ArticlePloS one2023
Relationship between history of hormonal contraceptive use and anaemia status among women in sub-Saharan Africa: A large population-based study.
Article in PloS one, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.
- Family planning and nutrition: systematic review of the effects of family planning on nutritional status of adolescent girls and women of reproductive age.BMJ global health · 2025Pooled it
- Opportunities and challenges for integrating family planning and nutrition policies and programmes in Burkina Faso: a mixed-methods study.BMJ global health · 2026Article
- Opportunities and challenges in integrating family planning and nutrition services in Tanzania: a mixed-methods study.BMJ global health · 2026Article
- Hormonal contraception and hemoglobin levels in urban Malawi: a longitudinal analysis.Reproductive health · 2026Article
- Article
- Modern Contraception and Anaemia Among Reproductive-age Women in India: Results From a Household Survey.Journal of preventive medicine and public health = Yebang Uihakhoe chi · 2024Article
- Hormonal contraceptive use among women living with hypertension in sub-Saharan Africa: insights from 12 countries.BMC research notes · 2024Article
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Authors and funding
6 authors at 6 institutions in 4 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAnaemia among women has been reported to be a significant contributor to hemorrhage, exacerbated risk of stillbirths, miscarriages, and maternal mortalities. Hence, understanding the factors associated with anaemia is imperative to develop preventive strategies. We examined the association between history of hormonal contraceptive use and risk of anaemia among women in sub-Saharan Africa.
methodsWe analyzed data from the recent Demographic and Health Surveys (DHS) of sixteen countries in sub-Saharan Africa. Countries with recent DHSs conducted from 2015 to 2020 were included in the study. A total of 88,474 women of reproductive age were included. We used percentages to summarize the prevalence of hormonal contraceptives and anaemia among women of reproductive age. We used multilevel binary logistic regression analysis to examine the association between hormonal contraceptives and anaemia. We presented the results using crude odds ratio (cOR) and adjusted odds ratios (aOR), with their respective 95 percent confidence intervals (95% CIs).
resultsOn the average, 16.2% of women are using hormonal contraceptives and this ranged from 7.2% in Burundi to 37.7% in Zimbabwe. The pooled prevalence of anaemia was 41%, ranging from 13.5% in Rwanda to 58.0% in Benin. Women who used hormonal contraceptives were less likely to be anaemic compared to those who were not using hormonal contraceptives (aOR = 0.56; 95%CI = 0.53, 0.59). At the country-level, hormonal contraceptive use was associated with a reduced likelihood of anaemia in 14 countries, except for Cameroon and Guinea.
conclusionThe study underscores the importance of promoting the use of hormonal contraceptives in communities and regions that have a high burden of anaemia among women. Specifically, health promotion interventions aimed at promoting the use of hormonal contraceptives among women must be tailored to meet the needs of adolescents, multiparous women, those in the poorest wealth index, and women in union as these sub-populations were at significantly higher risk of anaemia in sub-Saharan Africa.
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