Evidence map›Paper›PMID 32970719›Full record

ArticlePloS one2020

Prevalence and determinants of anemia among women of reproductive age in Thatta Pakistan: Findings from a cross-sectional study.

Sumera Aziz Ali, Zahid Abbasi, Babar Shahid, Ghazal Moin, K Michael Hambidge, Nancy F Krebs, Jamie E Westcott, Elizabeth M McClure, Robert L Goldenberg, Sarah Saleem

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01883193 (Women First), which is not on this map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
4.0field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01883193 nacompletednot on this map

Women First: Preconception Maternal Nutrition

TypeinterventionalSponsorUniversity of Colorado, DenverRan2013 to 2019Enrolled7,374ConditionsMaternal Malnutrition, Growth Failure, Mortality, MorbidityArmsComprehensive Maternal Nutrition Intervention
3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 62 citations in OpenAlex.

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  11. Anti-anemic potential ofFood science & nutrition · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 4 institutions in 2 countries.

Sumera Aziz AliDepartment of Epidemiology, Mailman School of Public Health, Columbia University, New York City, New York, United States of America.ORCID 0000-0001-8996-7995
Zahid AbbasiDepartment of Community Health Sciences, Aga Khan University, Karachi, Pakistan.
Babar ShahidDepartment of Community Health Sciences, Aga Khan University, Karachi, Pakistan.
Ghazal MoinDepartment of Community Health Sciences, Aga Khan University, Karachi, Pakistan.
K Michael HambidgeDepartment of Pediatrics, Section of Nutrition, University of Colorado Anschutz Medical Campus, Aurora, Colorado, United States of America.
Nancy F KrebsDepartment of Pediatrics, Section of Nutrition, University of Colorado Anschutz Medical Campus, Aurora, Colorado, United States of America.
Jamie E WestcottDepartment of Pediatrics, Section of Nutrition, University of Colorado Anschutz Medical Campus, Aurora, Colorado, United States of America.
Elizabeth M McClureRegional Triangulate Institute International, Research Triangle Park, North Carolina, United States of America.
Robert L GoldenbergDepartment of Obstetrics and Gynecology, Columbia University, New York City, New York, United States of America.
Sarah SaleemDepartment of Community Health Sciences, Aga Khan University, Karachi, Pakistan.
Aga Khan University · PKUniversity of Colorado Anschutz Medical Campus · USColumbia University · USRTI International · US

Funding

Nutrition-specific interventions to improve long-term maternal-child health outcomesUG1HD076474 · NICHD · UNIVERSITY OF COLORADO DENVER · PI Edwin Jose Asturias, NANCY F KREBS · 2018 to 2026
$5.4M
Columbia University/Aga Khan University Global Network Research UnitUG1HD078438 · NICHD · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI ROBERT L GOLDENBERG · 2018 to 2026
$5.1M
NICHD NIH HHS UG1 HD076474NICHD NIH HHS UG1 HD078438
6 · The paper itself

Abstract

backgroundAnemia is a major public health concern among women of reproductive age leading to high maternal mortality in low- and middle-income countries. Of the prior studies conducted in Pakistan, most focused on large urban areas and did not explore the determinants of anemia among women of reproductive age (WRA) across socio-demographic, dietary, reproductive, and biological domains. Thus, we aimed to study the prevalence and determinants of anemia among WRA in rural Pakistan.

methodsWe conducted a cross-sectional study in the Thatta district of Pakistan from September 2018 to January 2019 and enrolled 150 non-pregnant, married women. Data collectors administered a structured questionnaire to collect sociodemographic, reproductive and dietary data from women, who also provided stool and blood samples. We classified all WRA as anemic if their hemoglobin was <12.0 g/dl. We performed logistic regression analysis to calculate adjusted odds ratios (aOR) and their respective 95% CIs to assess the determinants of anemia.

resultsIn our study, 61.3% of the enrolled women were anemic. In the multivariable analysis, we found that factors such as serum iron levels of less than 50 μg/dl (aOR: 7.17; 95% CI (2.94, 17.47)), history of breastfeeding (aOR: 2.43; 95% CI (1.04, 5.72)), living in a katcha house (aOR: 6.61; 95% CI (2.21, 19.87)), no consumption of meat (aOR: 4.18; 95% CI (1.66, 9.96)) were significantly associated with anemia among WRA. A history of more than one abortion (aOR: 0.06; 95% CI (0.01, 0.33) appeared protective for its association with anemia.

conclusionOur findings demonstrate a high burden of anemia and its complex determinants among WRA in rural Pakistan. A combination of nutritional and educational strategies should be designed to encourage rural women to consume iron-rich foods in their diet with an access to adequate food. Breastfeeding women should be encouraged to consume extra calories with sufficient intake of the food to continue exclusive breastfeeding and reserve the iron stores through amenorrhea to prevent themselves from becoming anemic.

Indexed as

AdultAnemiaCross-Sectional StudiesDietFemaleHemoglobinsHumansIronMultivariate AnalysisOdds RatioPakistanPrevalenceRisk FactorsRural PopulationSocioeconomic FactorsSurveys and QuestionnairesHemoglobinsIron

Identifiers

PMID32970719
PMCPMC7514090
OpenAlexW3088538291

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.