Public Health Nutrition最新文献

{"title":"Perceived barriers and facilitators to breast-feeding support practices in hospitals and birthing facilities in the USA.","authors":"Bee-Ah Kang, Sarah Gonzalez-Nahm, Sara E Benjamin-Neelon","doi":"10.1017/S1368980024002635","DOIUrl":"10.1017/S1368980024002635","url":null,"abstract":"<p><strong>Objective: </strong>The Baby-Friendly Hospital Initiative (BFHI) designation is known to increase breast-feeding rates in the USA. However, less is known about barriers and facilitators to breast-feeding support practices in BFHI hospitals and how they differ from non-BFHI hospitals. We examined what barriers and facilitators are perceived to affect breast-feeding practices among BFHI and non-BFHI hospital administrators and further explored factors that presented challenges to the adoption and continuation of breast-feeding support practices.</p><p><strong>Design: </strong>Cross-sectional study was conducted. We measured whether hospitals were implementing 12 breast-feeding support practices and identified barriers and facilitators to the practices. The survey questionnaire included both structured and open-ended questions.</p><p><strong>Setting: </strong>This study included hospital administrators from both BFHI and non-BFHI hospitals from all regions of the USA to help elucidate potential differences.</p><p><strong>Participants: </strong>A stratified random sample of 50 % of BFHI and 50 % of non-BFHI hospitals was obtained. The final sample size included 113 BFHI and 177 non-BFHI hospital administrators.</p><p><strong>Results: </strong>Low interest among mothers was reported as the most significant barrier to providing breast-feeding support among all administrators. Non-BFHI hospital administrators were more likely to report cost, nursing staff and physician resistance and hospital infrastructure as barriers to initiating practices. In-person training was cited as the most important facilitator among both groups.</p><p><strong>Conclusions: </strong>Strengthening prenatal education for mothers and trainings for administrative and nursing staff and physicians is warranted in BFHI and non-BFHI hospitals. Staff management and hospital infrastructure need to be improved particularly in non-BFHI hospitals to provide adequate breast-feeding support for mothers.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":"28 1","pages":"e34"},"PeriodicalIF":3.0,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11822633/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143080892","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of the implementation of governmental policies and actions to create healthy food environments in Burkina Faso.","authors":"Viviane Aurélie Tapsoba, Ella Wr Compaore, Augustin Nawidimbasba Zeba, Jerome Winbetourefa Some, Julien Soliba Manga, Adama Diouf, Jean-Claude Moubarac, Stefanie Vandevijvere, Mamoudou H Dicko","doi":"10.1017/S1368980024002568","DOIUrl":"10.1017/S1368980024002568","url":null,"abstract":"<p><strong>Objective: </strong>The creation of a healthy food environment is highly dependent on the policies that governments choose to implement. The objective of this study is to compare the level of implementation of current public policies aimed at creating healthy food environments in Burkina Faso with international good practice indicators.</p><p><strong>Design: </strong>This evaluation was carried out using the Food-EPI tool. The tool has two components (policy and infrastructure support), thirteen domains and fifty-six good practice indicators adapted to the Burkina Faso context.</p><p><strong>Setting: </strong>Burkina Faso.</p><p><strong>Participants: </strong>Expert evaluators divided into two groups: the group of independent experts from universities, NGO and civil society and the group of experts from various government sectors.</p><p><strong>Results: </strong>Among the fifty-six indicators, it was assessed the level of implementation as 'high' for six indicators, 'medium' for twenty-four indicators, 'low' for twenty-two indicators and 'very low' for four indicators. High implementation level indicators include strong and visible political support, targets on exclusive breastfeeding and complementary feeding, strong and visible political support for actions to combat all forms of malnutrition, monitoring of exclusive breastfeeding and complementary feeding indicators, monitoring of promotion and growth surveillance programmes and coordination mechanism (national, state and local government). The indicators on menu labelling, reducing taxes on healthy foods, increasing taxes on unhealthy foods and dietary guidelines are the indicators with a 'very low' level of implementation in Burkina Faso.</p><p><strong>Conclusions: </strong>The general results showed that there is a clear need for further improvements in policy and infrastructure support to promote healthy food environments.