Prevalence of anaemia among adolescent girls in a rural area of Central Kerala, South India
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20220226Keywords:
Anaemia, Adolescence, Nutritional inadequaciesAbstract
Background: Adolescence lays the foundation for future health. Anaemia among adolescent girls has become a significant public health issue. The state of Kerala has few reported studies in this regard. The current study was conducted to determine the prevalence of anaemia in adolescent girls in a rural area of central Kerala and to find out the factors associated with anaemia among them.
Methods: A cross sectional study was conducted among 194 adolescent girls of Tholur panchayath in Thrissur district, Kerala. The study participants were randomly selected from the adolescent registers maintained in anganwadies. A semi-structured questionnaire was administered after getting informed assent and consent from the participants and their guardians respectively. All the participants were clinically examined, anthropometric measurements were taken and 2 CC of EDTA anti-coagulated blood samples were collected to test haemoglobin.
Results: The prevalence of anaemia among the participants is found to be 26.3% (95% CI: 17.4-37.34). Out of the total anaemic girls, 94% were mildly anaemic (Hb between 10-11.9 g/dl) and the remaining were moderately anaemic (Hb between 7-9.9 g/dl). Anaemia was significantly higher in the age group between 10-14 years (39.5%), compared to 15-19 years (15.6%). Lower frequency of intake of green leafy vegetable and wholegrain cereals were found to have significant association with anaemia.
Conclusions: Anaemia remains a moderate public health hazard among the adolescent girls, with roughly every fourth girl becoming anaemic. Nutritional inadequacies were shown to be the most common cause of anaemia, which was found to be greater in the early teenage period.
References
International Institute for Population Sciences (IIPS) and Macro International. National Family Health Survey (NFHS-3), India, 2005-06: Kerala. Mumbai: IIPS. 2008.
International institute for population sciences. District Level Household and Facility survey -4. State Fact Sheet. Kerala. Mumbai; IIPS: 2012-13.
WHO. Haemoglobin concentrations for the diagnosis of anaemia and assessment of severity. Available at: http://www.who.int/vmnis/indicators/haemoglobin/en/. Accessed on 2021 March 10.
World Health Organization. Regional Office for South-East Asia. 2011. Prevention of iron deficiency anaemia in adolescents. WHO Regional Office for South-East Asia. Available at: https://apps.who.int/ iris/handle/10665/205656. Accessed on 2021 March 10.
World Health Organization. Regional Office for South-East Asia. Strategic Guidance on Accelerating Actions for Adolescent Health in South-East Asia Region (2018–2022). World Health Organization. Regional Office for South-East Asia. 2018. Available at: https://apps.who.int/iris/handle/10665/274312. Accessed on 2021 March 10.
International institute for population sciences. District Level Household and Facility survey -2. State Fact Sheet. Kerala. Mumbai; IIPS. 2001.
Rakesh PS, Rajeswaran T, Rakesh R, Mathew G, Sheeja AL, Subhagan S et al. Anaemia among school children from southern Kerala, India: a cross-sectional study. Nat Med J Ind. 2015;28(5):225-30.
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(11):LC19-23.
Rakesh PS, George LS, Joy TM, George S, Renjini BA, Beena KV. Anemia Among School Children in Ernakulam District, Kerala, India. Indian J Hematol Blood Transfus. 2019;35(1):114-8.
Sajna MV, Jacob SA. Adherence to weekly iron and folic acid supplementation among the school students of Thrissur corporation-a cross sectional study. Int J Community Med Public Health. 2017;4:189-94.
Pattanaik S, Patnaik L, Kumar A, Sahu T. Prevalence of anemia among adolescent girls in a rural area of Odisha and its epidemiological correlates. Indian J Maternal Child Health. 2013;15:1.
Leenstra T, Kariuki SK, Kurtis JD, Oloo AJ, Kager PA, ter Kuile FO. Prevalence and severity of anemia and iron deficiency: cross-sectional studies in adolescent schoolgirls in western Kenya. Eur J Clin Nutr. 2004;58(4):681-91.
Miah S, Rahman N, Prodhan U, Linkon M, Rahman S. Prevalence of iron deficiency anemia among adolescent girls and its risk factors in Tangail Region of Bangladesh. Int J Res Engineering Technol. 2014;3(6):613-9.