Cargando…
Menstrual abnormality, maternal illiteracy, and household factors as main predictors of anemia among adolescent girls in Ethiopia: Systematic review and meta-analysis
BACKGROUND: Adolescent girls are more likely to develop anemia as a result of physical and physiological changes that place a greater strain on their nutritional needs. Primary studies, on the other hand, may not be sufficient to provide a complete picture of anemia in adolescent girls and its major...
Autores principales: | , , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9647292/ https://www.ncbi.nlm.nih.gov/pubmed/36345715 http://dx.doi.org/10.1177/17455057221129398 |
_version_ | 1784827356674785280 |
---|---|
author | Endale, Fitsum Woldeyohannes, Demelash Belayneh, Fanuel Tamene, Aiggan Habte, Aklilu Gizachew, Addisalem Sulamo, Dawit Kebede, Yohannes Yohannes, Janet Mekonen, Tadesse Akiso, Denebo |
author_facet | Endale, Fitsum Woldeyohannes, Demelash Belayneh, Fanuel Tamene, Aiggan Habte, Aklilu Gizachew, Addisalem Sulamo, Dawit Kebede, Yohannes Yohannes, Janet Mekonen, Tadesse Akiso, Denebo |
author_sort | Endale, Fitsum |
collection | PubMed |
description | BACKGROUND: Adolescent girls are more likely to develop anemia as a result of physical and physiological changes that place a greater strain on their nutritional needs. Primary studies, on the other hand, may not be sufficient to provide a complete picture of anemia in adolescent girls and its major risk factors. OBJECTIVE: The study aimed to describe the pooled prevalence of adolescent girls’ anemia and the factors that contribute. METHODS: We conducted a systematic review of observational studies using the databases CINAHL (EBSCO), PubMed, Science Direct, Cochrane Library, and Google Scholar. The Newcastle-Ottawa Scale was used to assess the quality of the articles, and studies of fair to good quality were included. We pooled anemia prevalence among adolescents and odds ratio estimates for risk factors. Subgroup analysis employing sample size and study setup was computed to determine the source of heterogeneity, and the I(2) test was used to identify the existence or absence of substantial heterogeneity during subgroup analysis. The pooled prevalence of adolescent girls’ anemia was calculated using a random-effects meta-analysis model. RESULTS: The overall pooled prevalence of anemia among adolescent girls in Ethiopia was 23.03% (95% confidence interval: 17.07, 28.98). Low dietary diversity (odds ratio: 1.56; 95% confidence interval: 1.05, 2.32), illiterate mothers (odds ratio: 1.45; 95% confidence interval: 1.13, 1.86), household size greater than five (odds ratio: 1.65; 95% confidence interval: 1.14, 2.38), food-insecure households (odds ratio: 1.48; 95% confidence interval: 1.21, 1.82), and menstrual blood flow more than 5 days (odds ratio: 6.21; 95% confidence interval: 1.67, 23.12) were the identified factors associated with anemia among adolescent girls. CONCLUSION: The pooled prevalence of anemia among adolescent girls in Ethiopia was moderately high. Therefore, to combat the burden of anemia among adolescent girls offering nutritional education is crucial. Iron supplementation is also recommended for adolescent females who have a menstrual cycle that lasts longer than 5 days. |
format | Online Article Text |
id | pubmed-9647292 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-96472922022-11-15 Menstrual abnormality, maternal illiteracy, and household factors as main predictors of anemia among adolescent girls in Ethiopia: Systematic review and meta-analysis Endale, Fitsum Woldeyohannes, Demelash Belayneh, Fanuel Tamene, Aiggan Habte, Aklilu Gizachew, Addisalem Sulamo, Dawit Kebede, Yohannes Yohannes, Janet Mekonen, Tadesse Akiso, Denebo Womens Health (Lond) Systematic Review BACKGROUND: Adolescent girls are more likely to develop anemia as a result of physical and physiological changes that place a greater strain on their nutritional needs. Primary studies, on the other hand, may not be sufficient to provide a complete picture of anemia in adolescent girls and its major risk factors. OBJECTIVE: The study aimed to describe the pooled prevalence of adolescent girls’ anemia and the factors that contribute. METHODS: We conducted a systematic review of observational studies using the databases CINAHL (EBSCO), PubMed, Science Direct, Cochrane Library, and Google Scholar. The Newcastle-Ottawa Scale was used to assess the quality of the articles, and studies of fair to good quality were included. We pooled anemia prevalence among adolescents and odds ratio estimates for risk factors. Subgroup analysis employing sample size and study setup was computed to determine the source of heterogeneity, and the I(2) test was used to identify the existence or absence