The DOI matches its Crossref record; 51 of the 52 references it cites were found in a registry or an index.
Prevalence and risk factors for anemia severity and type in Malawian men and women: urban and rural differences
Open accessAbstract
BACKGROUND: The global burden of anemia is large especially in sub-Saharan Africa, where HIV is common and lifestyles are changing rapidly with urbanization. The effects of these changes are unknown. Studies of anemia usually focus on pregnant women or children, among whom the burden is greatest. We describe prevalence and risk factors for anemia among rural and urban men and women of all ages in Malawi. METHODS: We analyzed data from a population-wide cross-sectional survey of adults conducted in two sites, Karonga (rural) and Lilongwe (urban), commencing in May 2013. We used multinomial logistic regression models, stratified by sex to identify risk factors for mild and moderate-to-severe anemia. RESULTS: Anemia prevalence was assessed among 8,926 men (age range 18-100 years) and 14,978 women (age range: 18-103 years). Weighted prevalence levels for all, mild, and moderate-to-severe anemia were 8.2, 6.7 and 1.2% in rural men; 19.4, 12.0 and 7.4% in rural women; 5.9, 5.1 and 0.8% in urban men; and 23.4, 13.6 and 10.1% in urban women. Among women, the odds of anemia were higher among urban residents and those with higher socioeconomic status. Increasing age was associated with higher anemia prevalence in men. Among both men and women, HIV infection was a consistent risk factor for severity of anemia, though its relative effect was stronger on moderate-to-severe anemia. CONCLUSIONS: The drivers of anemia in this population are complex, include both socioeconomic and biological factors and are affecting men and women differently. The associations with urban lifestyle and HIV indicate opportunities for targeted intervention.
Overview
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Figures
Verification
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In the citing paper
“Physically, frequent or prolonged bleeds add to girls and women’s risk of anaemia, particularly for those who are nutritionally compromised, or having comorbidities such as HIV.24”
From Beyond menstrual hygiene: addressing vaginal bleeding throughout the life course in low and middle-income countries (2017) · cites this paper as [24]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Citations
Cites
Worldwide prevalence of anaemia, WHO Vitamin and Mineral Nutrition Information System, 1993–2005
McLean, E., Cogswell, M., Egli, I., Wojdyla, D., & de Benoist, B. (2009) · Public Health Nutrition · doi:10.1017/s1368980008002401 · Cited by 2,734
Socioeconomic Status in Health Research
Braveman, P., Cubbin, C., Egerter, S. A., Chideya, S., Marchi, K. S., Metzler, M. M., & Posner, S. F. (2005) · JAMA · doi:10.1001/jama.294.22.2879 · Cited by 2,360
Pickett, K. E., & Pearl, M. (2001) · Journal of Epidemiology & Community Health · doi:10.1136/jech.55.2.111 · Cited by 2,207
A systematic analysis of global anemia burden from 1990 to 2010
Kassebaum, N. J., Jasrasaria, R., Naghavi, M., Wulf, S. K., Johns, N. E., Lozano, R., Regan, M. C., Weatherall, D. J., Chou, D. P., Eisele, T. P., et al. (2013) · Blood · doi:10.1182/blood-2013-06-508325 · Cited by 2,115
