Research Article
Volume 16 Issue 10 - 2021
Predictors of Various Levels of Anemia among Adolescent and Young Women 15 - 24 Years of Age in Ethiopia: Multilevel Ordinal Logistic Regression Modelling
Lire Lemma Tirore1*, Menaseb Gebrehaweria Gebremeskel2, Tamirat Melis Berhe1, Selamu Abose Nadamo3 Desta Erkalo Abame1, Habtamu Tamirat Derilo4 and Tekle Ejajo Wontamo1
1Lecturer, Department of Public Health, College of Medicine and Health Sciences, Wachamo University, Sothern Nations Nationalities and Peoples Region, Ethiopia
2Lecturer, Departments of Public Health, College of Medicine and Health Sciences, Adigrat University, Tigray, Ethiopia
3Lecturer, Department of Midwifery, College of Medicine and Health Sciences, Wachamo University, Sothern Nations Nationalities and Peoples Region, Ethiopia
4MD, FCS-ECSA, Orthopedic Surgeon, Assistant Professor of Orthopedic Surgery, Chief Academic Director of College of Medicine and Health Sciences, Wachemo University, Ethiopia
*Corresponding Author: Lire Lemma Tirore, Lecturer, Department of Public Health, College of Medicine and Health Sciences, Wachamo University, Sothern Nations Nationalities and Peoples Region, Ethiopia.
Received: May 26, 2021; Published: September 25, 2021


Background: Among young women, anemia has persisted as a public health concern (15 - 24). While women's physiology and life experiences vary across reproductive ages (15 - 49), current anemia studies have concentrated on pregnant women or all women of reproductive age. Some research on young women have also been limited to the country's sub-national areas. This research therefore aims to identify factors for different levels of anemia in young women (15 - 24).

Materials and Methods: Data set from the 2016 Ethiopia Demographic Health Survey (EDHS) was used. The multilevel (three-level) ordinal logistic regression study used a total of 5839 young women who were screened for anemia.

Results: Human Immune Deficiency Virus (HIV), living with 5 or more family members, giving birth once, giving birth more than once, living in rural areas was found to be related to worse anemia. The use of pills, implants or injectables was associated with decreased odds of worse anemia. Nearly one-third (32.30%) of the anemia variability was attributed to the difference in household and community levels.

Conclusion: Anemia among young women in Ethiopia was a moderate public health concern (25.18%). Anemia was significantly associated with HIV status, contraceptive use, living with partner, number of births in the last five years, family size, place of residence, and region.

In the prevalence of anemia among households and clusters, substantial variation was observed.

For HIV-positive women, efforts to prevent and control anemia should be intensified. Interventions for broader spacing of births should also be improved.

Keywords: Anemia; Young Women; Multilevel Ordinal Logistic Regression; Ethiopia; Demographic And Health Surveys


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Citation: Lire Lemma Tirore., et al. “Predictors of Various Levels of Anemia among Adolescent and Young Women 15 - 24 Years of Age in Ethiopia: Multilevel Ordinal Logistic Regression Modelling”. EC Nutrition 16.10 (2021): 01-14.

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