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National and regional population attributable fractions for anemia risk factors (iron, folate, and vitamin B12) in Belize

Potential impact of fortification

Bibliographic Data

ID14967396
AuthorsJorge Rosenthal (0000-0001-5850-1228, U.S. Centers for Disease Control and Prevention, Atlanta, GA, United States of America, corresponding author), Clinton J Alverson (U.S. Centers for Disease Control and Prevention, Atlanta, GA, United States of America), Natalia Largaespada-Beer (Ministry of Health and Wellness, Belmopan, Belize), Gail PA Kauwell (University of Central Florida, Orlando, FL, United States of America), Gail Kauwell (0000-0003-0239-5942, University of Central Florida), Lynn B Bailey (University of Georgia, Athens, GA, United States of America), Julio J Sabido (Ministry of Health and Wellness, Belmopan, Belize), Julio Sabido (University of Belize), Melissa Diaz (0000-0003-0391-402X, Ministry of Health and Wellness, Belmopan, Belize), Jennifer L Williams (0000-0002-4497-4961, U.S. Centers for Disease Control and Prevention, Atlanta, GA, United States of America), Kevin Bernard (0000-0001-9139-046X, Ministry of Health and Wellness, Belmopan, Belize)
Year2024
Volume48
Pages1
Publication date2024-07-05
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueRevista Panamericana de Salud Pública (JOURNAL)
Journal identifiersISSN: 1020-4989 • E-ISSN: 1680-5348
PublisherPan American Health Organization (PUBLISHER • US)
DOI10.26633/rpsp.2024.61
PMID38974807
OpenAlexW4400358116
LanguageEN
References cited18

Objective. To estimate the national and regional population attributable fraction (PAF) and potential number of preventable anemia cases for three nutritional risk factors (iron, red blood cell folate [RBCF], and vitamin B12 deficiencies) among women of childbearing age in Belize. Methods. A national probability-based household and micronutrient survey capturing sociodemographic and health information was conducted among 937 nonpregnant Belizean women aged 15–49 years. Blood samples were collected to determine hemoglobin, ferritin, alpha-1-glycoprotein (AGP), RBCF, and vitamin B12 status. All analyses used sample weights and design variables to reflect a complex sample survey. Logistic regression was used to determine adjusted prevalence risk (aPR) ratios, which were then used to estimate national and regional PAF for anemia. Results. The overall prevalence of anemia (hemoglobin Conclusions. This study suggests that among women of child-bearing age in Belize, anemia cases might be reduced by a third if three modifiable nutritional risk factors (iron, RBCF, and vitamin B12 deficiencies) could be eliminated. Fortification is one potential strategy to improve nutritional status and reduce the burden of anemia in this population

Anemia · Environmental health · Fortification · Population · Vitamin B12 · Chemistry · Child Nutrition and Water Access · Folate and B Vitamins Research · Food Security and Health in Diverse Populations · Medicine · Food Science · Internal Medicine

  • Anemia epidemiology, pathophysiology, and etiology in low‐ and middle‐income countries

    Open Access•Camila M Chaparro, Parminder S Suchdev•Annals of the New York Academy of…•2019

Citation velocityhistorical
Highly citedNo

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