Stevens, G. A., Finucane, M. M., De‐Regil, L. M., Paciorek, C., Flaxman, S. R., Branca, F., Peña‐Rosas, J. P., Bhutta, Z. A., & Ezzati, M. (2013) · The Lancet Global Health · doi:10.1016/s2214-109x(13)70001-9 · Cited by 1,977
Guralnik, J. M., Eisenstaedt, R. S., Ferrucci, L., Klein, H. G., & Woodman, R. C. (2004) · Blood · doi:10.1182/blood-2004-05-1812 · Cited by 1,450
Anaemia in low-income and middle-income countries
Balarajan, Y., Ramakrishnan, U., Özaltin, E., Shankar, A. H., & Subramanian, S. V. (2011) · The Lancet · doi:10.1016/s0140-6736(10)62304-5 · Cited by 1,393
Haas, J. D., & Brownlie, T. (2001) · The Journal of Nutrition · doi:10.1093/jn/131.2.676s · Cited by 1,186
Galobardes, B. (2004) · Epidemiologic Reviews · doi:10.1093/epirev/mxh008 · Cited by 753
Severe Anemia in Malawian Children
Calis, J. C. J., Phiri, K. S., Faragher, E. B., Brabin, B. J., Bates, I., Cuevas, L. E., de Haan, R. J., Phiri, A., Malange, P., Khoka, M., et al. (2008) · New England Journal of Medicine · doi:10.1056/nejmoa072727 · Cited by 494
Self-citationIron Deficiency: Global Prevalence and Consequences
Stoltzfus, R. J. (2003) · Food and Nutrition Bulletin · doi:10.1177/15648265030244s206 · Cited by 405
The burden of anemia among women in India
Bentley, M. E., & Griffiths, P. L. (2003) · European Journal of Clinical Nutrition · doi:10.1038/sj.ejcn.1601504 · Cited by 288
Belperio, P. S., & Rhew, D. C. (2004) · The American Journal of Medicine · doi:10.1016/j.amjmed.2003.12.010 · Cited by 279
Ford, J. (2013) · International Journal of Laboratory Hematology · doi:10.1111/ijlh.12082 · Cited by 245
Haemoglobin adjustments to define anaemia
Sullivan, K. M., Mei, Z., Grummer‐Strawn, L. M., & Parvanta, I. (2008) · Tropical Medicine & International Health · doi:10.1111/j.1365-3156.2008.02143.x · Cited by 238
Maternal anaemia and its impact on perinatal outcome
Lone, F. W., Qureshi, R. N., & Emanuel, F. (2004) · Tropical Medicine & International Health · doi:10.1111/j.1365-3156.2004.01222.x · Cited by 199
Melku, M., Addis, Z., Alem, M., & Enawgaw, B. (2014) · Anemia · doi:10.1155/2014/108593 · Cited by 191
DeLoughery, T. G. (2014) · New England Journal of Medicine · doi:10.1056/nejmra1215361 · Cited by 173
Profile: The Karonga Health and Demographic Surveillance System
Crampin, A. C., Dube, A. L. N., Mboma, S. M., Price, A., Chihana, M. L., Jahn, A., Baschieri, A., Molesworth, A. M., Mwaiyeghele, E., Branson, K., et al. (2012) · International Journal of Epidemiology · doi:10.1093/ije/dys088 · Cited by 141
Self-citationO’Brien, M., Kupka, R., Msamanga, G., Saathoff, E., Hunter, D. J., & Fawzi, W. W. (2005) · JAIDS Journal of Acquired Immune Deficiency Syndromes · doi:10.1097/01.qai.0000166374.16222.a2 · Cited by 135
Abriha, A., Yesuf, M. E., & Wassie, M. M. (2014) · BMC Research Notes · doi:10.1186/1756-0500-7-888 · Cited by 121 · cited 1×
“Repeated pregnancies and short birth intervals deplete iron stores, resulting in anemia, explaining the association of higher parity with mild anemia [7, 40, 41].”
BackgroundExperiences and Challenges in Developing Countries
Yip, R., & Ramakrishnan, U. (2002) · Journal of Nutrition · doi:10.1093/jn/132.4.827s · Cited by 120
Semba, R. D., Shah, N. G., Klein, R. S., Mayer, K. H., Schuman, P. C., & Vlahov, D. (2002) · Clinical Infectious Diseases · doi:10.1086/338151 · Cited by 119
Roy, C. N. (2010) · Hematology · doi:10.1182/asheducation-2010.1.276 · Cited by 114
Malaria and anemia in antenatal women in Blantyre, Malawi: a twelve-month survey.
