ArticleBMC public health2021
Decision-making autonomy of women and other factors of anemia among married women in Ethiopia: a multilevel analysis of a countrywide survey.
Article in BMC public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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8 citing papers in PubMed, 12 citations in OpenAlex.
- Do disempowered bodies risk anaemia? Evidence from married women in Assam's Sixth Schedule areas of Northeast India.Global health action · 2026Article
- Predictors of anemia among lactating women in ethiopia: Using 2016 EDHS; application of ordinal logistic regression model.Scientific reports · 2025Article
- Magnitude and determinants of anemia in the third trimester among pregnant women in Dodoma: An analytical cross-sectional study.Medicine · 2025Observational
- Hotspot analysis of anaemia among pregnant women in Ethiopia: hotspot analysis of national demographic and health survey data.BMJ open · 2024Article
- Determinants of severity levels of anemia among pregnant women in Sub-Saharan Africa: multilevel analysis.Frontiers in global women's health · 2024Article
- Predicting nutritional status during pregnancy by women's empowerment in West Shewa Zone, Ethiopia.Frontiers in global women's health · 2023Article
- Bioethical Implications of Vulnerability and Politics for Healthcare in Ethiopia and The Ways Forward.Journal of bioethical inquiry · 2022Article
- Distribution and Determinants of Anemia Among Reproductive Age Group Women in India: An Insight From the Fifth Round of the National Family Health Survey (2019-21).Indian journal of community medicine : official publication of Indian Association of Preventive & Social MedicineArticle
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4 authors at 1 institution in 1 country.
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Abstract
backgroundAnemia is one of the world's public health problem, especially in developing nations. The majority of women of childbearing age (15-49) are affected by anemia. Women's role in the decision-making process is significant for their health and related issues such as anemia. So far, there is no evidence of women's decision-making autonomy on anemia. Consequently, this study aimed to robustly examine both individual- and group-level women's decision-making autonomy and other determinants of anemia among married women in Ethiopia.
methodsWe examined data from an Ethiopian demographic and health survey conducted in 2016. Our analysis included 9220 married women of childbearing age (15-49 years). For bivariate analysis, we applied the chi-squared (X
resultsIn this study the magnitude of anemia was 30.5% (95% CI; 29.5-31.4). According to our multilevel analysis, group-level women's autonomy was found to be negatively related with anemia than individual-level women's autonomy (AOR = 0.53, 95% CI = 0.41-0.69). In addition, the indicator of women's wealth index at group level was a protective factor (AOR = 0.68, 95% CI =0.51-0.90) to develop anemia. Among individual-level indicators women's age (AOR = 0.73, 95% CI = 0.60-0.89), use of contraceptive (AOR = 0.66, 95% CI = 0.55-0.81), BMI (AOR = 0.71, 95% CI = 0.59-0.86) and employment status (AOR = 0.88, 95% CI = 0.79-0.98) were negatively related with anemia. While women who follow Muslim religion (AOR = 1.62, 95% CI = 1.32-1.97,), women who had five and above number of children (AOR = 93, 95% CI = 1.53-2.46), and who were pregnant (AOR = 1.21, 95% CI = 1.04-1.40) were positively associated with anemia. Our final model showed that around 27% of the variability of having anemia was because of group-level differences (ICC = 0.27, P < 0.001). In addition, both individual and group-level factors account for 56.4% of the variance in the in the severity of anemia across communities (PCV = 56.4%).
conclusionsOur study showed that empowering women within households is not only an important mechanism to reduce anemia among married women but also serves as a way to improve the lives of other women within the society.
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