Rural-urban disparities in prevalence of anemia among adolescent girls in India

Authors

  • Jeetendra Yadav National Institute of Medical Statistics (NIMS), ICMR, New Delhi, India
  • Ashish K. Yadav Department of Community Medicine, ESI-Post Graduate Institute of Medical Sciences and Research, Joka, Kolkata, India
  • Ranganadham Srinadh Consultant (Monitoring and Evaluation), United Nations Population Fund (UNFPA)

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20175347

Keywords:

Anaemia, Prevalence, Hemoglobin level, Adolescent girls and DLHS-4

Abstract

Background: Anaemia continues to be a major public health problem at all ages worldwide. Today, every fifth person in India is an adolescent (Census, 2011). Anaemia effects adolescent girls critically by decreasing their capacity to do physical work, affects their growth as a result they are not well prepared for upcoming pregnancy and motherhood challenge. NFHS-3 reports indicated wide rural-urban disparity in prevalence of anaemia. The present study aims to explore rural-urban disparity in prevalence of anaemia and to study the factor associated with anaemia among adolescent girls in India.

Methods: District levels household survey (DLHS-4, 2012-13) was used for the present study. The outcome variables included in the study was anaemia. Bivariate analyses including chi square tests were applied to determine the prevalence of anaemia and logistic regression models to understand the determinants of anaemia. The whole analysis was performed using STATA version 13.0 to take into account the survey design (i.e. sampling weights with clustering and strata), QGIS, and R CRAN.

Results: The prevalence of anaemia was observed high in urban (65.3%) as compared to rural (57.3%). However, the prevalence of severe anaemia was high in rural area as compared to urban area. The mean hemoglobin level of the study population was 10.4±2.22. Prevalence of anaemia varies across key selected individual, household and community characteristics of adolescent girls. Finding of multivariate logistic regression analysis indicated that anemia has a strong relation with age, education, family size, religion, caste, economic status, sanitation facility and place of residence of adolescents.

Conclusions: This study concludes that the prevalence of anaemia is a significant problem of adolescent girls in India. The study also proved that anemia is significantly associated with age, education, income strata and place of residence. 

References

World Health Organization. Programming for adolescent health and development. WHO Tech Rep Ser No. 886; 1996: 2.

Brabin L, Brabin BJ. The cost of successful adolescent growth and development in girls in relation to iron and vitamin A status. Am J Clin Nutr. 1992;55:955-8.

Mathur JSS. Preventive and Social Medicine, A comprehensive text book.1st ed. New Delhi: CBS Publishers and Distributors; 2007: 382-389.

Chatterjee R, Nutritional needs of adolescents. Pediatrics Today. 2008;3:110-14.

World Bank. Public health at a glance, 2004.

World Health Organization. WHO Vitamin and Mineral Nutrition/ Anaemia, 2011.

Shobha S, Sharada D. Efficacy of twice weekly iron supplementation in anemic adolescent girls. Indian Pediatric. 2003;40:1186-90.

International Institute for Population Sciences, ORC Macro. (2007): “National Family Health Survey India”, 2005–06 NFHS-3. Report, Volume II, Mumbai:IIPS.

Toteja GS, Singh P, Dhillon BS, Saxena BN, Ahmed FU, Singh RP, et al. Prevalence of anaemia among pregnant women and adolescent girls in 16 districts of India. Food Nutr Bull. 2006;27:311-5.

Seshadri S. Oral iron supplementation to control anaemia in adolescent girls: Community trials of effectiveness of daily vs weekly supplementation. UNICEF Project of Department of Foods and Nutrition/WHO Collaborating Centre for anaemia Control, Maharaja Sayajirao University of Baroda; 1998: 26.

Premalatha T, Valarmathi S, Srijayanth P, Sundar JS, Kalpana S. Prevalence of anaemia and its Associated Factors among Adolescent School Girls in Chennai, Tamil Nadu, INDIA. Epidemiology. 2012;2:118.

International Institute for Population Sciences Mumbai. DLHS-4 report.

Sharman A. anaemia Testing in Population-Based Surveys: General Information and Guidelines for Country Monitors and Program Managers. Calverton, MD: ORC Macro, 2000.

WHO. Report of the WHO/UNICEF/UNU Consultation on Indicators and Strategies for Iron Deficiency and Anaemia Programmes. Draft report, December 6–10 1993. Geneva, Switzerland: WHO, 1994.

Suryanarayana R, Santhuram AN, Chandrappa M, Shivajirao P, Rangappa SS. Prevalence of anaemia among pregnant women in rural population of Kolar district. Int J Med Sci Public Health. 2016;5(3):454-8.

