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Anemia prevalence in women of reproductive age in low- and middle-income countries between 2000 and 2018

Kinyoki, D., Osgood-Zimmerman, A. E., Bhattacharjee, N. V. , Schaeffer, L. E., Lazzar-Atwood, A., Lu, D., Ewald, S. B., Donkers, K. M., Letourneau, I. D., Collison, M., Schipp, M. F., Abajobir, A., Abbasi, S., Abbasi, N., Abbasifard, M., Abbasi-Kangevari, M., Abbastabar, H., Abd-Allah, F., Abdelalim, A., Abd-Elsalam, S. M., Abdoli, A., Abdollahpour, I., Abedi, A., Abolhassani, H., Abraham, B., Abreu, L. G., Abrigo, M. R. M., Abualhasan, A., Abu-Gharbieh, E., Abushouk, A. I., Accrombessi, M. M. K., Adabi, M., Adebayo, O. M., Adegbosin, A. E., Adekanmbi, V., Adetokunboh, O. O., Adeyinka, D. A., Adham, D., Advani, S. M., Agasthi, P., Aghaali, M., Ahmad, S., Ahmad, T., Ahmadi, K., Ahmadi, S., Ahmed, M. B., Aichour, M. T. E., Aji, B., Akinyemi, O. O., Aklilu, A., Akunna, C. J., Al-Aly, Z., Alanzi, T. M., Alcalde-Rabanal, J. E., Alemu, B. W., Alemu, A., Alhassan, R. K., Alif, S. M., Alipour, V., Alizade, H., Aljunid, S. M., Almasi-Hashiani, A., Al-Mekhlafi, H. M., Al-Raddadi, R. M., Alvis-Guzman, N., Amini, S., Amiri, F., Amugsi, D. A., Anber, N. H., Ancuceanu, R., Andrei, T., Anegago, M. T., Anjomshoa, M., Ansari, F., Ansari-Moghaddam, A., Anteneh, Z. A., Antriyandarti, E., Anvari, D., Anwer, R., Aqeel, M., Arabloo, J., Arab-Zozani, M., Aremu, O., Areri, H. A., Artaman, A., Arzani, A., Asaad, M., Asadi-Aliabadi, M., Asadi-Pooya, A. A., Asemahagn, M. A., Asghari Jafarabadi, M., Ashebir, M. M., Ataro, Z., Athari, S. M., Athari, S. S., Atout, M. M. W., Ausloos, M., Awoke, N., Ayala Quintanilla, B. P., Ayano, G., Ayanore, M. A., Aynalem, Y. A., Ayza, M. A., Azadmehr, A., B, D., Babalola, T. K., Badawi, A., Badiye, A. D., Bahrami, M. A., Bairwa, M., Bakkannavar, S. M., Banik, P. C., Baraki, A. G., Barboza, M. A., Basaleem, H., Basu, S., Bayati, M., Baye, B. A., Bazmandegan, G., Bedi, N., Bekuma, T. T. T., Bell, M. L., Bensenor, I. M., Berhe, K., Berhe, A. K., Berhie, K. A., Bhandari, D., Bhardwaj, N., Bhardwaj, P., Bhattacharyya, K., Bhattarai, S., Bhutta, Z. A., Bijani, A., Bikbov, B., Biondi, A., Birhanu, M., Biswas, R. K., Bockarie, M. J., Bohlouli, S., Bohluli, M., Boloor, A., Borzouei, S., Bragazzi, N. L., Braithwaite, D., Brunoni, A. R., Burugina Nagaraja, S., Butt, Z. A., Caetano dos Santos, F. L., Cámera, L. A., Car, J., Cárdenas, R., Carvalho, F., Castaldelli-Maia, J. M., Castañeda-Orjuela, C. A., Castro, F., Cevik, M., Chanie, W. F., Charan, J., Chatterjee, S., Chattu, V. K., Chaturvedi, S., Chen, S., Chin, K. L., Chowdhury, M. A. K., Cook, A. J., Costa, V. M., Cromwell, E. A., Dachew, B. A., Dagne, H., Dagnew, B., Dahiru, T., Dahlawi, S. M. A., Dai, H., Dai, H., Dandona, L., Dandona, R., Daneshpajouhnejad, P., Daoud, F., Das, J. K., Das Gupta, R., Dash, A. P., Dávila-Cervantes, C. A., Davletov, K., Deeba, F., De Neve, J-W., Denova-Gutiérrez, E., Deribe, K., Desalew, A., Dessie, G. A., Dey, S., Dhimal, M., Dhungana, G. P., Dianatinasab, M., Diaz, D., Dipeolu, I. O., Djalalinia, S., Do, H. T., Dorostkar, F., Doshmangir, L., Duko, B., Duraes, A. R., Earl, L., Edinur, H. A., Efendi, F., Elayedath, R., Elema, T. B., Elhabashy, H. R., El-Jaafary, S. I., El Sayed, I., El Sayed Zaki, M., Elsharkawy, A., El-Sherbiny, Y. M., El