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e31"},"PeriodicalIF":3.0,"publicationDate":"2025-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11822587/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142915497","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Selected health characteristics are associated with urban Canadians' acceptability of policies promoting healthier restaurant food environments.","authors":"Jessica Lambert-De Francesch, Kadia Saint-Onge, Nazeem Muhajarine, Lise Gauvin","doi":"10.1017/S136898002400257X","DOIUrl":"10.1017/S136898002400257X","url":null,"abstract":"<p><strong>Objective: </strong>The adoption of policies promoting healthier restaurant food environments is contingent on their acceptability. Limited evidence exists regarding individual characteristics associated with restaurant food environment policy acceptability, especially health-related characteristics. This study examined associations between health characteristics and restaurant food environment policy acceptability among urban Canadians.</p><p><strong>Design: </strong>Links between health characteristics and complete agreement levels with selected policies were examined using data in the cross-sectional <i>Targeting Healthy Eating and Physical Activity</i> survey study, that is, a large pan-Canadian study on policy acceptability. For each policy, several logistic multilevel regression analyses were conducted.</p><p><strong>Setting: </strong>Canada's seventeen most populated census metropolitan areas.</p><p><strong>Participants: </strong>Urban Canadian adults responded to the survey (<i>n</i> 27 162).</p><p><strong>Results: </strong>Body mass index was not associated with acceptability after adjustments for other health and sociodemographic characteristics were made. Across all policies and analyses, those reporting excellent or very good health statuses were more likely to be in complete agreement with targeted policies than those with good health statuses. For selected policies and analyses, those reporting poor health statuses were also more likely to be in complete agreement than those describing their health status as good. For all policies and analyses, both those consuming restaurant-prepared foods daily and those never consuming these foods were more likely to be in complete agreement than those consuming these foods once per week.</p><p><strong>Conclusions: </strong>More research is needed to explain discrepancies in acceptability according to health characteristics. Bringing this study's findings to the attention of policymakers may help build momentum for policy enactment.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e15"},"PeriodicalIF":3.0,"publicationDate":"2024-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11822577/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142896953","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Acceptability patterns of hypothetic taxes on different types of foods in France.","authors":"Florian Manneville, Barthélemy Sarda, Emmanuelle Kesse-Guyot, Sandrine Péneau, Bernard Srour, Julia Baudry, Benjamin Allès, Yann Le Bodo, Serge Hercberg, Mathilde Touvier, Chantal Julia","doi":"10.1017/S1368980024002556","DOIUrl":"10.1017/S1368980024002556","url":null,"abstract":"<p><strong>Objective: </strong>To identify patterns of food taxes acceptability among French adults and to investigate population characteristics associated with them.</p><p><strong>Design: </strong>Cross-sectional data from the NutriNet-Santé e-cohort. Participants completed an <i>ad hoc</i> web-based questionnaire to test patterns of hypothetical food taxes acceptability (i.e. overall perception combined with reasons for supporting or not) on eight food types: fatty foods, salty foods, sugary foods, fatty and salty foods, fatty and sugary products, meat products, foods/beverages with unfavourable front-of-pack nutrition label and 'ultra-processed foods'. Sociodemographic and anthropometric characteristics and dietary intakes (24-h records) were self-reported. Latent class analysis was used to identify patterns of food taxes acceptability.</p><p><strong>Setting: </strong>NutriNet-Santé prospective cohort study.</p><p><strong>Participants: </strong>Adults (<i>n</i> 27 900) engaged in the French NutriNet-Santé e-cohort.</p><p><strong>Results: </strong>The percentage of participants in favour of taxes ranged from 11·5 % for fatty products to 78·0 % for ultra-processed foods. Identified patterns were (1) 'Support all food taxes' (16·9 %), (2) 'Support all but meat and fatty products taxes' (28·9 %), (3) 'Against all but UPF, Nutri-Score and salty products taxes' (26·5 %), (4) 'Against all food taxes' (8·6 %) and (5) 'No opinion' (19·1 %). Pattern 4 had higher proportions of participants with low socio-economic status, BMI above 30 kg/m² and who had consumption of foods targeted by the tax above the median.