{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T11:58:41Z","timestamp":1790251121741,"version":"4.1.0"},"reference-count":47,"publisher":"Wiley","issue":"S4","license":[{"start":{"date-parts":[[2018,11,29]],"date-time":"2018-11-29T00:00:00Z","timestamp":1543449600000},"content-version":"vor","delay-in-days":28,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"UNICEF Regional Office for South Asia"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Maternal &amp; Child Nutrition"],"published-print":{"date-parts":[[2018,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Anaemia inhibits health and development in Bhutan. We estimated anaemia prevalence and explored risk factors in children and women using data from Bhutan's National Nutrition Survey 2015. Prevalence was calculated using life\u2010stage\u2010specific cut\u2010offs adjusted for altitude and survey design. Risk factors were evaluated in modified Poisson regressions. Anaemia affected 42%, 29%, 36%, and 28% of children, adolescent girls, and non\u2010pregnant and pregnant women, respectively. Risk of anaemia was greater in children who were younger (RR 2.0, 95% CI [1.7, 2.3] and RR 1.9, 95% CI [1.6, 2.3], respectively, for 12\u201323 and 6\u201311 vs. 24\u201359\u00a0months), male (1.2, 1.1\u20131.4, ref.: female), and stunted (1.2, 1.0\u20131.3, ref.: height\u2010for\u2010age\u00a0\u2265\u00a0\u22122z). Older (15\u201319\u00a0years) versus younger (10\u201314\u00a0years) adolescents were at higher risk (1.5, 1.2\u20131.8), as were adolescents living at home versus at school (1.2, 0.9\u20131.6) and those working versus studying (1.3, 1.0\u20131.7). Among adult women, anaemia risk increased with age (1.2, 1.0\u20131.4 and 1.3, 1.1\u20131.5, for 30\u201339 and 40\u201349, respectively, vs. 20\u201329\u00a0years) and was higher for women without schooling (1.1, 1.0\u20131.3, vs. primary schooling), who were unmarried or separated (1.4, 1.2\u20131.7 and 1.3, 1.1\u20131.6, respectively, vs. married), without a child &lt;5\u00a0years (1.1, 1.0\u20131.3), and lacking improved sanitation (1.1, 1.0\u20131.3). High coverage of antennal iron and folic acid supplementation may contribute to the lower prevalence of anaemia among pregnant women and women with young children. Expansion of iron supplementation programmes, fortification, and other strategies to improve dietary iron intake may reduce the prevalence of anaemia, but causes of anaemia other than iron deficiency (e.g., thalassemias) should also be investigated.<\/jats:p>","DOI":"10.1111\/mcn.12740","type":"journal-article","created":{"date-parts":[[2018,11,30]],"date-time":"2018-11-30T04:29:21Z","timestamp":1543552161000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":21,"title":["Epidemiology of anaemia in children, adolescent girls, and women in Bhutan"],"prefix":"10.1111","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6466-1516","authenticated-orcid":false,"given":"Rebecca K.","family":"Campbell","sequence":"first","affiliation":[{"name":"Center for Human Nutrition, Department of International Health Johns Hopkins Bloomberg School of Public Health  Baltimore Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1825-4108","authenticated-orcid":false,"given":"V\u00edctor M.","family":"Aguayo","sequence":"additional","affiliation":[{"name":"Programme Division UNICEF Nutrition Programme  New York New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8184-9166","authenticated-orcid":false,"given":"Yunhee","family":"Kang","sequence":"additional","affiliation":[{"name":"Center for Human Nutrition, Department of International Health Johns Hopkins Bloomberg School of Public Health  Baltimore Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laigden","family":"Dzed","sequence":"additional","affiliation":[{"name":"Ministry of Health Government of Bhutan  Thimphu Bhutan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vandana","family":"Joshi","sequence":"additional","affiliation":[{"name":"UNICEF  Thimphu Bhutan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7668-4179","authenticated-orcid":false,"given":"Jillian L.","family":"Waid","sequence":"additional","affiliation":[{"name":"Helen Keller International  Dhaka Bangladesh"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suvadra Datta","family":"Gupta","sequence":"additional","affiliation":[{"name":"Helen Keller International  Dhaka Bangladesh"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nancy","family":"Haselow","sequence":"additional","affiliation":[{"name":"Regional Office for Asia Helen Keller International  Phnom Pehn Cambodia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9458-362X","authenticated-orcid":false,"suffix":"Jr.","given":"Keith P.","family":"West,","sequence":"additional","affiliation":[{"name":"Center for Human Nutrition, Department of International Health Johns Hopkins Bloomberg School of Public Health  Baltimore Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,11,29]]},"reference":[{"key":"e_1_2_9_2_1","volume-title":"Nutrition in Bhutan: Situational analysis and policy recommendations","author":"Atwood S. 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