of substantial heterogeneity during subgroup analysis. The pooled prevalence of adolescent girls’ anemia was calculated using a random-effects meta-analysis model. RESULTS: The overall pooled prevalence of anemia among adolescent girls in Ethiopia was 23.03% (95% confidence interval: 17.07, 28.98). Low dietary diversity (odds ratio: 1.56; 95% confidence interval: 1.05, 2.32), illiterate mothers (odds ratio: 1.45; 95% confidence interval: 1.13, 1.86), household size greater than five (odds ratio: 1.65; 95% confidence interval: 1.14, 2.38), food-insecure households (odds ratio: 1.48; 95% confidence interval: 1.21, 1.82), and menstrual blood flow more than 5 days (odds ratio: 6.21; 95% confidence interval: 1.67, 23.12) were the identified factors associated with anemia among adolescent girls. CONCLUSION: The pooled prevalence of anemia among adolescent girls in Ethiopia was moderately high. Therefore, to combat the burden of anemia among adolescent girls offering nutritional education is crucial. Iron supplementation is also recommended for adolescent females who have a menstrual cycle that lasts longer than 5 days. SAGE Publications 2022-11-08 /pmc/articles/PMC9647292/ /pubmed/36345715 http://dx.doi.org/10.1177/17455057221129398 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page(https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Systematic Review Endale, Fitsum Woldeyohannes, Demelash Belayneh, Fanuel Tamene, Aiggan Habte, Aklilu Gizachew, Addisalem Sulamo, Dawit Kebede, Yohannes Yohannes, Janet Mekonen, Tadesse Akiso, Denebo Menstrual abnormality, maternal illiteracy, and household factors as main predictors of anemia among adolescent girls in Ethiopia: Systematic review and meta-analysis |
title | Menstrual abnormality, maternal illiteracy, and household factors as
main predictors of anemia among adolescent girls in Ethiopia: Systematic review
and meta-analysis |
title_full | Menstrual abnormality, maternal illiteracy, and household factors as
main predictors of anemia among adolescent girls in Ethiopia: Systematic review
and meta-analysis |
title_fullStr | Menstrual abnormality, maternal illiteracy, and household factors as
main predictors of anemia among adolescent girls in Ethiopia: Systematic review
and meta-analysis |
title_full_unstemmed | Menstrual abnormality, maternal illiteracy, and household factors as
main predictors of anemia among adolescent girls in Ethiopia: Systematic review
and meta-analysis |
title_short | Menstrual abnormality, maternal illiteracy, and household factors as
main predictors of anemia among adolescent girls in Ethiopia: Systematic review
and meta-analysis |
title_sort | menstrual abnormality, maternal illiteracy, and household factors as
main predictors of anemia among adolescent girls in ethiopia: systematic review
and meta-analysis |
topic | Systematic Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9647292/ https://www.ncbi.nlm.nih.gov/pubmed/36345715 http://dx.doi.org/10.1177/17455057221129398 |
work_keys_str_mv | AT endalefitsum menstrualabnormalitymaternalilliteracyandhouseholdfactorsasmainpredictorsofanemiaamongadolescentgirlsinethiopiasystematicreviewandmetaanalysis AT woldeyohannesdemelash menstrualabnormalitymaternalilliteracyandhouseholdfactorsasmainpredictorsofanemiaamongadolescentgirlsinethiopiasystematicreviewandmetaanalysis AT belaynehfanuel menstrualabnormalitymaternalilliteracyandhouseholdfactorsasmainpredictorsofanemiaamongadolescentgirlsinethiopiasystematicreviewandmetaanalysis AT tameneaiggan menstrualabnormalitymaternalilliteracyandhouseholdfactorsasmainpredictorsofanemiaamongadolescentgirlsinethiopiasystematicreviewandmetaanalysis AT habteaklilu menstrualabnormalitymaternalilliteracyandhouseholdfactorsasmainpredictorsofanemiaamongadolescentgirlsinethiopiasystematicreviewandmetaanalysis AT gizachewaddisalem menstrualabnormalitymaternalilliteracyandhouseholdfactorsasmainpredictorsofanemiaamongadolescentgirlsinethiopiasystematicreviewandmetaanalysis AT sulamodawit menstrualabnormalitymaternalilliteracyandhouseholdfactorsasmainpredictorsofanemiaamongadolescentgirlsinethiopiasystematicreviewandmetaanalysis AT kebedeyohannes menstrualabnormalitymaternalilliteracyandhouseholdfactorsasmainpredictorsofanemiaamongadolescentgirlsinethiopiasystematicreviewandmetaanalysis AT yohannesjanet menstrualabnormalitymaternalilliteracyandhouseholdfactorsasmainpredictorsofanemiaamongadolescentgirlsinethiopiasystematicreviewandmetaanalysis AT mekonentadesse menstrualabnormalitymaternalilliteracyandhouseholdfactorsasmainpredictorsofanemiaamongadolescentgirlsinethiopiasystematicreviewandmetaanalysis AT akisodenebo menstrualabnormalitymaternalilliteracyandhouseholdfactorsasmainpredictorsofanemiaamongadolescentgirlsinethiopiasystematicreviewandmetaanalysis |