Tantawi, M., Endalew, D. A., Eshrati, B., Eskandari, K., Eskandarieh, S., Fadhil, I., Faraon, E. J. A., Fareed, M., Faris, P. S., Farwati, M., Farzadfar, F., Fasanmi, A. O., Fattahi, N., Fauk, N. K., Feigin, V. L., Feleke, B. E., Fereshtehnejad, S-M., Fernandes, E., Ferrara, P., Foigt, N. A., Fomenkov, A. A., Foroutan, M., Francis, J. M., Franklin, R. C., Freitas, M., Fukumoto, T., Gad, M. M., Gaidhane, A. M., Gayesa, R. T., Geberemariyam, B. S., Gebregiorgis, B. G., Gebremariam, H., Gebremariam, T. B. B., Gebremeskel, L., Gebremeskel, G. G., Gebreslassie, A. A., Geramo, Y. C. D., Gesesew, H. A., Gessner, B. D., Getacher, L., Ghadiri, K., Ghaffarifar, F., Ghafourifard, M., Ghajarzadeh, M., Ghamari, F., Ghashghaee, A., Ghith, N., Gilani, S. A., Gill, T. K., Godinho, M. A., Gona, P. N., Grada, A., Gubari, M. I. M., Gudi, N., Guido, D., Guled, R. A., Guo, Y., Gupta, R., Gupta, R., Haj-Mirzaian, A., Hamadeh, R. R., Handiso, D. W., Hanif, A., Hargono, A., Hasaballah, A. I., Hasan, M. M., Hasan, S. S., Hashemian, M., Hashi, A., Hassan, S., Hassan, A., Hassanipour, S., Hassankhani, H., Hayat, K., Hegazy, M. I., Heidari-Soureshjani, R., Henry, N. J., Herteliu, C., Heydarpour, F., Heydarpour, S., Degefa de Hidru, H., Hoang, C. L., Holla, R., Hon, J., Hong, S. H., Hoogar, P., Hosseini, S. N., Hosseinzadeh, M., Hostiuc, M., Hostiuc, S., Hotez, P. J., Househ, M., Huda, T. M., Huluko, D. H. H., Hussain, S. A., Hwang, B-F., Ilesanmi, O. S., Ilic, I. M., Ilic, M. D., Inbaraj, L. R., Iqbal, U., Islam, M. M., Islam, S. M. S., Iwu, C. J., Iwu, C. C. D., Jadidi-Niaragh, F., Jahani, M. A., Jain, V., Jakovljevic, M., Jalali, A., Jalilian, F., Janodia, M. D., Javaheri, T., Jha, R. P., John, O., Johnson, K. B., Jonas, J. B., Jonnagaddala, J., Joseph, N., Joshi, A., Joukar, F., Jozwiak, J. J., Kabir, A., Kabir, Z., Kahlon, T., Kalankesh, L. R., Kalhor, R., Kamath, A., Kamiab, Z., Kanchan, T., Kapil, U., Kapoor, N., Karami Matin, B., Karimi, S. E., Kasa, A. S., Kasahun, G. G., Kassa, Z. Y., Kassa, G. G., Kassahun, G., Kayode, G. A., Kazemi Karyani, A., Keflie, T. S., Keiyoro, P. N., Kelkay, B., Keramati, M., Ketema, D. B., Khalid, N., Khammarnia, M., Khan, M. N., Khan, M., Khan, J., Khatab, K., Khater, A. M., Khater, M. M., Khoja, A. T., Khubchandani, J., Kianipour, N., Kim, Y-E., Kim, Y. J., Kimokoti, R. W., Kisa, S., Kisa, A., Kolola, T., Koolivand, A., Kosen, S., Koul, P. A., Koyanagi, A., Krishan, K., Krishnamoorthy, V., Kuate Defo, B., Kugbey, N., Kulkarni, V., Kumar, G. A., Kumar, N., Kumar, P., Kumar, M., Kurmi, O. P., Kusuma, D. ORCID: 0000-0002-1909-9341, Lacey, B., Lad, D. P., Lal, D. K., Lami, F. H., Landires, I., Larsson, A. O., Lasrado, S., Laurens, M. B., La Vecchia, C., Laxmaiah, A., Lee, P. H., Lee, S. W. H., LeGrand, K. E., Lewycka, S., Li, B., Li, S., Liu, X., Lopez, J. C. F., Machado, D. B., Madhava Kunjathur, S., Magdy Abd El Razek, H., Magdy Abd El Razek, M., Mahadeshwara Prasad, D. R., Mahasha, P. W., Maheri, M., Mahotra, N. B., Majeed, A., Maled, V., Maleki, S., Malekzadeh, R., Malta, D. C., Mamun, A. A., Mansour-Ghanaei, F., Mansouri, B., Mansournia, M. A., Manzar, M. D. D., Marrugo Arnedo, C. A., Martins-Melo, F. R., Masaka, A., Maulik, P. K., Mayala, B. K., Mehari, M., Mehndiratta, M. M., Mehrabi Nasab, E., Mehri, F., Mehta, K. M., Meitei, W. B., Mekonnen, T., Meles, G. G., Melku, M., Mendoza, W., Menezes, R. G., Mengesha, M. B., Mengesha, E. W., Meretoja, T. J., Mersha, A. M., Metekiya, W. M., Miazgowski, T., Michalek, I. M., Mini, G. K., Mir, S. A., Mirica, A., Mirrakhimov, E. M., Mirzaei, H., Mirzaei, M., Mirzaei-Alavijeh, M., Misra, S., Moazen, B., Moghadaszadeh, M., Mohammad, Y., Mohammad, D. K., Mohammad Gholi