{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T14:11:46Z","timestamp":1790604706298,"version":"4.1.0"},"reference-count":84,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T00:00:00Z","timestamp":1788134400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T00:00:00Z","timestamp":1788134400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["R03 HD101859"],"award-info":[{"award-number":["R03 HD101859"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100009633","name":"Eunice Kennedy Shriver National Institute of Child Health and Human Development","doi-asserted-by":"publisher","award":["T32 HD091058"],"award-info":[{"award-number":["T32 HD091058"]}],"id":[{"id":"10.13039\/100009633","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100009633","name":"Eunice Kennedy Shriver National Institute of Child Health and Human Development","doi-asserted-by":"publisher","award":["P2CHD041025"],"award-info":[{"award-number":["P2CHD041025"]}],"id":[{"id":"10.13039\/100009633","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["American J Hum Biol"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Climate change is having significant demographic and health impacts on human populations around the world. There is growing empirical evidence about the impacts of climate variability and change on population health, but this work has focused disproportionately on children and aggregate indicators of weight and (or) height. We extend this literature by focusing on a more targeted indicator of health\u2014anemia\u2014among reproductive\u2010age women. To do so, we combine Demographic and Health Surveys data for approximately 1.3 million women (ages 15\u201349\u2009years) with climate and geographic data to analyze climate's impact on anemia risk. We find that unusually hot and wet conditions increase anemia and that exposure to climate extremes\u2014when temperature and precipitation are well above or below average\u2014has even stronger associations with anemia. Specifically, hot conditions as well as hot\u2010and\u2010dry and hot\u2010and\u2010wet conditions increase the risk of anemia, underlining the importance of temperature as well as combinations of environmental exposures for human health and wellbeing.<\/jats:p>","DOI":"10.1002\/ajhb.70297","type":"journal-article","created":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T10:21:56Z","timestamp":1788171716000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Climate Exposures Increase the Risk of Anemia Among Reproductive\u2010Age Women in Low\u2010 and Middle\u2010Income Countries"],"prefix":"10.1002","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0729-2953","authenticated-orcid":false,"suffix":"Jr","given":"Alfredo J.","family":"Rojas","sequence":"first","affiliation":[{"name":"Biobehavioral Health Department Pennsylvania State University  University Park Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Clark","family":"Gray","sequence":"additional","affiliation":[{"name":"Department of Geography and Environment University of North Carolina at Chapel Hill  Chapel Hill North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6343-4071","authenticated-orcid":false,"given":"Brian C.","family":"Thiede","sequence":"additional","affiliation":[{"name":"Department of Agricultural Economics, Sociology, and Education Pennsylvania State University  University Park Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5872-738X","authenticated-orcid":false,"given":"Amanda L.","family":"Thompson","sequence":"additional","affiliation":[{"name":"Department of Anthropology University of North Carolina at Chapel Hill  Chapel Hill North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,31]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-023-46739-z"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.childyouth.2020.105909"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1126\/science.1239401"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/padr.12583"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41467-021-26048-7"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.scitotenv.2021.148500"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-020-74942-9"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(10)62304-5"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41372-019-0375-0"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1368980020004292"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jeem.2022.102698"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11111-020-00349-3"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/nyas.13950"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1126\/science.aad9837"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.3945\/ajcn.110.005439"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/nyas.14092"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598\u2010021\u201091198\u2010z"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1002\/ajhb.23590"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1073\/pnas.2119409120"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.envint.2020.106170"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gloenvcha.2020.102130"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.3945\/jn.114.197095"},{"key":"e_1_2_11_24_1","volume-title":"GADM Database of Global Administrative Areas, Version 4.1","author":"GADM","year":"2022"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1111\/padr.12716"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0218288"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.4314\/ejhd.v25i1.69842"},{"key":"e_1_2_11_28_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11111-026-00534-w"},{"key":"e_1_2_11_29_1","doi-asserted-by":"publisher","DOI":"10.3386\/w24870"},{"key":"e_1_2_11_30_1","doi-asserted-by":"publisher","DOI":"10.7717\/peerj.1945"},{"key":"e_1_2_11_31_1","doi-asserted-by":"publisher","DOI":"10.1038\/nclimate3318"},{"key":"e_1_2_11_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gloenvcha.2015.06.010"},{"key":"e_1_2_11_33_1","doi-asserted-by":"publisher","DOI":"10.1111\/padr.12722"},{"key":"e_1_2_11_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2542-5196(19)30240-2"},{"key":"e_1_2_11_35_1","doi-asserted-by":"publisher","DOI":"10.1073\/pnas.2311567121"},{"key":"e_1_2_11_36_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10584-015-1592-y"},{"key":"e_1_2_11_37_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-019-8019-z"},{"key":"e_1_2_11_38_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.nutr.21.1.1"},{"key":"e_1_2_11_39_1","doi-asserted-by":"publisher","DOI":"10.1111\/mcn.12478"},{"key":"e_1_2_11_40_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41597-020-0453-3"},{"key":"e_1_2_11_41_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41558-024-02165-1"},{"key":"e_1_2_11_42_1","volume-title":"Climate