The relationship between history of hormonal contraceptive use and iron status among women in Tanzania: A population-based study |
| |
| Affiliation: | 2. Department of Social Science, Health and Medicine, King''s College, London, UK;3. Department of Medical Ethics and Health Policy, University of Pennsylvania, Philadelphia, PA, USA;4. Department of Bioethics, NIH Clinical Center, Bethesda, MD, USA;1. Center for Communication Programs, Johns Hopkins University, Baltimore, USA;2. Nigerian Urban Reproductive Health Initiative, Abuja, Nigeria;3. Carolina Population Center, University of North Carolina at Chapel Hill, Chapel Hill, USA;1. US Centers for Disease Control and Prevention (CDC), Division of Global HIV & TB (DGHT), Nairobi, Kenya;2. Department of Global Health, University of Washington, Seattle, WA, USA;3. Department of Nursing, University of Washington, Seattle, WA, USA;4. Department of Obstetrics and Gynecology, University of Texas Medical Branch, Galveston, TX, USA;5. Department of Research and Programs, Kenyatta National Hospital, Nairobi, Kenya;6. Department of Obstetrics and Gynecology, University of WA, Seattle;7. Afya Bora Consortium Fellow in Global Health Leadership, University of Nairobi, Nairobi, Kenya;8. Department of Epidemiology, University of Washington, Seattle, WA, USA;9. Department of Medicine, University of Washington, Seattle, WA, USA |
| |
| Abstract: | ObjectivesApproximately 30% of the Tanzanian women in the reproductive age group are iron deficient. At population-level, there is a dearth of research on the relationship between hormonal contraceptive use and iron deficiency. The study objective was to examine the relationship between history of hormonal contraceptive use and iron status among women in Tanzania.Study designWe conducted a cross-sectional study analysis including 4186 women who participated in the population-based 2010 Tanzania Demographic and Health Survey.Main outcome measureIron status determined by iron deficiency, anemia, and iron deficiency anemia.ResultsAlmost 19.0% women reported history of hormonal contraceptive use. Nearly, 30.0%, 39.5%, and 14.3% women had iron deficiency, anemia and iron deficiency anemia respectively. History of hormonal contraceptive use was negatively associated with iron deficiency, anemia and iron deficiency anemia, independent of potential confounders. Compared to non-users, the multivariable-adjusted odds ratio OR (95% CI) among hormonal contraceptive users was 0.73 (0.56–0.94, p < 0.05) for iron deficiency, 0.58 (0.46–0.72, p < 0.001) for anemia, and 0.53 (0.37–0.74; p < 0.001) for iron deficiency anemia. Longer duration of hormonal contraceptive use (>2 years) had lesser odds of iron deficiency 0.63 (0.43–0.91, p for trend 0.005), anemia 0.51 (0.36–0.73, p for trend <0.001) and iron deficiency anemia 0.35 (0.19–0.65, p for trend <0.001).ConclusionOur finding has important implications for educating healthcare providers and women about additional nutritional benefits of the use of hormonal contraceptives. |
| |
| Keywords: | Hormonal contraception Iron deficiency Anemia Iron deficiency anemia Tanzania Africa |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