Mezerji, N., Mohammadi, S. M., Mohammadian-Hafshejani, A., Mohammadpourhodki, R., Mohammed, H. M., Mohammed, S., Mohammed, A. S., Mohammed, S., Mohammed, J. A., Mohseni Bandpei, M. A., Mokdad, A.H., Molassiotis, A., Monasta, L., Moradi, M., Moradi-Lakeh, M., Moradzadeh, R., Moraga, P., Mosapour, A., Mouodi, S., Mousavi, S. M., Mousavi Khaneghah, A., Mulu, G. B. B., Munir, M., Muriithi, M. K., Murthy, G. V. S., Mustafa, G., Nabhan, A. F., Naderi, M., Nagarajan, A. J., Nagaraju, S. P., Naghavi, M., Naik, G., Naimzada, M. D., Nangia, V., Nansseu, J. R., Naqvi, A. A., Nascimento, B. R., Nayak, S., Nayak, V. C., Nazari, J., Ndejjo, R., Negoi, I., Negoi, R. I., Netsere, H. B., Nguefack-Tsague, G., Ngunjiri, J. W., Nguyen, C. T., Nguyen, D. N., Nguyen, H. L. T., Nigatu, Y. T., Nikbakhsh, R., Nikpoor, A. R., Nnaji, C. A., Nong, V. M., Noubiap, J. J., Nunez-Samudio, V., Nwatah, V. E., Nyanhanda, T., Oancea, B., Ogbo, F. A., Oghenetega, O. B., Oh, I-H., Okello, D. 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S., Vo, B., Wado, Y. D., Waheed, Y., Wang, Y., Wang, Y-P., Wangdi, K., Weldesamuel, G. T., Werdecker, A., Wiangkham, T., Wickramasinghe, N. D., Wiysonge, C. S., Wonde, T. E., Wu, A-M., Wu, C., Xie, Y., Yadollahpour, A., Jabbari, S. H. Y., Yamada, T., Yang, M., Yaya, S., Yazdi-Feyzabadi, V., Yeheyis, T. Y., Yeshaneh, A., Yeshaw, Y., Yeshitila, Y. G., Yilma, M. T., Yip, P., Young, M. F., Yousefi, Z., Yousefinezhadi, T., Yousof, H-A. S. A., Yousuf, A. Y., Yu, C., Yu, Y., Zafar, S., Zaidi, S. S., Zaidi, Z., Zakzuk, J., Bin Zaman, S., Zamani, M., Zamanian, M., Zandifar, A., Zangeneh, A., Zastrozhin, M. S., Zastrozhina, A., Zewdie, D. T., Zewdie, K. A., Zhang, Y., Zhu, C., Ziapour, A., Kassebaum, N. J. & Hay, S. I. (2021). Anemia prevalence in women of reproductive age in low- and middle-income countries between 2000 and 2018. Nature Medicine, 27(10), pp. 1761-1782. doi: 10.1038/s41591-021-01498-0

Abstract

Anemia is a globally widespread condition in women and is associated with reduced economic productivity and increased mortality worldwide. Here we map annual 2000–2018 geospatial estimates of anemia prevalence in women of reproductive age (15–49 years) across 82 low- and middle-income countries (LMICs), stratify anemia by severity and aggregate results to policy-relevant administrative and national levels. Additionally, we provide subnational disparity analyses to provide a comprehensive overview of anemia prevalence inequalities within these countries and predict progress toward the World Health Organization’s Global Nutrition Target (WHO GNT) to reduce anemia by half by 2030. Our results demonstrate widespread moderate improvements in overall anemia prevalence but identify only three LMICs with a high probability of achieving the WHO GNT by 2030 at a national scale, and no LMIC is expected to achieve the target in all their subnational administrative units. Our maps show where large within-country disparities occur, as well as areas likely to fall short of the WHO GNT, offering precision public health tools so that adequate resource allocation and subsequent interventions can be targeted to the most vulnerable populations.

Publication Type: Article
Additional Information: This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/.
Publisher Keywords: Diseases, risk factors
Subjects: R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Departments: School of Health & Psychological Sciences > Healthcare Services Research & Management
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