Prevalence of Anemia among Adolescent Girls in Rural Area of a District of Maharashtra
Keywords:Adolescent, Female, Prevalence, Nuclear Family, Cross-Sectional Studies, Menarche Anemia, Hemoglobins, Parents Surveys and Questionnaires, Religion Schools, Software, Fathers
Introduction: Nutritional anemia is one of India’s major public health problems. Adolescence is a vulnerable period in the human life cycle for the development of nutritional anemia. Anemia in adolescent girls contributes to maternal and foetal mortality and morbidity in future.
Aim and Objectives: To estimate the prevalence of anemia among adolescent girls and to study the sociodemographic factors associated with anemia.
Method: It was a community based cross sectional study in 10 villages of a district. 420 adolescent girls were interviewed using a predesigned, pretested questionnaire, and their anemic status was assessed by hemoglobin estimation. Results were analyzed by using percentage, proportion and Chi-square test, with the help of Microsoft Excel 2007 and SPSS version 20.0 statistical software.
Result: Mean age of the study sample was 14.01 ± 2.57 years. The majority (64.8%) of the girls were Hindu by religion and belonged to a nuclear family (53.6%). 45.2 % were educated up to high school level. Most of the girls belonged to socioeconomic class IV (46.0%). The prevalence of anemia in this study was found to be 65.7%. The prevalence of mild and moderate anemia among study participants was 32.6 and 29.8%, respectively. A statistically significant association was found between the prevalence of anemia with age group, educational status of both father and mother, and status of attainment of menarche (p<0.05).
Conclusion and Recommendation: The prevalence of anemia among adolescent girls was very high; therefore, attempts must be made to sensitize adolescents and their parents through health and nutrition education, information, education, and communication (IEC), and appropriate behavioral change communication (BCC) activities.
World Health Organization. Strategic guidance on accelerating actions for adolescent health in South-East Asia Region (2018–2022). Geneva: World Health Organization; 2018.
Kishore J. Editor. National Health Programs of India. 6th ed.New Delhi: Century Publications; 2006. p. 82?4.
Lal S, Pankaj A. Editors. Textbook of Community Medicine (Preventive and Social Medicine).1st ed.. New Delhi: CBS Publishers and Distributors; 2007. p. 166?8.
Meier PR, Nickerson HJ, Olson KA, Berg RL, Meyer JA. Prevention of iron deficiency anemia in adolescent and adult pregnancies. Clinical Med Research. 2003 Jan 1;1(1):29-36.
Mukherjee D, Behal S, Kurian OC. Investing in adolescent health: harnessing India’s demographic dividend. Observer Research Foundation (ORF) Special Report. 2020 Jul 29;115:2.
Melwani V, Dubey M, Khan A, Toppo M, Choudhary Y, Priya A. A study to assess the prevalence of anemia amongst adolescent girls residing in selected slum of Bhopal city. Int J Community Med Public Health 2018;5:1096-9.
Pattnaik S, Patnaik L, Kumar A, Sahu T. Prevalence of anemia among adolescent girls in a rural area of Odisha and its epidemiological correlates. Indian Journal of Maternal and Child Health. 2013 Jun;15(1):5.
Kumar A, Goyal A, Verma N, Mahesh A. Study of anemia among adolescent school girls and young adults. Int J Adv Med 2018;5:877-81.
International Institute for Population Sciences (IIPS) and ICF. 2021. National Family Health Survey (NFHS-5), 2019-21: India. Mumbai: IIPS. (Accessed on Nov 15 2022).
Minist ry of Health and Family Welfare (MoHFW), Government of India, UNICEF and Population Council. 2019. Comprehensive National Nutrition Survey (CNNS) National Report. New Delhi. (Accessed on Nov 15 2022).
Mitkari K, Wadgave HV, Haralkar SJ. Anemia in school-going adolescent girls of age between 11 and 16 years in rural area – A cross-sectional study. Int J Med Sci Public Health 2020;9(9):508-513.
Chandrakumari AS, Sinha P, Singaravelu S, Jaikumar S.Prevalence of anemia among adolescent girls in a rural area of Tamil Nadu, India. J Family Med Prim Care 2019;8:1414-7.
Patil SN, Wasnik V, Wadke R. Health problems amongst adolescent girls in rural areas of Ratnagiri district of Maharashtra, India. J Clin Diagn Res. 2009 Oct 1;3(5):1784-90.
Anemia Mukt Bharat | A programme by Ministry of Health and UNICEF Internet. Anemia Mukt Bharat dashboard. Available from https://anemiamuktbharat.info (Last accessed on 2023 Feb 8).
Operational framework. Weekly Iron and Folic Acid Supplementation Programme for Adolescents. Ministry of Health and Family Welfare. Government of India; 2012. Available from: http://www.nrhm.gov.in/ images/pdf/ programmes/wifs/operationalframeworkwifs/operational_ framework_wifs.pdf. (Last accessed on 2023 Feb 8).
Natekar P, Deshmukh C, Limaye D. A micro review of a nutritional public health challenge: iron deficiency anemia in India. Clinical Epidemiology and Global Health. 2022 Feb 9:100992.
Dutt R, Patil S, Joshi S, Mhatre R. Ramdev.. Prevalence of anemia among adolescent girls in rural area of Raigad district Maharashtra. Indian J PrevSoc Med. 2009;40:143-6.
Srivastava A, Kumar R, Sharma M. Nutritional anemia in adolescent girls: an epidemiological study. Int J Community Med Public Health 2016;3:808-12.
Kulkarni MV, Durge PM, Kasturwar NB. Prevalence of anemia among adolescent girls in an urban slum. National journal of community medicine. 2012 Mar 31;3(01):108-11.
Chaturvedi D, Chaudhuri PK, Priyanka, Chaudhary AK. Study of correlation between dietary habits and anemia among adolescent girls in Ranchi and its surronding area. Int J Contemp Pediatr 2017;4:1165-8.
Biradar SS, Biradar SP, Alatagi AC, Wantamutte AS, Malur PR. Prevalence of anemia among adolescent girls: A one year cross-sectional study. Journal of Clinical and Diagnostic Research 2012 May (Suppl-1);6(3):372-377.
Upadhye JV, Upadhye JJ. Assessment of anemia in adolescent girls. Int J Reprod Contracept Obstet Gynecol 2017;6:3113-7.
Reshmi PS, Takalkar AA. Prevalence of anemia in adolescent girls and its association with certain demographic variables: our experience from rural Telangana. Int J Community Med Public Health 2020;7:1007-11.
Patel S, Dhuppar P, Bhattar A. Nutritional anemia status in adolescent girls in rural schools of Raipur, India. Med Chem (Los Angeles). 2017;7:853-6.
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