Burden and Determinants of Anemia in a Rural Population in South India: A Cross-Sectional Study

Background/Objectives. To determine the prevalence and determinants of blood haemoglobin level and mild, moderate, and severe anemia in a sample of adults from rural Tamil Nadu, India. Subjects/Methods. We recruited a sample of men and nonpregnant women aged 20 years and older. Clinical health measu...

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Main Authors: Matthew Little, Chloe Zivot, Sally Humphries, Warren Dodd, Kirit Patel, Cate Dewey
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Anemia
Online Access:http://dx.doi.org/10.1155/2018/7123976
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author Matthew Little
Chloe Zivot
Sally Humphries
Warren Dodd
Kirit Patel
Cate Dewey
author_facet Matthew Little
Chloe Zivot
Sally Humphries
Warren Dodd
Kirit Patel
Cate Dewey
author_sort Matthew Little
collection DOAJ
description Background/Objectives. To determine the prevalence and determinants of blood haemoglobin level and mild, moderate, and severe anemia in a sample of adults from rural Tamil Nadu, India. Subjects/Methods. We recruited a sample of men and nonpregnant women aged 20 years and older. Clinical health measures included blood haemoglobin concentration and body mass index. We assessed associations between anemia outcomes and sociodemographic and dietary factors using linear and logistic regression modeling. Results. A total of 753 individuals (412 women and 341 men) participated in this study. The prevalence of anemia was 57.2% among women and 39.3% among men (P<0.001). Prevalence of anemia increased with age among men (P<0.001) but not women (P>0.05). Iron intake was low; 11.7% women and 24.1% of men reported iron intakes above recommended dietary allowances (P<0.001). Factors (OR (95% CI)) associated with mild or moderate anemia among women included television ownership (0.27 (0.13, 0.58)), livestock ownership (0.46 (0.28, 0.75)), refined grain consumption (1.32 (1.02, 1.72)), meat consumption (0.84 (0.71, 0.99)), and commercial agriculture production (mild: 4.6 (1.1, 18.8); moderate: 6.8 (1.98, 23.1)). Factors associated with mild, moderate, or severe anemia among men included rurality (0.50 (0.25, 0.99)), sugar consumption (1.04 (1.01, 1.06)), egg consumption (0.80 (0.65, 0.99)), and high caste (7.3 (1.02, 52.3)). Conclusion. Both women and men in this region may be particularly vulnerable to anemia, and future research must expand beyond dietary risk factors to examine the impacts of sociodemographic and environmental factors.
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spelling doaj-art-7377719c47934536b2860bef97eb3c882025-02-03T06:13:29ZengWileyAnemia2090-12672090-12752018-01-01201810.1155/2018/71239767123976Burden and Determinants of Anemia in a Rural Population in South India: A Cross-Sectional StudyMatthew Little0Chloe Zivot1Sally Humphries2Warren Dodd3Kirit Patel4Cate Dewey5Department of Population Medicine, Ontario Veterinary College, University of Guelph, Guelph, ON, CanadaDepartment of Population Medicine, Ontario Veterinary College, University of Guelph, Guelph, ON, CanadaDepartment of Sociology and Anthropology, University of Guelph, Guelph, ON, CanadaDepartment of Population Medicine, Ontario Veterinary College, University of Guelph, Guelph, ON, CanadaInternational Development Studies, Menno Simons College, Canadian Mennonite University, Winnipeg, MB, CanadaDepartment of Population Medicine, Ontario Veterinary College, University of Guelph, Guelph, ON, CanadaBackground/Objectives. To determine the prevalence and determinants of blood haemoglobin level and mild, moderate, and severe anemia in a sample of adults from rural Tamil Nadu, India. Subjects/Methods. We recruited a sample of men and nonpregnant women aged 20 years and older. Clinical health measures included blood haemoglobin concentration and body mass index. We assessed associations between anemia outcomes and sociodemographic and dietary factors using linear and logistic regression modeling. Results. A total of 753 individuals (412 women and 341 men) participated in this study. The prevalence of anemia was 57.2% among women and 39.3% among men (P<0.001). Prevalence of anemia increased with age among men (P<0.001) but not women (P>0.05). Iron intake was low; 11.7% women and 24.1% of men reported iron intakes above recommended dietary allowances (P<0.001). Factors (OR (95% CI)) associated with mild or moderate anemia among women included television ownership (0.27 (0.13, 0.58)), livestock ownership (0.46 (0.28, 0.75)), refined grain consumption (1.32 (1.02, 1.72)), meat consumption (0.84 (0.71, 0.99)), and commercial agriculture production (mild: 4.6 (1.1, 18.8); moderate: 6.8 (1.98, 23.1)). Factors associated with mild, moderate, or severe anemia among men included rurality (0.50 (0.25, 0.99)), sugar consumption (1.04 (1.01, 1.06)), egg consumption (0.80 (0.65, 0.99)), and high caste (7.3 (1.02, 52.3)). Conclusion. Both women and men in this region may be particularly vulnerable to anemia, and future research must expand beyond dietary risk factors to examine the impacts of sociodemographic and environmental factors.http://dx.doi.org/10.1155/2018/7123976
spellingShingle Matthew Little
Chloe Zivot
Sally Humphries
Warren Dodd
Kirit Patel
Cate Dewey
Burden and Determinants of Anemia in a Rural Population in South India: A Cross-Sectional Study
Anemia
title Burden and Determinants of Anemia in a Rural Population in South India: A Cross-Sectional Study
title_full Burden and Determinants of Anemia in a Rural Population in South India: A Cross-Sectional Study
title_fullStr Burden and Determinants of Anemia in a Rural Population in South India: A Cross-Sectional Study
title_full_unstemmed Burden and Determinants of Anemia in a Rural Population in South India: A Cross-Sectional Study
title_short Burden and Determinants of Anemia in a Rural Population in South India: A Cross-Sectional Study
title_sort burden and determinants of anemia in a rural population in south india a cross sectional study
url http://dx.doi.org/10.1155/2018/7123976
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