Spatial distribution and determinant factors of anemia among women age 15-49 years in Burkina Faso; using mixed-effects ordinal logistic regression model.

Kaleab Tesfaye Tegegne, Eleni Tesfaye Tegegne, Mekibib Kassa Tessema, Tadele Kassahun Wudu, Moges Tadesse Abebe, Asmamaw Zegeye Workaeh
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Abstract

Background: Anemia is a condition in which the number of healthy red blood cells/ hemoglobin (Hgb) level (and consequently their oxygen-carrying capacity) is insufficient to meet the body's physiologic needs. Thus, the current study is aimed to assess the spatial distribution and determinant factors of anemia among women aged 15-49 in Burkina Faso.

Methods: A secondary data analysis was done based on 2021 Burkina Faso; Demographic and Health Surveys. Total weighted samples of 5655 women's were included. Data processing and analysis were performed using STATA 14; ArcGIS 10.1 and SaTScan 9.6 software.

Result: The spatial distribution of anemia in Burkina Faso among women aged 15-49.was found to be clustered (Global Moran's I = 0.25, p value < 0.0001). In the multivariable mixed-effect ordinal regression analysis; Age 25-29 years [AOR = 1.31 ; 95% CI: 1.06 1.61], rich wealth status [AOR = 1.32 ; 95% CI: 1.08 1.62], regions Cascades [AOR = 1.62 ; 95% CI: 1.16 2.25],Hauts-bassis [AOR = 1.40; 95% CI: 1.06 1.84], Plateau central [AOR = 0.72 ; 95% CI: -0.54 0.96 and Sahel[AOR = 0.42 ; 95% CI: 0.28 0.63], were significant predictors of anemia among women aged 15-49.

Conclusions: A significant clustering of anemia among women aged 15-49 were found in Burkina Faso. Age, wealth index, regions Cascades, Hauts-bassins, Plateau central, and Sahel were significant predictors of anemia.

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布基纳法索 15-49 岁妇女贫血的空间分布和决定因素;使用混合效应序数逻辑回归模型。
背景:贫血是指健康红细胞的数量/血红蛋白(Hgb)水平(及其携氧能力)不足以满足人体的生理需求。因此,本研究旨在评估布基纳法索 15-49 岁妇女贫血的空间分布和决定因素:方法:根据 2021 年布基纳法索人口与健康调查进行了二次数据分析。共纳入了 5655 名妇女的加权样本。数据处理和分析使用 STATA 14、ArcGIS 10.1 和 SaTScan 9.6 软件进行:结果:布基纳法索 15-49 岁女性贫血症的空间分布呈聚类分布(Global Moran's I = 0.25,P 值小于 0.0001)。在多变量混合效应序数回归分析中,25-29 岁[AOR = 1.31;95% CI:1.06 1.61]、富裕状况[AOR = 1.32;95% CI:1.08 1.62]、Cascades 地区[AOR = 1.62;95% CI:1.16 2.25]、上盆地[AOR = 1.40;95% CI:1.06 1.84]、中部高原[AOR = 0.72;95% CI:-0.54 0.96]和萨赫勒[AOR = 0.42;95% CI:0.28 0.63]是 15-49 岁女性贫血的重要预测因素:结论:在布基纳法索,15-49 岁女性中存在明显的贫血聚集现象。年龄、财富指数、喀斯喀特、上盆地、中部高原和萨赫勒地区是预测贫血的重要因素。
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