Relationship between history of hormonal contraceptive use and anaemia status among women in sub-Saharan Africa: A large population-based study
- Publisher:
- Public Library of Science (PLoS)
- Publication Type:
- Journal Article
- Citation:
- PLOS ONE, 2023, 18, (6), pp. e0286392
- Issue Date:
- 2023
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BACKGROUND Anaemia among women has been reported to be a significant contributor to hemorrhage exacerbated risk of stillbirths miscarriages and maternal mortalities Hence understanding the factors associated with anaemia is imperative to develop preventive strategies We examined the association between history of hormonal contraceptive use and risk of anaemia among women in sub Saharan Africa METHODS We analyzed data from the recent Demographic and Health Surveys DHS of sixteen countries in sub Saharan Africa Countries with recent DHSs conducted from 2015 to 2020 were included in the study A total of 88 474 women of reproductive age were included We used percentages to summarize the prevalence of hormonal contraceptives and anaemia among women of reproductive age We used multilevel binary logistic regression analysis to examine the association between hormonal contraceptives and anaemia We presented the results using crude odds ratio cOR and adjusted odds ratios aOR with their respective 95 percent confidence intervals 95 CIs RESULTS On the average 16 2 of women are using hormonal contraceptives and this ranged from 7 2 in Burundi to 37 7 in Zimbabwe The pooled prevalence of anaemia was 41 ranging from 13 5 in Rwanda to 58 0 in Benin Women who used hormonal contraceptives were less likely to be anaemic compared to those who were not using hormonal contraceptives aOR 0 56 95 CI 0 53 0 59 At the country level hormonal contraceptive use was associated with a reduced likelihood of anaemia in 14 countries except for Cameroon and Guinea CONCLUSION The study underscores the importance of promoting the use of hormonal contraceptives in communities and regions that have a high burden of anaemia among women Specifically health promotion interventions aimed at promoting the use of hormonal contraceptives among women must be tailored to meet the needs of adolescents multiparous women those in the poorest wealth index and women in union as these sub populations were at significa
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