Evidence map›Paper›PMID 33782019›Full record

ArticleBMJ open2021

Factors affecting anaemia among women of reproductive age in Nepal: a multilevel and spatial analysis.

Dev Ram Sunuwar, Devendra Raj Singh, Bipin Adhikari, Santosh Shrestha, Pranil Man Singh Pradhan

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
3.8field-weighted citation impact, top 6% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 32 citations in OpenAlex.

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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

5 authors at 4 institutions in 2 countries.

Dev Ram SunuwarDepartment of Nutrition and Dietetics, Armed Police Force Hospital, Kathmandu, Nepal devramsunuwar@gmail.com.ORCID http://orcid.org/0000-0002-2544-8296
Devendra Raj SinghDepartment of Public Health, Asian College for Advance Studies, Purbanchal University, Lalitpur, Nepal.ORCID http://orcid.org/0000-0003-1450-9476
Bipin AdhikariMahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand.ORCID http://orcid.org/0000-0001-8981-3910
Santosh ShresthaAgriculture Research, Agricultural Technology Center, Lalitpur, Nepal.
Pranil Man Singh PradhanDepartment of Community Medicine, Tribhuvan University Institute of Medicine, Maharajgunj, Kathmandu, Nepal.ORCID http://orcid.org/0000-0002-0066-8583
Purbanchal University · NPMahidol University · THNepal Agricultural Research Council · NPTribhuvan University Teaching Hospital · NP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe main objective of this study was to explore the factors affecting anaemia among women of reproductive age (WRA) in Nepal using spatial and multilevel epidemiological analysis.

designThis cross-sectional study analysed data from the 2016 Nepal Demographic and Health Survey. Spatial analysis was performed using ArcGIS software V.10.8 to identify the hot and cold spots of anaemia among WRA (15-49 years). Data were analysed using multilevel mixed-effect logistic regression analysis.

settingNepal.

participantsA total of 6414 WRA were included in the analysis.

main outcome measureAnaemia defined by WHO as haemoglobin level less than 120 g/L in non-pregnant women and less than 110 g/L in pregnant women.

resultsThe spatial analysis showed that statistically significant hotspots of anaemia were in the southern Terai region (four districts in province 1, eight districts in province 2, one district in Bagmati province, two districts in province 5 and one district in Sudurpaschim province) of Nepal. At the individual level, women who underwent female sterilisation (adjusted OR, aOR: 3.61, 95% CI 1.10 to 11.84), with no education (aOR: 1.99, 95% CI: 1.17 to 3.39), and from middle socioeconomic class families (aOR: 1.65, 95% CI: 1.02 to 2.68) were more likely to be anaemic, whereas, older women (

conclusionWRA had higher odds of developing anaemia, and it varied by the geographical regions. Nutrition-specific and nutrition-sensitive interventions can be tailored based on the factors identified in this study to curb the high burden of anaemia.

Indexed as

AnemiaAdolescentAdultCross-Sectional StudiesFemaleHumansMiddle AgedMultilevel AnalysisNepalPregnancyRisk FactorsSpatial AnalysisYoung Adultanaemiamaternal medicinenutrition & dieteticspublic health

Identifiers

PMID33782019
PMCPMC8009228
OpenAlexW3146106863

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

Registered trials

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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.