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Spatial distribution and determinant factors of anaemia among women of reproductive age in Ethiopia: a multilevel and spatial analysis.
BMJ Open. 2019 04 04; 9(4):e027276.BO

Abstract

OBJECTIVE

The aim of this study was to assess the spatial distribution and determinant factors of anaemia among reproductive age women in Ethiopia.

METHODS

An in-depth analysis of the 2016 Ethiopian Demographic and Health Survey data was undertaken. Getis-Ord Gi* statistics were used to identify the hot and cold spot areas for anaemia among women of reproductive age. A multilevel logistic regression model was used to identify independent predictors of anaemia among women of reproductive age.

RESULTS

Older age (adjusted OR [AOR]=0.75; 95% CI 0.64 to 0.96), no education (AOR=1.37; 95% CI 1.102 to 1.72), lowest wealth quantile (AOR=1.29; 95% CI 1.014 to 1.60), currently pregnant (AOR=1.28; 95% CI 1.10 to 1.51, currently breast feeding (AOR=1.09; 95% CI 1.025 to 1.28), high gravidity (AOR=1.39; 95% CI 1.13 to 1.69) and HIV positive (AOR=2.11; 95% CI 1.59 to 2.79) are individual factors associated with the occurrence of anaemia. Likewise, living in a rural area (AOR=1.29; 95% CI 1.02 to 1.63) and availability of unimproved latrine facilities (AOR=1.18; 95% CI 1.01 to 1.39) are community-level factors associated with higher odds of anaemia. The spatial analysis indicated that statistically high hotspots of anaemia were observed in the eastern (Somali, Dire Dawa and Harari regions) and north-eastern (Afar) parts of the country.

CONCLUSION

The prevalence rate of anaemia among women of reproductive age varied across the country. Significant hotspots/high prevalence of anaemia was observed in the eastern and north-eastern parts of Ethiopia. Anaemia prevention strategies need to be targeted on rural residents, women with limited to no education, women who are breast feeding, areas with poor latrine facilities and women who are HIV positive.

Authors+Show Affiliations

Priority Research Center for Generational Health and Aging, School of Medicine and Public Health, University of Newcastle, Newcastle, New South Wales, Australia.Priority Research Center for Generational Health and Aging, School of Medicine and Public Health, University of Newcastle, Newcastle, New South Wales, Australia.Priority Research Center for Generational Health and Aging, School of Medicine and Public Health, University of Newcastle, Newcastle, New South Wales, Australia. Western New South Wales, Local Health District, Dubbo, New South Wales, Australia.Priority Research Center for Generational Health and Aging, School of Medicine and Public Health, University of Newcastle, Newcastle, New South Wales, Australia.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

30948614

Citation

Kibret, Kelemu Tilahun, et al. "Spatial Distribution and Determinant Factors of Anaemia Among Women of Reproductive Age in Ethiopia: a Multilevel and Spatial Analysis." BMJ Open, vol. 9, no. 4, 2019, pp. e027276.
Kibret KT, Chojenta C, D'Arcy E, et al. Spatial distribution and determinant factors of anaemia among women of reproductive age in Ethiopia: a multilevel and spatial analysis. BMJ Open. 2019;9(4):e027276.
Kibret, K. T., Chojenta, C., D'Arcy, E., & Loxton, D. (2019). Spatial distribution and determinant factors of anaemia among women of reproductive age in Ethiopia: a multilevel and spatial analysis. BMJ Open, 9(4), e027276. https://doi.org/10.1136/bmjopen-2018-027276
Kibret KT, et al. Spatial Distribution and Determinant Factors of Anaemia Among Women of Reproductive Age in Ethiopia: a Multilevel and Spatial Analysis. BMJ Open. 2019 04 4;9(4):e027276. PubMed PMID: 30948614.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Spatial distribution and determinant factors of anaemia among women of reproductive age in Ethiopia: a multilevel and spatial analysis. AU - Kibret,Kelemu Tilahun, AU - Chojenta,Catherine, AU - D'Arcy,Ellie, AU - Loxton,Deborah, Y1 - 2019/04/04/ PY - 2019/4/6/entrez PY - 2019/4/6/pubmed PY - 2020/5/10/medline KW - anemia KW - multilevel analysis KW - reproductive age women KW - spatial analysis KW - women SP - e027276 EP - e027276 JF - BMJ open JO - BMJ Open VL - 9 IS - 4 N2 - OBJECTIVE: The aim of this study was to assess the spatial distribution and determinant factors of anaemia among reproductive age women in Ethiopia. METHODS: An in-depth analysis of the 2016 Ethiopian Demographic and Health Survey data was undertaken. Getis-Ord Gi* statistics were used to identify the hot and cold spot areas for anaemia among women of reproductive age. A multilevel logistic regression model was used to identify independent predictors of anaemia among women of reproductive age. RESULTS: Older age (adjusted OR [AOR]=0.75; 95% CI 0.64 to 0.96), no education (AOR=1.37; 95% CI 1.102 to 1.72), lowest wealth quantile (AOR=1.29; 95% CI 1.014 to 1.60), currently pregnant (AOR=1.28; 95% CI 1.10 to 1.51, currently breast feeding (AOR=1.09; 95% CI 1.025 to 1.28), high gravidity (AOR=1.39; 95% CI 1.13 to 1.69) and HIV positive (AOR=2.11; 95% CI 1.59 to 2.79) are individual factors associated with the occurrence of anaemia. Likewise, living in a rural area (AOR=1.29; 95% CI 1.02 to 1.63) and availability of unimproved latrine facilities (AOR=1.18; 95% CI 1.01 to 1.39) are community-level factors associated with higher odds of anaemia. The spatial analysis indicated that statistically high hotspots of anaemia were observed in the eastern (Somali, Dire Dawa and Harari regions) and north-eastern (Afar) parts of the country. CONCLUSION: The prevalence rate of anaemia among women of reproductive age varied across the country. Significant hotspots/high prevalence of anaemia was observed in the eastern and north-eastern parts of Ethiopia. Anaemia prevention strategies need to be targeted on rural residents, women with limited to no education, women who are breast feeding, areas with poor latrine facilities and women who are HIV positive. SN - 2044-6055 UR - https://www.unboundmedicine.com/medline/citation/30948614/Spatial_distribution_and_determinant_factors_of_anaemia_among_women_of_reproductive_age_in_Ethiopia:_a_multilevel_and_spatial_analysis_ DB - PRIME DP - Unbound Medicine ER -