Evidence map›Paper›PMID 41272828›Full record

ArticleJournal of health, population, and nutrition2025

Asset-based wealth inequalities in maternal anaemia prevalence across Indian states: A decomposition analysis of nationally representative data.

S Giridharan, Yukti Bhandari, Pritam Halder, Divya Sharma, Madhu Gupta, Tanvi Kiran

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Article in Journal of health, population, and nutrition, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1 · What the graph read from it

What it found

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

S GiridharanDepartment of Community Medicine and School of Public Health, PGIMER, Chandigarh, India.
Yukti BhandariDepartment of Community Medicine and School of Public Health, PGIMER, Chandigarh, India.
Pritam HalderDepartment of Community Medicine and School of Public Health, PGIMER, Chandigarh, India.
Divya SharmaDepartment of Community Medicine and School of Public Health, PGIMER, Chandigarh, India.
Madhu GuptaDepartment of Community Medicine and School of Public Health, PGIMER, Chandigarh, India. madhugupta21@gmail.com.
Tanvi KiranDepartment of Community Medicine and School of Public Health, PGIMER, Chandigarh, India. tanvikiran@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIndia continues to make a significant contribution to maternal anaemia, globally. Understanding the complex mechanisms of inequalities and how they perpetuate maternal anaemia at the national and state levels is essential. This study estimates the wealth-based inequalities in the prevalence of maternal anaemia and its contributors.

methodsThe fifth National Family Health Survey (NFHS-5) data was used to examine this relationship. To emphasize the inequalities in anaemia prevalence as per wealth, the concentration index was calculated. A decomposition analysis was performed to determine the contributors to these disparities in anaemia prevalence.

resultsNationally, the maternal anaemia prevalence lowered from 63·9% in the poorest quintile to 40·8% in the richest. The highest difference in anaemia prevalence across the wealth index was documented in Andhra Pradesh (-49·0%) followed by Meghalaya (-39·6%) and Chhattisgarh (-37·0%) where anaemia was more prevalent among the poorest. Education status (46·8%), place of residence (30·0%), and number of living children (7·5%), pregnancy duration (7·5%) were among the predominant contributors to asset-based wealth disparities in maternal anaemia prevalence.

conclusionMaternal populations from lower wealth quintiles were disproportionately affected by anaemia, with state-wise variations in India. Reducing anaemia prevalence requires integrated efforts, including improving girls' education, providing family planning services, and promoting timely pregnancies. Determinants like rural residence and caste, while unmodifiable, underscore the need for specially focused interventions to address these disparities. These findings emphasise the significance of focused interventions in mitigating socio-economic divides and enhancing maternal health outcomes in India.

Indexed as

AnemiaHealth Status DisparitiesPregnancy Complications, HematologicAdolescentAdultEducational StatusFemaleHealth SurveysHumansIncomeIndiaPregnancyPrevalenceSocioeconomic FactorsYoung AdultAnaemiaDecomposition analysisMaternalWealth inequality

Identifiers

PMID41272828
PMCPMC12636194

What Socratic holds

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LicenceCC BY-NC-ND
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.