Kuril BM, Lone DK, Janbade C, Ankushe RT, Gujarathi VV. Anaemia among adolescent girls in rural area. Int J Recent Trends Sci Tech. 2015;14(3):617-62.

Kulkarni MV, Durge PM, Kasturwar NB. Prevalence of anemia among adolescent Girls in an urban slum. National J Community Med. 2012;3(1):108-11.

Siddharam SM, Venketesh GM, Thejeshwari HL. A Study of Anemia Among Adolescent Girls in Rural Area of Hassan district, Karnataka, South India. Int J Biol Med Res. 2011;2(4):922-4.

International Institute for Population Sciences & Macro International (2007) National Family Health Survey (NFHS-3), 2005–06: India: Volume I. Mumbai: IIPS.

Vyas S, Kumaranayake L. Constructing socio-economic status indices: how to use principal component analysis. Health Policy and Planning. 2006;21:459–68.

Howe LD, Hargreaves JR, Gabrysch S, Huttly SRA. Is the wealth index a proxy for consumption expenditure? A systematic review. J Epidemiol Community Health. 2009;63:871–7.

Kishore J. Editor. National Health Programs of India. 6th ed. New Delhi: Century Publications; 2006: 82-84.

Lal S, Pankaj A. Editors. Textbook of Community Medicine (Preventive and Social Medicine). 1st ed. New Delhi: CBS Publishers and Distributors; 2007: 166-168.

Verma R, Kharb M, Yadav SP, Chaudhary V, Ruchi, Ajay. Prevalence of Anaemia among Adolescents under Ibsy in Rural Block of a Dist. of Northern India. Int J Social Sci Interdisciplinary Res. 2013;2(9).

de Benoist B et al, eds. Worldwide prevalence of anaemia 1993-2005. WHO Global Database on Anaemia Geneva, World Health Organization, 2008.

WHO/UNICEF. Indicators for assessing iron deficiency and strategies for its prevention. Draft based on a WHO/UNICEF consultation World Health Organization, Geneva, 1996.

De Benoist B et al, eds. Worldwide prevalence of anaemia 1993-2005. WHO Global Database on anaemia Geneva, World Health Organization, 2008.

Gupta A, Parashar A, Thakur A, Sharma D. Anaemia among adolescent girls in Shimla hills of north India. Does BMI and onset of menarche have a role? Indian J Med Sci. 2012;66:126-30.

Kaur S, Deshmukh PR, Garg BS. Epidemiological Correlates of Nutritional anaemia in adolescent girls of Rural Wardha. Indian J of Community Medicine 2006;31(4):255-7.

Jayasree, P Sushamabai, S AS, Mathew A, Kadam RM, Varghese BA. Epidemiological factors affecting anaemia prevalence in rural adolescents in South India. Pushpagiri Med J. 2012;3:4.

Biradar S, Biradar S. Prevalence of Anaemia among Adolescent Girls: A One Year Cross-Sectional Study. J Clin. 2012;6(3):372–7.

Chandra Sekhar K, V NJ, Kumar KJK, Kumar DSS, Krishna CB, Tondare D. Prevalence of anaemia among adolescent girls in urban areas of Kadapa, A.P. Indian J Public Heal Res Dev.2011;2(1).

Chaudhary SM, Dhage VR. A study of anemia among adolescent females in the urban area of Nagpur. Indian J Community Med. 2008;33(4):243–5.

Pathak P, Singh P, Kapil U, Raghuvanshi RS. Prevalence of iron, vitamin A and iodine deficiencies amongst adolescent pregnant mothers. Indian J Pediatric. 2003;70:299-301.

Rajaratnam J, Abel R, Ashokan JS, Jonathan P.. Prevalence of anemia among adolescent girls of rural Tamil Nadu. Indian Pediatr. 2000;37:532-6.

Singh J, Singh JV, Srivastava AK. Health Status of Adolescent Girls in Slums of Lucknow. Indian J Community Med. 2006;31:102.

Verma A, Rawal VS, Kedia G, Kumar D, Chauhan J. Factors influencing anemia among girls of school going age (6-18 years) from slums of Ahmedabad City. Indian J Community Med. 2004;29:25-6.

Bharati P, Shome S, Chakrabarty S, Bharati S, Pal M. Burden of anemia and its socioeconomic determinants among adolescent girls in India. Food and Nutrition Bulletin. 2009;30(3):217-26.

Downloads

Published

2017-11-23

How to Cite

Yadav, J., Yadav, A. K., & Srinadh, R. (2017). Rural-urban disparities in prevalence of anemia among adolescent girls in India. International Journal Of Community Medicine And Public Health, 4(12), 4661–4667. https://doi.org/10.18203/2394-6040.ijcmph20175347

Issue

Section

Original Research Articles