School of Development Studies, Tata Institute of Social Sciences, Mumbai, India.
J Biosoc Sci. 2022 Jul;54(4):672-681. doi: 10.1017/S0021932021000328. Epub 2021 Jul 7.
The early detection of anaemia is important for its subsequent control and incidence among women of childbearing age. This study aimed to assess the anaemia status of preconception young married women in India using National Family Health Survey-4 data collected in 2015-16. A total 65,238 sample preconception young married women were analysed using univariate, bivariate and multivariate techniques. A majority belonged to the Hindu religion (81.7%), lived in rural areas (64.5%) and had secondary level education (51.8%), and 41.7% had not yet given birth. The percentage suffering from anaemia was 51.3%. The prevalence of anaemia was higher among younger women (55.3%), those from Scheduled Tribes (59.0%), those living in rural areas (52.8%), the non-educated (55.9%), those in the poorest wealth quintile (56.9%), those from the East region (57.0%) and those with a low body mass index (BMI) (58.4%). The adjusted odds ratios indicated that, after controlling for significant background factors, Hindu, Scheduled Tribe, Scheduled Caste, East region, already having a child, too thin for their height and poorer and poorest wealth quintiles had higher odds of suffering from anaemia compared with the reference groups. The odds of suffering from anaemia decreased with age and education. The study showed a high burden of anaemia and associated risk factors among preconception young married women in India. The finding will inform decision-makers when planning interventions to decrease anaemia among women of childbearing age in India.
贫血的早期检测对于其后续控制和育龄妇女的发病率非常重要。本研究旨在使用 2015-16 年收集的国家家庭健康调查-4 数据评估印度育龄期年轻已婚妇女的贫血状况。使用单变量、双变量和多变量技术分析了总共 65238 名样本育龄期年轻已婚妇女。大多数人属于印度教（81.7%），居住在农村地区（64.5%），受过中等教育（51.8%），41.7%尚未生育。贫血患病率为 51.3%。年轻女性（55.3%）、在册部落（59.0%）、农村地区（52.8%）、未受教育者（55.9%）、最贫困五分之一（56.9%）、东部地区（57.0%）和身体质量指数（BMI）较低者（58.4%）贫血发生率较高。调整后的优势比表明，在控制了重要的背景因素后，与参考组相比，印度教、在册部落、在册种姓、东部地区、已经有孩子、身高过瘦和较贫穷和最贫穷的五分位数的人群贫血的可能性更高。贫血的风险随着年龄和教育程度的增加而增加。该研究表明，印度育龄期年轻已婚妇女中存在较高的贫血负担和相关风险因素。这一发现将为决策者在印度规划减少育龄妇女贫血的干预措施时提供信息。