Change 2023: Synthesis Report. Contribution of Working Groups I, II and III to the Sixth Assessment Report of the Intergovernmental Panel on Climate Change","author":"IPCC","year":"2023"},{"key":"e_1_2_11_43_1","doi-asserted-by":"publisher","DOI":"10.1111\/mcn.12396"},{"key":"e_1_2_11_44_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41591\u2010021\u201001498\u20100"},{"key":"e_1_2_11_45_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1728-4457.2016.00107.x"},{"key":"e_1_2_11_46_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.aogh.2015.08.008"},{"key":"e_1_2_11_47_1","doi-asserted-by":"publisher","DOI":"10.1021\/acs.est.5b06186"},{"key":"e_1_2_11_48_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2214\u2010109X(13)70009\u20103"},{"key":"e_1_2_11_49_1","doi-asserted-by":"publisher","DOI":"10.1080\/00220388.2023.2244634"},{"key":"e_1_2_11_50_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gloenvcha.2021.102414"},{"key":"e_1_2_11_51_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.worlddev.2023.106307"},{"key":"e_1_2_11_52_1","doi-asserted-by":"publisher","DOI":"10.1093\/oso\/9780197665718.001.0001"},{"key":"e_1_2_11_53_1","doi-asserted-by":"publisher","DOI":"10.1038\/nclimate3322"},{"key":"e_1_2_11_54_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41558\u2010022\u201001426\u20101"},{"key":"e_1_2_11_55_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1368980018001775"},{"key":"e_1_2_11_56_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11111\u2010018\u20100294\u20106"},{"key":"e_1_2_11_57_1","doi-asserted-by":"publisher","DOI":"10.1080\/00324728.2021.1988684"},{"key":"e_1_2_11_58_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889\u2010019\u20108114\u20101"},{"key":"e_1_2_11_59_1","volume-title":"Guidelines on the Use of DHS GPS Data","author":"Perez\u2010Heydrich C.","year":"2013"},{"key":"e_1_2_11_60_1","volume-title":"Hemoglobin Data in DHS Surveys: Intrinsic Variation and Measurement Error","author":"Pullum T.","year":"2017"},{"key":"e_1_2_11_61_1","doi-asserted-by":"publisher","DOI":"10.1073\/pnas.1817480116"},{"key":"e_1_2_11_62_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2020.113234"},{"key":"e_1_2_11_63_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.foodpol.2022.102362"},{"key":"e_1_2_11_64_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0217148"},{"issue":"1","key":"e_1_2_11_65_1","first-page":"160","article-title":"Changement climatique et an\u00e9mie chez les femmes en \u00e2ge de procr\u00e9er au Burundi: Approche par la r\u00e9gion de r\u00e9sidence","volume":"18","author":"Sindayihebura J.\u2010F.","year":"2020","journal-title":"S\u00e9rie: Sciences Humaines et Sociales"},{"key":"e_1_2_11_66_1","doi-asserted-by":"publisher","DOI":"10.1002\/2016GH000018"},{"key":"e_1_2_11_67_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1002603"},{"key":"e_1_2_11_68_1","doi-asserted-by":"publisher","DOI":"10.1029\/2018GH000163"},{"key":"e_1_2_11_69_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(22)00084-5"},{"key":"e_1_2_11_70_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.actatropica.2010.08.005"},{"key":"e_1_2_11_71_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0236449"},{"key":"e_1_2_11_72_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0238957"},{"key":"e_1_2_11_73_1","doi-asserted-by":"publisher","DOI":"10.2147\/OAJC.S329045"},{"key":"e_1_2_11_74_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2020.113298"},{"key":"e_1_2_11_75_1","doi-asserted-by":"publisher","DOI":"10.1111\/padr.12612"},{"key":"e_1_2_11_76_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10584\u2010021\u201003273\u2010z"},{"key":"e_1_2_11_77_1","doi-asserted-by":"publisher","DOI":"10.1126\/science.1239402"},{"key":"e_1_2_11_78_1","volume-title":"Haemoglobin Concentrations for the Diagnosis of Anaemia and Assessment of Severity","author":"WHO","year":"2011"},{"key":"e_1_2_11_79_1","volume-title":"Accelerating Anaemia Reduction: A Comprehensive Framework for Action","author":"WHO","year":"2023"},{"key":"e_1_2_11_80_1","volume-title":"The Global Health Observatory: Anaemia in Women and Children","author":"WHO","year":"2024"},{"key":"e_1_2_11_81_1","volume-title":"Guideline on Haemoglobin Cutoffs to Define Anaemia in Individuals and Populations","author":"WHO","year":"2024"},{"key":"e_1_2_11_82_1","doi-asserted-by":"publisher","DOI":"10.4103\/2224-3151.239422"},{"key":"e_1_2_11_83_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0268129"},{"key":"e_1_2_11_84_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41558\u2010022\u201001492\u20105"},{"key":"e_1_2_11_85_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.oneear.2023.09.003"}],"container-title":["American Journal of Human Biology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ajhb.70297","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ajhb.70297","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ajhb.70297","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T13:54:17Z","timestamp":1790603657000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ajhb.70297"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,31]]},"references-count":84,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["10.1002\/ajhb.70297"],"URL":"https:\/\/doi.org\/10.1002\/ajhb.70297","archive":["Portico"],"relation":{},"ISSN":["1042-0533","1520-6300"],"issn-type":[{"value":"1042-0533","type":"print"},{"value":"1520-6300","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,31]]},"assertion":[{"value":"2026-03-06","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-16","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-31","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70297"}}