</p><p><strong>Conclusions: </strong>Results provide strategic information for policymakers responsible for designing food taxes and may help identify determinants of support for or opposition to food taxes in relation to individual or social characteristics or products taxed.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e18"},"PeriodicalIF":3.0,"publicationDate":"2024-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11822589/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142896824","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Using Food Composition Tables to Estimate Decreases in Sodium Intake Due to the Reformulation of Packaged and Ultra-Processed Foods in a Young Population in South Africa.","authors":"Alexandra Ross, Elizabeth C Swart, Joelaine Chetty, Malory Jumat, Tamryn Frank, Averalda van Graan","doi":"10.1017/S1368980024002519","DOIUrl":"https://doi.org/10.1017/S1368980024002519","url":null,"abstract":"<p><strong>Objective: </strong>In response to increasing hypertension rates, South Africa implemented a regulation which set a maximum total sodium content for certain packaged food categories. We assess changes in reported sodium intake among 18-39 year old adults living in one township in the Western Cape as a result of the implementation of the regulation in 2016.</p><p><strong>Design: </strong>By linking one set of 24 hour dietary recall data to two versions of the South Africa Food Composition Database which reflect the pre-regulation and post-regulation periods, we calculated changes in sodium intake due to reformulation of food products, not behavior change. We statistically tested differences in mean consumption in this sample with paired t-tests.</p><p><strong>Setting: </strong>Langa, Western Cape, South Africa.</p><p><strong>Participants: </strong>Surveyed participants were residents of Langa between 18-39 years old (n=2,148).</p><p><strong>Results: </strong>Before and after the implementation of the regulation there was a statistically significant decrease in the estimated sodium intake among adults of 189.4 mg (137.5, 241.4; p=0.00). Reported sodium from cured meat (such as Russians) and certain types of soup powder, cereals, and salted peanuts had a 9 to 33 percent lower calculated sodium consumption.</p><p><strong>Conclusions: </strong>Our conclusions show that independent of any behavioral changes on the part of consumers, it is possible to lower sodium intake by using regulations to induce food manufacturers to lower the sodium levels in their products. As countries explore similar regulatory strategies, this work can add to that body of evidence to inform policies to improve the food system.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"1-14"},"PeriodicalIF":3.0,"publicationDate":"2024-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142897073","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sorting it out: perceptions of foods among newly arrived adolescent refugees in the Southeastern USA.","authors":"Rebecca E Jones-Antwi, Caroline Owens, Craig Hadley, Solveig A Cunningham","doi":"10.1017/S1368980024002544","DOIUrl":"10.1017/S1368980024002544","url":null,"abstract":"<p><strong>Objective: </strong>To explore the meanings that newly arrived refugee adolescents residing in the Southeastern USA attribute to foods.</p><p><strong>Design: </strong>We used methods from cognitive anthropology to assess whether adolescents from different countries share a cultural model of eating behaviours.</p><p><strong>Setting: </strong>A school-based study in a community in the Southeastern USA.</p><p><strong>Participants: </strong>Adolescents (10-17 years) who arrived in the USA on a refugee visa in the previous year.</p><p><strong>Results: </strong>Adolescents showed consensus in grouping items and in identifying some foods as associated with adults and others with children. There was evidence of a shared model of eating practices across age, gender and number of siblings. Adolescents who had lived in a refugee camp were significantly different in how they grouped items.</p><p><strong>Conclusions: </strong>Adolescents from nine countries shared a model of eating behaviours; these patterns are consistent with rapid dietary acculturation within 1 year of arrival or with shared models held from pre-arrival. Our finding that adolescents who recently arrived in the USA generally agree about how foods relate to one another holds promise for generalised nutrition and dietary interventions across diverse adolescent groups.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e11"},"PeriodicalIF":3.0,"publicationDate":"2024-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11822612/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142897050","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Examining public support for comprehensive policy packages to tackle unhealthy food environments.","authors":"Simone Wahnschafft, Achim Spiller, Yasemin Boztuğ, Peter von Philipsborn, Dominic Lemken","doi":"10.1017/S1368980024002532","DOIUrl":"10.1017/S1368980024002532","url":null,"abstract":"<p><strong>Objective: </strong>This study examines public support - and its drivers - for comprehensive policy packages (i.e. bundles of coherent policy measures introduced together) aimed at improving food environments.