Conditional selection of multifactor evidence for the levels of anaemia among women of reproductive age group

IF 1.5 4区 社会学 Q2 SOCIAL SCIENCES, INTERDISCIPLINARY Evaluation and Program Planning Pub Date : 2023-10-01 DOI:10.1016/j.evalprogplan.2023.102344
Pavan Kumar S.T , Biswajit Lahiri
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Abstract

The study aims at ascertaining the conditional selection of key indicators affecting severe, moderate, mild, and no anaemia levels for women of reproductive age in India. The secondary data for levels of anaemia and personal records of individuals collected for India from the 7th phase of District Health Survey program of the United States Agency for International Development data depository. The data was cleaned and summarised using frequency and percentages. Then the variables were tested for association with levels of anaemia using the Chi-square (χ2) test. The multinomial logistic regression model was employed to ascertain the key indicators through a conditional selection of reference categories. Results suggest that severe anaemia was significantly prevalent among women in the reproductive stage, especially among the 15–29 age groups. Secondary and higher education had a negative effect on the severity of severe, moderate, and mild anaemia. The poorest wealth index stratum had higher and more significant severe anaemia, and households with two adults of the opposite sex had a significant negative effect (β = −0.116, OR = 0.89, p < 0.001) on severe anaemia level while having a significant positive effect on moderate and mild anaemia. Rural households were associated negatively and significantly with moderate and mild anaemia, and nuclear household structures had a higher prevalence of severe anaemia. Therefore, these indicators across different levels of anaemia should be considered for a faster rate of reduction at the national level. Despite several initiatives by the public sector, the anaemia level has remained elevated among women of reproductive age. Education, wealth index, age, pregnancy, relationship structure, household structure, and place of residence were found to be key indicators for the level of anaemia. The significant variables will act as a crucial input to formulate cost-effective public interventions and finally encourage the faster reduction of anaemia levels.

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生殖年龄组妇女贫血水平多因素证据的条件选择
该研究旨在确定影响印度育龄妇女严重、中度、轻度和无贫血水平的关键指标的有条件选择。从美国国际开发署第七阶段地区健康调查项目中为印度收集的贫血水平的二级数据和个人记录。使用频率和百分比对数据进行清理和总结。然后使用卡方检验(χ2)检验变量与贫血水平的相关性。采用多项逻辑回归模型,通过有条件地选择参考类别来确定关键指标。结果表明,严重贫血在育龄妇女中非常普遍,尤其是在15-29岁年龄组中。中等和高等教育对严重、中度和轻度贫血的严重程度有负面影响。最贫穷的财富指数阶层患有更高、更严重的严重贫血,有两名异性成年人的家庭对严重贫血水平有显著的负面影响(β=-0.116,OR=0.89,p<;0.001),而对中度和轻度贫血有显著的正面影响。农村家庭与中度和轻度贫血呈显著负相关,核心家庭结构的严重贫血患病率较高。因此,应考虑不同程度贫血的这些指标,以便在国家一级更快地减少贫血。尽管公共部门采取了几项举措,育龄妇女的贫血水平仍然很高。研究发现,教育、财富指数、年龄、怀孕、关系结构、家庭结构和居住地是衡量贫血程度的关键指标。重要变量将成为制定具有成本效益的公共干预措施的关键投入,并最终鼓励更快地降低贫血水平。
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来源期刊
Evaluation and Program Planning
Evaluation and Program Planning SOCIAL SCIENCES, INTERDISCIPLINARY-
CiteScore
3.10
自引率
6.20%
发文量
112
期刊介绍: Evaluation and Program Planning is based on the principle that the techniques and methods of evaluation and planning transcend the boundaries of specific fields and that relevant contributions to these areas come from people representing many different positions, intellectual traditions, and interests. In order to further the development of evaluation and planning, we publish articles from the private and public sectors in a wide range of areas: organizational development and behavior, training, planning, human resource development, health and mental, social services, mental retardation, corrections, substance abuse, and education.
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