A comparative study of anemia prevalence and associated factors among rural and urban adults in Bangalore, India

Authors

  • Shilpa Pandurangaiah Department of Clinical Nutrition and Dietetics, Padmashree Institute of Management and Sciences, Bangalore, Karnataka, India
  • Annliya Anna Mathew Department of Clinical Nutrition and Dietetics, Padmashree Institute of Management and Sciences, Bangalore, Karnataka, India
  • Gowthami Shettigar Department of Clinical Nutrition and Dietetics, Padmashree Institute of Management and Sciences, Bangalore, Karnataka, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20263188

Keywords:

Anemia, Diet, Hemoglobin, Prevalence, Rural, Urban

Abstract

Background: Anemia is a major public health concern, particularly among women of reproductive age, and is influenced by socioeconomic, dietary, and health-related factors. This study aimed to compare the prevalence of anemia and associated factors among rural and urban adult populations in Bangalore.

Methods: A community-based cross-sectional comparative study was conducted among 300 participants (150 urban and 150 rural residents). Sociodemographic characteristics, dietary practices, anemia awareness, iron supplementation, and hemoglobin levels were assessed using a structured questionnaire and a digital hemoglobinometer. Data were analysed using descriptive statistics and the chi-square test.

Results: The overall prevalence of anemia was 29.3%, with significantly higher prevalence among urban participants (42.0%) than rural participants (16.7%) (p<0.001). Urban participants had higher educational attainment (80.0% vs. 2.0%), greater awareness of anemia (51.3% vs. 2.7%), and higher iron supplementation use (25.3% vs. 10.0%) compared to rural participants (all p<0.001). Significant differences were also observed in green leafy vegetable consumption, fruit intake, vitamin C consumption, and healthcare utilization between the two groups.

Conclusions: Anemia prevalence differed significantly between urban and rural populations. Despite better awareness and healthcare access among urban participants, anemia burden remained higher, suggesting that complex nutritional, physiological, and lifestyle factors contribute to urban anemia. Targeted, context-specific interventions integrating regular screening, dietary improvement, and supplementation adherence are required.

References

Bhadra P, Deb A. A review on nutritional anemia. Indian J Nat Sci. 2020;10(59):20065-73.

Short MW, Domagalski JE. Iron deficiency anemia: evaluation and management. Am Fam Physician. 2013;87(2):98-104.

Fishman SM, Christian P, West KP. The role of vitamins in the prevention and control of anaemia. Public Health Nutr. 2000;3(2):125-50.

Viana MB. Anemia and infection: a complex relationship. Rev Bras Hematol Hemoter. 2011;33(2):90-2.

Chaparro CM, Suchdev PS. Anemia epidemiology, pathophysiology, and etiology in low- and middle-income countries. Ann N Y Acad Sci. 2019;1450(1):15-31.

Owais A, Merritt C, Lee C, Bhutta ZA. Anemia among women of reproductive age: an overview of global burden, trends, determinants, and drivers of progress in low- and middle-income countries. Nutrients. 2021;13(8):2745.

Let S, Tiwari S, Singh A, Chakrabarty M. Prevalence and determinants of anaemia among women of reproductive age in Aspirational Districts of India: an analysis of NFHS 4 and NFHS 5 data. BMC Public Health. 2024;24(1):437.

Jeevan J, Karun KM, Puranik A, Deepa C, Mk L, Barvaliya M. Prevalence of anemia in India: a systematic review, meta-analysis and geospatial analysis. BMC Public Health. 2025;25(1):1270.

Sharif N, Das B, Alam A. Prevalence of anemia among reproductive women in different social groups in India: cross-sectional study using nationally representative data. PLoS ONE. 2023;18(2):e0281015.

Paramastri R, Hsu CY, Lee HA, Lin LY, Kurniawan AL, Chao JC. Association between dietary pattern, lifestyle, anthropometric status, and anemia-related biomarkers among adults. Int J Environ Res Publ Heal. 2021;18(7):3438.

Loganathan V, Bharathi A, Prince AM, Ramakrishnan J. Treatment efficacy of vitamin C or ascorbate given as co-intervention with iron for anemia: a systematic review and meta-analysis. Clin Nutr ESPEN. 2023;57:459-468.

Shet AS, Zwarenstein M, Rao A, Jebaraj P, Arumugam K, Atkins S, et al. Effect of a community health worker-delivered parental education and counseling intervention on anemia cure rates in rural Indian children. JAMA Pediatr. 2019;173(9):826-34.

Yadav J, Yadav AK, Srinadh R. Rural-urban disparities in prevalence of anaemia among adolescent girls in India. Int J Commu Med Publ Heal. 2017;4(12):4661-7.

Alvarez-Uria G, Naik PK, Midde M, Yalla PS, Pakam R. Prevalence and severity of anaemia stratified by age and gender in rural India. Anemia. 2014;2014(1):176182.

Bhargava S, Srivastava LM, Manocha A, Kankra M, Rawat S. Micronutrient deficiencies and anemia in urban India: do we need food fortification? Indian J Clin Biochem. 2022;37(2):149-58.

Joe W, Rinju, Patel N, Alambusha R, Kulkarni B, Yadav K, Sethi V. Coverage of iron and folic acid supplementation in India: progress under the Anaemia Mukt Bharat strategy 2017-20. Health Policy Plan. 2022;37(5):597-606.

World Health Organization. Haemoglobin Concentrations for the Diagnosis of Anaemia and Assessment of Severity, 2011. Available at: https://www.who.int/publications/i/item/WHO-NMH-NHD-MNM-11.1. Accessed 01 January 2026.

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Published

2026-08-31

How to Cite

Pandurangaiah, S., Mathew, A. A., & Shettigar, G. (2026). A comparative study of anemia prevalence and associated factors among rural and urban adults in Bangalore, India. International Journal Of Community Medicine And Public Health, 13(9), 5074–5079. https://doi.org/10.18203/2394-6040.ijcmph20263188

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Original Research Articles