Spatial and social factors drive anemia in Congolese women
Identifieur interne : 000097 ( Pmc/Checkpoint ); précédent : 000096; suivant : 000098Spatial and social factors drive anemia in Congolese women
Auteurs : Jp Messina ; K. Mwandagalirwa ; Sm Taylor ; M. Emch ; Sr MeshnickSource :
- Health & place [ 1353-8292 ] ; 2013.
Abstract
Anemia is common in women of child-bearing age in the Democratic Republic of the Congo (DRC). As part of the 2007 DRC Demographic and Health Survey (DHS), 4,638 women of childbearing age (including 526 pregnant women) were tested for HIV and had the hemoglobin content of their blood recorded. We assessed malaria prevalence using laboratory methods. The DHS provided extensive information for individuals, as well as household cluster coordinates which enabled us to derive several spatial variables. Multilevel analyses were conducted to determine individual and contextual risk factors for anemia. Prevalence varied geographically and was associated with both one's ethnic group and the amount and type of nearby agriculture. In contrast, prevalence was not affected by HIV or malaria status.
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DOI: 10.1016/j.healthplace.2013.07.009
PubMed: 24042090
PubMed Central: 4801186
Affiliations:
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<front><div type="abstract" xml:lang="en"><p id="P1">Anemia is common in women of child-bearing age in the Democratic Republic of the Congo (DRC). As part of the 2007 DRC Demographic and Health Survey (DHS), 4,638 women of childbearing age (including 526 pregnant women) were tested for HIV and had the hemoglobin content of their blood recorded. We assessed malaria prevalence using laboratory methods. The DHS provided extensive information for individuals, as well as household cluster coordinates which enabled us to derive several spatial variables. Multilevel analyses were conducted to determine individual and contextual risk factors for anemia. Prevalence varied geographically and was associated with both one's ethnic group and the amount and type of nearby agriculture. In contrast, prevalence was not affected by HIV or malaria status.</p>
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<aff id="A1">Department of Zoology, University of Oxford</aff>
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<aff id="A2">Kinshasa School of Public Health, University of Kinshasa</aff>
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<aff id="A3">Department of Epidemiology, University of North Carolina at Chapel Hill</aff>
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<aff id="A4">Department of Geography, Department of Epidemiology, Carolina Population Center, University of North Carolina at Chapel Hill</aff>
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<contrib contrib-type="author"><name><surname>Meshnick</surname>
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<aff id="A5">Department of Epidemiology, University of North Carolina at Chapel Hill</aff>
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<author-notes><corresp id="CR1">Corresponding author. Jane Messina, Tel.:44 771346 3537. <email>jane.messina@gmail.com</email>
(J.P. Messina)</corresp>
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<pub-date pub-type="nihms-submitted"><day>27</day>
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<pmc-comment>elocation-id from pubmed: 10.1016/j.healthplace.2013.07.009</pmc-comment>
<abstract><p id="P1">Anemia is common in women of child-bearing age in the Democratic Republic of the Congo (DRC). As part of the 2007 DRC Demographic and Health Survey (DHS), 4,638 women of childbearing age (including 526 pregnant women) were tested for HIV and had the hemoglobin content of their blood recorded. We assessed malaria prevalence using laboratory methods. The DHS provided extensive information for individuals, as well as household cluster coordinates which enabled us to derive several spatial variables. Multilevel analyses were conducted to determine individual and contextual risk factors for anemia. Prevalence varied geographically and was associated with both one's ethnic group and the amount and type of nearby agriculture. In contrast, prevalence was not affected by HIV or malaria status.</p>
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