Abstract
Anemia is an under-recognized morbidity among adult males causing significant productivity loss. A study was done among adult males (≥18 years) in a rural area of Haryana, India to estimate the prevalence and determinants of anemia and to explore their attitude and beliefs about anemia. Mixed methods approach was adopted. A total of 1219 participants were selected by multistage simple random sampling for the cross-sectional study and were administered a questionnaire followed by hemoglobin measurement using HemoCue method. Six focus group discussions were conducted. Age adjusted prevalence of anemia was 27.9% [95% confidence interval (95% CI): 27.4–28.4%]. Anemia was found to be positively associated with age more than 50 years (OR: 2.7 (95% CI: 1.7–4.2) in age group 50–59 years and 3.6 (95% CI: 2.3–5.6) in age group ≥60 years as compared with age group 18–24 years) and presence of chronic co-morbidity (OR: 2.0; 95% CI: 1.2–3.2). There were misconceptions among study participants about the role of specific dietary factors in causation of anemia. Poor purchasing capacity was cited as main reason for not consuming iron rich diet. Anemia was a common morbidity in this study population.
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References
Zimmermann MB, Hurrell RF. Nutritional iron deficiency. Lancet 2007;370;511–20.
Horton S, Ross J. The economics of iron deficiency. Food Policy 2003;28;51–75.
World Health Organization. Worldwide Prevalence of anaemia 1993–2005: WHO global database on anaemia. In: de Benoist B, McLean E, Egli I, Cogswell M, editors. Geneva, Switzerland: WHO; 2008.
International Institute for Population Sciences (IIPS). National Family Health Survey (NFHS-4), 2015–16, India Fact sheet. Mumbai: IIPS; 2016. http://rchiips.org/NFHS/pdf/NFHS4/India.pdf (accessed 27 April 2018).
International Institute for Population Sciences (IIPS). National Family Health Survey (NFHS-4), 2015–16, Haryana-Key Indicators. Mumbai: IIPS; 2016. http://rchiips.org/nfhs/pdf/NFHS4/HR_FactSheet.pdf (accessed 27 April 2018).
Diamond-Smith NG, Gupta M, Kaur M, Kumar R. Determinants of persistent anemia in poor, urban pregnant women of Chandigarh city, North India: a mixed method approach. Food Nutr Bull 2016;37;132–43.
Galloway R, Dusch E, Elder L, Achadi E, Grajeda R, Hurtado E, et al. Women’s perceptions of iron deficiency and anemia prevention and control in eight developing countries. Soc Sci Med 2002;55;529–44.
Kant S, Misra P, Gupta S, Goswami K, Krishnan A, Nongkynrih B, et al. The Ballabgarh Health and Demographic Surveillance System (CRHSP-AIIMS). Int J Epidemiol 2013;42; 758–68.
Report of a Joint WHO/UNICEF/ICCIDD consultation. Indicators for assessing iodine deficiency disorders and their control programmes; 1992. https://apps.who.int/iris/bitstream/handle/10665/62614/WHO_NUT_93.1.pdf;jsessionid=71CC3687A3E89CA26864DBEDDC5AD825?sequence=1 (accessed 9 April 2019).
Ranjan S, Passi SJ, Singh SN. Prevalence and risk factors associated with the presence of Soil-Transmitted Helminths in children studying in Municipal Corporation of Delhi Schools of Delhi, India. J Parasit Dis 2015;39;377–84.
Nkrumah B, Nguah SB, Sarpong N, Dekker D, Idriss A, May J, et al. Hemoglobin estimation by the HemoCue® portable hemoglobin photometer in a resource poor setting. BMC Clin Pathol 2011;11;5.
World Health Organization. Haemoglobin concentrations for the diagnosis of anaemia and assessment of severity. Vitamin and Mineral Nutrition Information System. Geneva: World Health Organization; 2011 (WHO/NMH/NHD/MNM/11.1). http://www.who.int/vmnis/indicators/haemoglobin.pdf (accessed 4 May 2018).
Registrar General of India. C14 five-year age group data by age and sex. Office of Registrar General of India, Ministry of Home Affairs, Government of India. http://www.censusindia.gov.in/2011census/C-series/C-14.html (accessed 12 May 2019).
International Institute for Population Sciences (IIPS) and ICF. National Family Health Survey (NFHS-4), 2015–16: India. Mumbai: IIPS; 2017, p. 16. http://rchiips.org/Nfhs/NFHS-4Reports/India.pdf (accessed 12 May 2019).
Bassani DG, Corsi DJ, Gaffey MF, Barros AJD. Local distributions of wealth to describe health inequalities in India: a new approach for analyzing nationally representative household survey data, 1992–2008. PLoS One 2014;9;e110694.
National Nutrition Monitoring Bureau (NNMB). Diet & nutritional status of population and prevalence of hypertension among adults in rural areas. Technical Report No: 24. Hyderabad, India: National Institute of Nutrition, Indian Council of Medical Research; 2006.
Malhotra P, Kumari S, Kumar R, Varma S. Prevalence of anemia in adult rural population of north India. J Assoc Physicians India 2004;52;18–20.
Singh MB, Lakshminarayana J, Fotedar R. Chronic energy deficiency and its association with dietary factors in adults of drought affected desert areas of Western Rajasthan, India. Asia Pac J Clin Nutr 2008;17;580–5.
Subasinghe AK, Walker KZ, Evans RG, Srikanth V, Arabshahi S, Kartik K, et al. Association between farming and chronic energy deficiency in rural South India. PLoS One 2014;9;e87423.
International Institute for Population Sciences (IIPS). National Family Health Survey (NFHS-4), 2015–16, Faridabad, Haryana-Key Indicators. Mumbai: IIPS; 2016. http://rchiips.org/nfhs/FCTS/HR/HR_FactSheet_88_Faridabad.pdf (accessed 27 April 2018).
Mahmud MA, Spigt M, Bezabih AM, Pavon IL, Dinant G-J, Velasco RB. Efficacy of handwashing with soap and nail clipping on intestinal parasitic infections in school-aged children: a factorial cluster randomized controlled trial. PLoS Med 2015;12;e1001837.
Siva PM, Sobha A, Manjula VD. Prevalence of anaemia and its associated risk factors among adolescent girls of central Kerala. J Clin Diagn Res 2016;10;LC19–LC23.
Gillespie S. Major issues in the control of iron deficiency. New York, USA: The Micronutrient Initiative/UNICEF; 1998.
World Health Organization. Iron deficiency anaemia: assessment, prevention and control. A guide for programme managers. Geneva: World Health Organization; 2001 (WHO/NHD/01.3).
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Kant, S., Kumar, R., Malhotra, S. et al. Prevalence and Determinants of Anemia among Adult Males in a Rural Area of Haryana, India. J Epidemiol Glob Health 9, 128–134 (2019). https://doi.org/10.2991/jegh.k.190513.001
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DOI: https://doi.org/10.2991/jegh.k.190513.001