Rogerson, S. J., van den Broek, N. R., Chaluluka, E., Qongwane, C., Mhango, C., & Molyneux, M. E. (2000) · American Journal of Tropical Medicine and Hygiene · doi:10.4269/ajtmh.2000.62.335 · Cited by 107
Anemia in the general population: prevalence, clinical correlates and prognostic impact
Martinsson, A., Andersson, C., Andell, P., Koul, S. M., Engström, G., & Smith, J. G. (2014) · European Journal of Epidemiology · doi:10.1007/s10654-014-9929-9 · Cited by 105
Kamruzzaman, M., Rabbani, M. G., Saw, A., Sayem, M. A., & Hossain, M. G. (2015) · BMC Women s Health · doi:10.1186/s12905-015-0211-4 · Cited by 99
Rethinking anaemia surveillance
Stoltzfus, R. J. (1997) · The Lancet · doi:10.1016/s0140-6736(96)12355-2 · Cited by 84
The Impact of Anemia on Quality of Life in Human Immunodeficiency Virus–Infected Patients
Volberding, P. A. (2002) · The Journal of Infectious Diseases · doi:10.1086/340198 · Cited by 73
Demographic and Socioeconomic Determinants of Female Rural to Urban Migration in Sub-Saharan Africa
Brockerhoff, M., & Eu, H. (1993) · International Migration Review · doi:10.1177/019791839302700304 · Cited by 64
Lakew, Y., Biadgilign, S., & Haile, D. (2015) · BMJ Open · doi:10.1136/bmjopen-2014-006001 · Cited by 64
Evaluation of a village-informant driven demographic surveillance system in Karonga, Northern Malawi
Jahn, A., Crampin, A. C., Glynn, J. R., Mwinuka, V., Mwaiyeghele, E., Mwafilaso, J., Branson, K. R., McGrath, N. M., Fine, P., & Żaba, B. (2007) · Demographic Research · doi:10.4054/demres.2007.16.8 · Cited by 59
Self-citationCrampin, A. C., Kayuni, N., Amberbir, A., Musicha, C., Koole, O., Tafatatha, T., Branson, K. R., Saul, J., Mwaiyeghele, E., Nkhwazi, L., et al. (2016) · Emerging Themes in Epidemiology · doi:10.1186/s12982-015-0039-2 · Cited by 59
Self-citationSevere acquired anaemia in Africa: new concepts
van Hensbroek, M. B., Jonker, F. A. M., & Bates, I. (2011) · British Journal of Haematology · doi:10.1111/j.1365-2141.2011.08761.x · Cited by 52
Prevalence of anemia and correlated factors in the reproductive age women in rural areas of tabas.
Sadeghian, M., Fatourechi, A., Lesanpezeshki, M., & Ahmadnezhad, E. (2013) · Europe PMC (PubMed Central) · Cited by 51
Kerkhoff, A. D., Wood, R., Cobelens, F. G. J., Gupta‐Wright, A., Bekker, L., & Lawn, S. D. (2014) · BMC Infectious Diseases · doi:10.1186/s12879-014-0702-1 · Cited by 51
Matsha, T. E., Brink, L. T., van Rensburg, S., Hon, D., Lombard, C. J., & Erasmus, R. T. (2006) · Nutrition and Cancer · doi:10.1207/s15327914nc5601_9 · Cited by 49
Pathophysiological Mechanisms of Severe Anaemia in Malawian Children
van Hensbroek, M. B., Calis, J. C. J., Phiri, K. S., Vet, R. J. W. M., Munthali, F., Kraaijenhagen, R. J., van den Berg, H., Faragher, B. E., Bates, I., & Molyneux, M. E. (2010) · PLoS ONE · doi:10.1371/journal.pone.0012589 · Cited by 44
Mugisha, J. O., Baisley, K. J., Asiki, G., Seeley, J., & Kuper, H. (2013) · PLoS ONE · doi:10.1371/journal.pone.0078394 · Cited by 44
Maternal anaemia in West and Central Africa: time for urgent action
Ayoya, M. A., Bendech, M. A., Zagre, N. M., & Tchibindat, F. (2011) · Public Health Nutrition · doi:10.1017/s1368980011002424 · Cited by 44
Baingana, R. K., Enyaru, J. K., Tjalsma, H., Swinkels, D. W., & Davidsson, L. (2014) · Public Health Nutrition · doi:10.1017/s1368980014001888 · Cited by 39
Multilevel modelling of sociodemographic predictors of various levels of anaemia among women in Mali
Ngnie‐Teta, I., Defo, B. K., & Receveur, O. (2008) · Public Health Nutrition · doi:10.1017/s1368980008004400 · Cited by 39
Haematological profiles of the people of rural southern Malawi: an overview
Brabin, B. J., Geerligs, P. P., Verhoeff, F. H., Fletcher, K. A., Chimsuku, L., Ngwira, B. M., Leich, O. J., & Broadhead, R. (2004) · Annals of Tropical Medicine and Parasitology · doi:10.1179/000349804225003055 · Cited by 32
Demographic and Socioeconomic Determinants of Female Rural to Urban Migration in Sub-Saharan Africa
