by those aged ≥80 years (+10.5%). The total health expenditures increased 2.8-fold during 12 years. Diseases of the respiratory or gastrointestinal tract were the most prevalent co-morbidities in both males and females. The annual prevalence of IDA continues to rise in association with adverse health expenditures and co-morbidities in spite of improvements in nutritional status. Most importantly, infants and young children, the elderly, and females aged 30–49 years are at highest risk of IDA. A national, prospective, and well-organized effort to improve iron status and to manage IDA is required.

2017 ◽  
Vol 10 (3) ◽  
pp. 235-242
Author(s):  
Chiheb Hadjira ◽  
Assami Mustapha Kamel ◽  
Bouchene Zahia ◽  
Aissiou Mohammed Yehya El Amin ◽  
Bitam Arezki

2021 ◽  
Vol 63 (3 May-Jun) ◽  
pp. 401-411
Author(s):  
Fabiola Mejía-Rodríguez ◽  
Salvador Villalpando ◽  
Teresa Shamah-Levy ◽  
Armando García-Guerra ◽  
Ignacio Méndez-Gómez Humarán ◽  
...  

Objective. To compare the prevalence of women 20-49 years of age with iron deficiency anemia (IDA), iron deficiency with no anemia (IDNA), and non-ID anemia (NIDA) in com­parison during 2006, 2012 and 2018, and their association with sociodemographic characteristics and nutritional status. Materials and methods. Ensanut 2006, 2012 and 2018- 19 are comparable for measurements of anemia (hemoglobin) and Iron deficiency (ID, by ferritin). Both measurements combined were compared with year of surveys and other dependent variables using a multinomial regression. Results. In 2006, the total prevalence of anemia was 14.9% and ID 29.0%, the prevalence of IDA was 8.35%, of IDNA 20.5%, and NIDA 6.6%; in 2012, the total prevalence of anemia was 13.3%, ID was 9.6%, IDA 8.6%, IDNA 21.0% y NIDA 4.7%; in 2018 total prevalence of anemia was 21.4%, of ID 25.7%, IDA 10.5%, IDNA 15.2% and NIDA 10.9%. Conclusions. The total prevalence of anemia increased 6.5 pp between 2006 and 2018, IDNA reduced, IDA had no significant changes, the mayor increase (4.3 pp) occurred in NIDA.


2017 ◽  
Vol 19 (1) ◽  
pp. 61-67 ◽  
Author(s):  
Cahyaningtyas Triwinarni ◽  
Th Ninuk Sri Hartini ◽  
Joko Susilo

Background : Nutritional problems frequently experienced by adolescents is anemia. Anemia is a condition with blood hemoglobin levels were lower than normal as a result of the inability of tissues forming red blood cells in its production in order to maintain hemoglobin levels at normal levels. The prevalence of anemia in women age 15 and older, according to Riset Kesehatan Dasar in 2013 by 22.7%. Objective : The purpose of this study analyze the relationship between nutritional status and the incidence of iron deficiency anemia among high school students in Pakem. Method : This observational study using cross sectional approach, implemented in four high schools in the District of Pakem. The population in this study were students of class X and XI in four high school in Pakem. The independent variables were the nutritional status. The dependent variable is the iron anemia. Hemoglobin levels were measured by the method cyanmethemoglobin, weight was measured with a digital bathroom scales, height measured by microtoise. Data analysis used chi-square statistic. Conclusion : Based on the analysis proves that there is a relationship of nutritional status according to BMI / U with the incidence of iron deficiency anemia in high school in Pakem with p = 0.017.   Keywords: nutritional status , anemia , High School students


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