An Epidemiological Study to Assess the Prevalence of Anemia and Its Determinants in Women of Reproductive Age Group (15-49 Years) in an Urban Slum of a Metropolitan City.
Deshmukh Kshitij Rajesh KR, Chavhan Smita Santosh SS, Tupe Sagar Dhondiram SD, Vakilna Roshni R et al.
Anemia is a serious public health concern among women of reproductive age (WRA) 15-49 years in India. The prevalence of anemia in WRA in Mumbai and the Mumbai suburban district was 45%-50%, respectively, as per National Family Health Survey-5 (NFHS-5) data. This study was done to assess the prevalence of anemia and its determinants in WRA in the urban slums of Mumbai. A total of 1,500 WRA were enrolled in this community-based cross-sectional study by the convenience sampling method. A structured validated questionnaire was used to record sociodemographic variables and determinants. Hemoglobin (Hb) estimation was done with a digital hemoglobinometer. SPSS v.18, Chi-square test, and binary logistic regression were used for analysis. The study was approved by the Institutional Ethics Committee of HBT Medical College and Dr. RN Cooper Hospital (Approval No. HBTMC/IEC/025-2025/RP/0/330/07072025/26) on 07/07/2025, and written informed consent was obtained from all participants. Prevalence of anemia in WRA was 57.9%. Significant associations were found between anemia and education level (p = 0.004), socioeconomic class (p < 0.001), gravida status (p < 0.001), spacing between pregnancies (p < 0.001), iron tablet consumption in the past 1 year (p = 0.014), duration of menses (p = 0.019), and pad changes per day (p = 0.013). Determinants such as education level, socioeconomic class, number of pregnancies, spacing between pregnancies, iron tablet consumption, duration of menses, and pad changes per day affect the Hb level of WRA.