</p><p><strong>Design: </strong>Participants completed an online survey with a choice-based conjoint experiment, where they evaluated pairs of policy packages comprising up to seven distinct food environment measures. After choosing a preferred package or opting for a single policy, participants designed their ideal policy package. Based on their choices, respondents were categorised as resistant, inclined or supportive towards policy packaging according to their frequency of opting out for single measures and the number of policies they included in their ideal package.</p><p><strong>Setting: </strong>The study was conducted in Germany via an online survey.</p><p><strong>Participants: </strong>The sample included 1200 eligible German voters, recruited based on age, gender and income quotas.</p><p><strong>Results: </strong>Based on both opt-out frequency (44·7 %) and ideal policy packaging (72·8 %) outcomes, most respondents were inclined towards policy packages. The inclusion of fiscal incentives and school-based measures in packages enhanced support, while fiscal disincentives reduced it. Key drivers of support included beliefs about the importance of diet-related issues and the role of government in regulation, while socio-demographic factors, political leaning and personal experience with diet-related disease had minimal impact.</p><p><strong>Conclusions: </strong>The results reveal public appetite for policy packages to address unhealthy food environments, contingent on package design and beliefs about the issue's severity and legitimacy of intervention. Public health advocates should design and promote policy packages aligned with public preferences, especially given anticipated opposition from commercial interests.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e7"},"PeriodicalIF":3.0,"publicationDate":"2024-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11736651/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142877948","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The impact of the COVID-19 pandemic in Malaysia, Indonesia, Thailand and Vietnam: insights from the SEANUTS II study.","authors":"Jan Geurts, Cécile Singh-Povel, Shoo Thien Lee, Rini Sekartini, Bee Koon Poh, Nipa Rojroongwasinkul, Nga Thuy Tran, Aria Kekalih, Jyh Eiin Wong, Nawarat Vongvimetee, Van Khanh Tran, Ilse Khouw","doi":"10.1017/S1368980024001332","DOIUrl":"10.1017/S1368980024001332","url":null,"abstract":"<p><strong>Objective: </strong>To describe the economic, lifestyle and nutritional impact of the COVID-19 pandemic on parents, guardians and children in Malaysia, Indonesia, Thailand and Vietnam.</p><p><strong>Design: </strong>Data from the SEANUTS II cohort were used. Questionnaires, including a COVID-19 questionnaire, were used to study the impact of the pandemic on parents/guardians and their children with respect to work status, household expenditures and children's dietary intake and lifestyle behaviours.</p><p><strong>Setting: </strong>Data were collected in Malaysia, Indonesia, Thailand and Vietnam between May 2019 and April 2021.</p><p><strong>Participants: </strong>In total, 9203 children, aged 0·5-12·9 years, including their parents/guardians.</p><p><strong>Results: </strong>Children and their families were significantly affected by the pandemic. Although the impact of lockdown measures on children's food intake has been relatively mild in all countries, food security was negatively impacted, especially in Indonesia. Surprisingly, in Malaysia, lockdown resulted in overall healthier dietary patterns with more basic food groups and less discretionary foods. Consumption of milk/dairy products, however, decreased. In the other countries, intake of most food groups did not change much during lockdown for households based on self-reporting. Only in rural Thailand, some marginal decreases in food intakes during lockdown persisted after lockdown. Physical activity of children, monthly household income and job security of the parents/guardians were negatively affected in all countries due to the pandemic.</p><p><strong>Conclusion: </strong>The COVID-19 pandemic has significantly impacted societies in South-East Asia. To counteract negative effects, economic measures should be combined with strategies to promote physical activity and eating nutrient-adequate diets to increase resilience of the population.