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    Prevalence and correlates of anemia among adolescents in Nepal: Findings from a nationally representative cross-sectional survey

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    Author
    Chalise, B; Aryal, KK; Mehta, RK; Dhimal, M; Sapkota, F; Mehata, S; Karki, KB; Madjdian, D; Patton, G; Sawyer, S
    Date
    2018-12-14
    Source Title
    PLoS One
    Publisher
    PUBLIC LIBRARY SCIENCE
    University of Melbourne Author/s
    Patton, George; Sawyer, Susan
    Affiliation
    Paediatrics (RCH)
    Metadata
    Show full item record
    Document Type
    Journal Article
    Citations
    Chalise, B., Aryal, K. K., Mehta, R. K., Dhimal, M., Sapkota, F., Mehata, S., Karki, K. B., Madjdian, D., Patton, G. & Sawyer, S. (2018). Prevalence and correlates of anemia among adolescents in Nepal: Findings from a nationally representative cross-sectional survey. PLOS ONE, 13 (12), https://doi.org/10.1371/journal.pone.0208878.
    Access Status
    Open Access
    URI
    http://hdl.handle.net/11343/253627
    DOI
    10.1371/journal.pone.0208878
    Abstract
    Anemia is regarded as major public health problem among adolescents in Low and Middle-Income Countries (LMICs) but there is limited primary data in many countries, including Nepal. This study investigated the prevalence and correlates of anemia in a nationally representative sample of adolescents within the 2014 National Adolescent Nutrition Survey in Nepal. A total of 3780 adolescents aged 10 to 19 years were selected from a cross-sectional survey through multi-stage cluster sampling. Structured interviews, anthropometric measurements and hemoglobin assessments of capillary blood were obtained. Bivariate and multivariable analyses were undertaken to compute the Adjusted Odds Ratio (aOR) for socio-demographic, behavioral and cluster characteristics. The overall prevalence of anemia was 31% (95%CI: 28.2, 33.5), 38% (95%CI: 34.0, 41.8) in female and 24% (95%CI: 20.6, 27.1) in male. The likelihood of anemia was significantly higher among older adolescents (aOR 1.75, 95%CI: 1.44, 2.13), females (aOR 2.02; 95%CI: 1.57, 2.60), among those who walk barefoot (aOR 1.78, 95%CI: 1.08, 2.94), and those residing in the Terai (aOR 1.80, 95%CI: 1.18, 2.77). Food consumption from more than four food groups (aOR 0.71, 95%CI: 0.57, 0.88) was protective against anemia. In conclusion, anemia is common in Nepali adolescents. Efforts to improve the nutritional status of this high-risk age group require nutrition that focus on eating habits, sanitation, iron supplementation and the treatment of hookworm infection.

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