A multilevel approach to correlates of anaemia in women in the Democratic Republic of Congo: findings from a nationally representative survey
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Subjects/Methods: Cross sectional representative population data from the 2013–2014 DRC Demographic and Health Survey (DHS) was used. The primary outcome was anaemia in women, stratified according to pregnancy in those of child-bearing age. A haemoglobin level of below 11 g/dl for pregnant women and 12 g/dl for non-pregnant women was used as the indicator of anaemia. Using a three-level random intercept model this study explored risk factors at individual, household and community levels and quantified the observed and unobserved variations between households and communities.
Results: Thirty-eight percent of women in the DRC are anaemic. Anaemia is significantly higher in younger, pregnant and underweight women, as well as those with comorbidities, including HIV and malaria who are living in the capital city Kinshasa. Anaemia varies within and between households and communities in the DRC.
Conclusions: Integrated approaches to reduce anaemia in settings with high malaria and HIV prevalence such as the DRC should target households.
|Journal||European Journal of Clinical Nutrition|
|Early online date||4 Nov 2019|
|Publication status||Early online - 4 Nov 2019|
- A multilevel approach to correlates
Rights statement: Kandala, N.I., Pallikadavath, S., Amos Channon, A. et al. A multilevel approach to correlates of anaemia in women in the Democratic Republic of Congo: findings from a nationally representative survey. Eur J Clin Nutr (2019) doi:10.1038/s41430-019-0524-8
Accepted author manuscript (Post-print), 335 KB, PDF document