Brockerhoff, M., & Eu, H. (1993) · International Migration Review · doi:10.2307/2547100 · Cited by 32
Social dimensions related to anaemia among women of childbearing age from rural India
Rao, S. R., Joshi, S., Bhide, P., Puranik, B., & Kanade, A. (2010) · Public Health Nutrition · doi:10.1017/s1368980010002776 · Cited by 31
Vanamail, P. (2014) · Tropical Medicine & International Health · doi:10.1111/tmi.12312 · Cited by 27
Anaemia in pregnancy in Malawi - A Review
Munasinghe, S. B. (2007) · Malawi Medical Journal · doi:10.4314/mmj.v18i4.10920 · Cited by 20
Haverkate, M. R., Smits, J. P. J. M., Meijerink, H., & van der Ven, A. J. A. M. (2013) · Journal of Epidemiology & Community Health · doi:10.1136/jech-2012-202336 · Cited by 14
Effect of traditional beer consumption on the iron status of a rural South African population
Choma, S., Alberts, M., & Urdal, P. (2007) · South African Journal of Clinical Nutrition · doi:10.1080/16070658.2007.11734125 · Cited by 11
Nutritive potential of some ‘edible’ soils in Blantyre city, Malawi
Lakudzala, D., & Khonje, J. (2011) · Malawi Medical Journal · doi:10.4314/mmj.v23i2.70746 · Cited by 11
Parrish, D. D., Blevins, M. L., Megazzini, K., Shepherd, B. E., Mohammed, M. Y., Wester, C. W., Vermund, S. H., & Aliyu, M. H. (2013) · International Journal of STD & AIDS · doi:10.1177/0956462413506887 · Cited by 6
Research works printed but not linked: 1
- WHO, VMNIS. Haemoglobin concentrations for the diagnosis of anaemia and assessment of severity. Geneva: Vitamin and Mineral Nutrition Information System, WHO; 2011.
Cited by
Sorted by citations
Gautam, S., Min, H., Kim, H., & Jeong, H.-S. (2019) · PLoS ONE · doi:10.1371/journal.pone.0218288 · Cited by 157
Kassa, G. M., Muche, A. A., Berhe, A. K., & Fekadu, G. A. (2017) · BMC Hematology · doi:10.1186/s12878-017-0090-z · Cited by 139
Teshale, A. B., Tesema, G. A., Worku, M. G., Yeshaw, Y., & Tessema, Z. T. (2020) · PLoS ONE · doi:10.1371/journal.pone.0238957 · Cited by 142
Nankinga, O., & Aguta, D. (2019) · BMC Public Health · doi:10.1186/s12889-019-8114-1 · Cited by 97
Sharif, N., Das, B., & Alam, A. (2023) · PLoS ONE · doi:10.1371/journal.pone.0281015 · Cited by 111
Metadata
- Authors
- Adamu, A. L., Crampin, A., Kayuni, N., Amberbir, A., Koole, O., Phiri, A., Nyirenda, M., & Fine, P.
- Affiliations
- Bayero University Kano (NG)
- London School of Hygiene & Tropical Medicine (GB)
- Malawi Epidemiology and Intervention Research Unit (MW)
- Corresponding author
- Adamu, Aishatu L.
- Venue
- Population Health Metrics
- Published
- 2017-03-29
- Volume
- 15
- Issue
- 1
- Pages
- 12-12
- ISSN
- 1478-7954 (ISSN-L)
- PMC
- PMC5371260
- OpenAlex
- W2598653401
- Cited by
- 114
- References
- 52
- Citations by year
- 2026: 6 · 2025: 9 · 2024: 14 · 2023: 14 · 2022: 16 · 2021: 20 · 2020: 21 · 2019: 5 · 2018: 5 · 2017: 4
- FWCI
- 7.35
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- Population Health Metrics (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- ENLIGHTEN (Jurnal Bimbingan dan Konseling Islam) (acceptedVersion)
- LSHTM Research Online (London School of Hygiene and Tropical Medicine) (acceptedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Greater South Information System
- Funders
- Wellcome Trust
- Topics
- Health Sciences › Medicine › Hematology › Iron Metabolism and Disorders
- Health Sciences › Medicine › Genetics (clinical) › Hemoglobinopathies and Related Disorders
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Malaria Research and Control
- Keywords
- anemia, anemia severity, anemia prevalence, risk factors, HIV infection, urbanization, urban-rural differences, sex differences, socioeconomic status, adults, Malawi
- MeSH terms
- Adolescent, Adult, Aged, Aged, 80 and over, Anemia, Cross-Sectional Studies, Female, Humans, Malawi, Male, Middle Aged, Risk Factors, Rural Population, Severity of Illness Index, Sex Factors, Socioeconomic Factors, Urban Population, HIV Infections, Prevalence, Logistic Models, Young Adult
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
