Islam G M Rabiul
Department of Food Engineering and Tea Technology, Shahjalal University of Science and Technology, Sylhet, 3114, Bangladesh.
BMC Public Health. 2021 Feb 6;21(1):310. doi: 10.1186/s12889-021-10362-2.
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.
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/m) 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).
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.
贫血是一个全球层面的公共卫生问题。本研究旨在描述孟加拉国育龄妇女中家庭经济不平等与贫血之间的关联，以及其他混杂因素。
本研究使用了孟加拉国人口与健康调查数据中的一个横断面人群样本，该样本由5920名年龄在15至49岁之间的育龄妇女组成。分析通过将比例优势应用于四个模型进行（即，模型1：社会经济因素，模型2：社会人口学因素，模型3：糖尿病和生育状况，模型4：营养状况）。结果：来自低和中等社会经济地位（SES）家庭的受访者与最富有家庭的受访者相比，患贫血的可能性分别高出1.90倍（95%置信区间，1.65,2.17；p <.01）和1.41倍（95%置信区间，1.12,1.78；p <.01）（模型1）。从模型2可以看出，当加入社会人口学变量时，低和中等SES组与高SES组相比，贫血的可能性降低（优势比，1.69，95%置信区间，1.43,1.99和优势比，1.35，95%置信区间，.07,1.70；p < 0.01，分别）。模型3表明，在加入糖尿病和生育状况变量后，低和中等SES与高SES组患贫血之间的关联变弱（优势比1.36，95%置信区间，0.85,2.15和优势比，1.15，95%置信区间，0.6,2.19；p >.05，分别）。此外，在考虑体重指数（BMI，模型4）后，贫血与怀孕受试者和未怀孕受试者之间关联的强度降低（优势比：1.7（1.12, 4.02；p < 0.05）1.47(0.11,3.399；p < 0.05）。此外，与正常BMI的女性相比，瘦女性（MBI < 18.50 Kg/m）患贫血的可能性显著增加（优势比：1.34，.92,1.96；p < 0.05）（模型4）。
观察到BMI、怀孕和糖尿病与贫血显著相关，且与贫血和社会经济不平等之间的关联强度较低。
