Anemia and Its Determinants among Male and Female Adolescents in Southern Ethiopia: A Comparative Cross-Sectional Study.

IF 2.2 Q3 HEMATOLOGY

Anemia Pub Date : 2020-10-09 eCollection Date: 2020-01-01 DOI:10.1155/2020/3906129

Melat Belay Zeleke, Mohammed Feyisso Shaka, Adane Tesfaye Anbesse, Solomon Hailemariam Tesfaye

{"title":"Anemia and Its Determinants among Male and Female Adolescents in Southern Ethiopia: A Comparative Cross-Sectional Study.","authors":"Melat Belay Zeleke, Mohammed Feyisso Shaka, Adane Tesfaye Anbesse, Solomon Hailemariam Tesfaye","doi":"10.1155/2020/3906129","DOIUrl":null,"url":null,"abstract":"Background: Adolescent anemia is a major public health problem worldwide. Adolescents (10-19 years) are at an increased risk of developing anemia due to increased iron demand during puberty, menstrual losses, limited dietary iron intake, and faulty dietary habits.Objective: To assess the prevalence of anemia and associated factors among male and female adolescent students in Dilla Town, Gedeo Zone, Southern Ethiopia, May 2018.Methods: A school-based comparative cross-sectional study was employed among 742 school adolescents. Basic characteristics, anthropometric measurements, haemoglobin measurement, and others were collected. Data were analyzed using SPSS version 20 software, and descriptive statistics were computed for all variables. Bivariate and multivariable logistic regression analyses using binary logistic regression were done, the results were interpreted by using AOR with their corresponding 95% CI, and statistically significant difference was declared at p < 0.05.Result: Out of the total 742 respondents, 377 (50.8%) were males and 365 (49.2%) were females. The overall prevalence of anemia was 21.1%, and the prevalence of anemia was 22.5% among male adolescents and 19.7% among females. Male adolescent students within the early adolescence age group (10-13 yrs) (AOR 0.27, 95% CI, 0.08-0.87), those consuming fibre-rich foods daily (AOR 0.11, 95% CI, 0.02-0.61), and those having no intestinal parasites (AOR 0.04, 95% CI, 0.02-0.09) were less likely to be anemic. Similarly, female adolescent students not having intestinal parasites (AOR 0.05, 95% CI, 0.01-0.11) were less likely to develop anemia while those from malaria endemic area (AOR 2.57, 95% CI, 1.13-5.83) were identified to be more anemic.Conclusion: This study identified that anemia was a moderate public health significance in the study area, and the prevalence of anemia was slightly higher among male than female adolescents. Age category, frequency of eating fibre-rich foods, and positive intestinal parasite tests were factors contributing for anemia among male adolescents while presence of intestinal parasite and malaria endemicity were the determinants of anemia among female adolescents.","PeriodicalId":46055,"journal":{"name":"Anemia","volume":"2020 ","pages":"3906129"},"PeriodicalIF":2.2000,"publicationDate":"2020-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2020/3906129","citationCount":"5","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Anemia","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1155/2020/3906129","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2020/1/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"HEMATOLOGY","Score":null,"Total":0}

引用次数: 5

Abstract

Background: Adolescent anemia is a major public health problem worldwide. Adolescents (10-19 years) are at an increased risk of developing anemia due to increased iron demand during puberty, menstrual losses, limited dietary iron intake, and faulty dietary habits.

Objective: To assess the prevalence of anemia and associated factors among male and female adolescent students in Dilla Town, Gedeo Zone, Southern Ethiopia, May 2018.

Methods: A school-based comparative cross-sectional study was employed among 742 school adolescents. Basic characteristics, anthropometric measurements, haemoglobin measurement, and others were collected. Data were analyzed using SPSS version 20 software, and descriptive statistics were computed for all variables. Bivariate and multivariable logistic regression analyses using binary logistic regression were done, the results were interpreted by using AOR with their corresponding 95% CI, and statistically significant difference was declared at p < 0.05.

Result: Out of the total 742 respondents, 377 (50.8%) were males and 365 (49.2%) were females. The overall prevalence of anemia was 21.1%, and the prevalence of anemia was 22.5% among male adolescents and 19.7% among females. Male adolescent students within the early adolescence age group (10-13 yrs) (AOR 0.27, 95% CI, 0.08-0.87), those consuming fibre-rich foods daily (AOR 0.11, 95% CI, 0.02-0.61), and those having no intestinal parasites (AOR 0.04, 95% CI, 0.02-0.09) were less likely to be anemic. Similarly, female adolescent students not having intestinal parasites (AOR 0.05, 95% CI, 0.01-0.11) were less likely to develop anemia while those from malaria endemic area (AOR 2.57, 95% CI, 1.13-5.83) were identified to be more anemic.

Conclusion: This study identified that anemia was a moderate public health significance in the study area, and the prevalence of anemia was slightly higher among male than female adolescents. Age category, frequency of eating fibre-rich foods, and positive intestinal parasite tests were factors contributing for anemia among male adolescents while presence of intestinal parasite and malaria endemicity were the determinants of anemia among female adolescents.

查看原文本刊更多论文

埃塞俄比亚南部男性和女性青少年贫血及其决定因素:一项比较横断面研究。

背景:青少年贫血是世界范围内的一个主要公共卫生问题。青少年(10-19岁)由于青春期铁需求增加、月经减少、饮食铁摄入量有限以及不良的饮食习惯，患贫血的风险增加。目的:了解2018年5月埃塞俄比亚南部Gedeo区Dilla镇男女青少年学生贫血患病率及相关因素。方法:对742名在校青少年进行校本比较横断面调查。收集基本特征、人体测量值、血红蛋白测量值等。数据分析采用SPSS version 20软件，对所有变量进行描述性统计。采用二元logistic回归进行双变量和多变量logistic回归分析，采用AOR进行解释，其95% CI为p < 0.05，差异有统计学意义。结果:742名被调查者中，男性377人(50.8%)，女性365人(49.2%)。总体贫血患病率为21.1%，其中男性青少年为22.5%，女性青少年为19.7%。青春期早期年龄组(10-13岁)的男性青少年学生(AOR 0.27, 95% CI, 0.08-0.87)、每天食用富含纤维食物的男性青少年学生(AOR 0.11, 95% CI, 0.02-0.61)和没有肠道寄生虫的男性青少年学生(AOR 0.04, 95% CI, 0.02-0.09)患贫血的可能性较低。同样，没有肠道寄生虫(AOR 0.05, 95% CI, 0.01-0.11)的女青少年学生患贫血的可能性较小，而来自疟疾流行地区(AOR 2.57, 95% CI, 1.13-5.83)的女青少年学生患贫血的可能性更大。结论:本研究发现贫血在研究区域具有中等公共卫生意义，男性青少年的贫血患病率略高于女性青少年。年龄类别、食用富含纤维食物的频率和肠道寄生虫检测呈阳性是导致男性青少年贫血的因素，而肠道寄生虫和疟疾流行是导致女性青少年贫血的决定因素。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Anemia HEMATOLOGY-

CiteScore

4.80

自引率

3.40%

发文量

审稿时长

18 weeks

期刊介绍： Anemia is a peer-reviewed, Open Access journal that publishes original research articles, review articles, and clinical studies on all types of anemia. Articles focusing on patient care, health systems, epidemiology, and animal models will be considered, among other relevant topics. Affecting roughly one third of the world’s population, anemia is a major public health concern. The journal aims to facilitate the exchange of research addressing global health and mortality relating to anemia and associated diseases.