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":"27 1","pages":"e261"},"PeriodicalIF":3.0,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11705021/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142865520","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Deciphering the concurrent phenomenon of childhood malnutrition by using the extended composite index of anthropometric failure (ECIAF): facts from the BESLEN project.","authors":"Gözde Dumlu Bilgin, İrem Kaya Cebioğlu, Hasan Kaan Kavsara, Aybüke Sarioğlu, Melis Keküllüoğlu Tan, Sema Aydin, Pınar Usta, Binnur Okan Bakir","doi":"10.1017/S1368980024002520","DOIUrl":"10.1017/S1368980024002520","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the co-existence of single and multiple anthropometric failures among children using an extended composite index of anthropometric failure (ECIAF). This study aims to elucidate the complex interplay between child-specific and maternal factors, highlighting the multifaceted nature of childhood malnutrition.</p><p><strong>Design: </strong>A multicentre cross-sectional study as part of the BESLEN project.</p><p><strong>Setting: </strong>Mother-Child Education Centre in the Pendik district of Istanbul, Türkiye.</p><p><strong>Participants: </strong>1283 children (preschool children, <i>n</i> 822, school-aged children, <i>n</i> 462) and 1044 mothers.</p><p><strong>Results: </strong>Almost 1/3 of the children included in the study had an anthropometric failure as determined by ECIAF. Weight excess was the leading cause of the total anthropometric failures, most of which were observed to be slightly higher in boys, except for stunting only and co-occurrence of stunting and underweight. Among the mother-related factors, including higher BMI and waist circumference, low maternal age at delivery, low number of children in the household and being a single parent may be considered predisposing factors to any phenomenon of childhood malnutrition. Among child-related factors, birth weight being ≥ 3500 g had a higher risk for ECIAF failure, and children aged ≥ 60 months were more likely to experience stunting and underweight, while those < 60 months had a higher prevalence of weight excess.</p><p><strong>Conclusions: </strong>The co-existence of stunting and overweight, the occurrence of weight excess in one in three stunted children and the high risk of central obesity are public health concerns. Also, ECIAF can better assess all aspects of childhood malnutrition than conventional measures.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e9"},"PeriodicalIF":3.0,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11736654/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142865519","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Subnational mapping of anaemia and aetiologic factors in the West and Central African region.","authors":"Kaleab Baye, Bayuh Asmamaw Hailu, Simeon Nanama, John Ntambi, Arnaud Laillou","doi":"10.1017/S1368980024002222","DOIUrl":"10.1017/S1368980024002222","url":null,"abstract":"<p><strong>Objectives: </strong>Despite bold commitments to reduce anaemia, little change in prevalence was observed over the past decade. We aimed to generate subnational maps of anaemia among women of reproductive age (WRA), malaria transmission and hemoglobinopathies to identify priority areas but also explore their geographical overlap.</p><p><strong>Design: </strong>Using the most recent Demographic and Health Surveys (DHS), we first mapped anaemia clusters across sub-Saharan Africa and identified the West and Central Africa (WCA) as a major cluster. Geographic clusters with high anaemia and related aetiologic factors were identified using spatial statistics. Multilevel regression models were run to identify factors associated with any, moderate and severe anaemia.</p><p><strong>Settings: </strong>West and Central African countries (<i>n</i> 17).</p><p><strong>Participants: </strong>WRA (<i>n</i> 112 024) residing in seventeen WCA countries.</p><p><strong>Results: </strong>There was a significant overlap in geographical clusters of anaemia, malaria and hemoglobinopathies, particularly in the coastal areas of the WCA region. Low birth interval (0·86 (0·77, 0·97)), number of childbirth (1·12 (1·02, 1·23)) and being in the 15-19 age range (1·47 (1·09, 1·98)) were associated with increased odds of any anaemia. Unimproved toilet facility and open defecation were associated with any anaemia, whereas the use of unclean cooking fuel was associated with moderate/severe anaemia (<i>P</i> < 0·05). Access to healthcare facility, living in malaria-prone areas and hemoglobinopathies (HbC and HbS) were all associated with any, moderate or severe anaemia.</p><p><strong>Conclusion: </strong>Interlinkages between infection, hemoglobinopathies and nutritional deficiencies complicate the aetiology of anaemia in the WCA region. Without renewed efforts to integrate activities and align various sectors in the prevention of anaemia, progress is likely to remain elusive.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e6"},"PeriodicalIF":3.0,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11736650/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142855166","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}