{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,2]],"date-time":"2026-11-02T13:49:14Z","timestamp":1793627354550,"version":"4.5.1"},"reference-count":43,"publisher":"Wiley","issue":"S1","license":[{"start":{"date-parts":[[2020,4,27]],"date-time":"2020-04-27T00:00:00Z","timestamp":1587945600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000200","name":"United States Agency for International Development","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000200","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100006641","name":"UNICEF","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100006641","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000780","name":"European Commission","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000780","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Maternal &amp; Child Nutrition"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>We used data from the 2016 Nepal National Micronutrient Status Survey to evaluate factors associated with anaemia (World Health Organization cut\u2010points using altitude\u2010 and smoking\u2010adjusted haemoglobin [Hb]) among nationally representative samples of adolescents 10\u201319 years. Hb, biomarkers of micronutrients, infection and inflammation were assessed from venous blood. Sociodemographic and household characteristics, dietary diversity, pica and recent morbidity were ascertained by interview. We explored bivariate relationships between candidate predictors and anaemia among boys (<jats:italic>N<\/jats:italic> = 967) and girls (<jats:italic>N<\/jats:italic> = 1,680). Candidate predictors with <jats:italic>P<\/jats:italic> &lt; 0.05 in bivariate analyses were included in sex\u2010specific multivariable logistic regression models. Anaemia prevalence was 20.6% (95% confidence interval [CI] [17.1, 24.1]) among girls and 10.9% (95% CI [8.2, 13.6]) among boys. Among girls, living in the Mountain and Hill ecological zones relative to the Terai (adjusted odds ratio [AOR] 0.28, 95% CI [0.15, 0.52] and AOR 0.42, 95% CI [0.25, 0.73], respectively), ln ferritin (\u03bcg\/L) (AOR 0.53, 95% CI [0.42, 0.68]) and ln retinol binding protein (RBP) (\u03bcmol\/L) (AOR 0.08, 95% CI [0.04, 0.16]) were associated with reduced anaemia odds. Older age (age in years AOR 1.19, 95% CI [1.12, 1.27]) and Janajati ethnicity relative to the Muslim ethnicity (AOR 3.04, 95% CI [1.10, 8.36]) were associated with higher anaemia odds. Among boys, ln RBP [\u03bcmol\/L] (AOR 0.25, 95% CI [0.10, 0.65]) and having consumed flesh foods (AOR 0.57, 95% CI [0.33, 0.99]) were associated with lower anaemia odds. Open defecation (AOR 2.36, 95% CI [1.15, 4.84]) and ln transferrin receptor [mg\/L] (AOR 3.21, 95% CI [1.25, 8.23]) were associated with increased anaemia odds. Anaemia among adolescents might be addressed through effective public health policy and programs targeting micronutrient status, diet and sanitation.<\/jats:p>","DOI":"10.1111\/mcn.13013","type":"journal-article","created":{"date-parts":[[2020,4,27]],"date-time":"2020-04-27T08:49:12Z","timestamp":1587977352000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":28,"title":["Factors associated with anaemia among adolescent boys and girls 10\u201319 years old in Nepal"],"prefix":"10.1111","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6463-5094","authenticated-orcid":false,"given":"Nicole D.","family":"Ford","sequence":"first","affiliation":[{"name":"McKing Consulting Corporation  Fairfax Virginia"},{"name":"Nutrition Branch, Division of Nutrition, Physical Activity, and Obesity United States Centers for Disease Control and Prevention  Atlanta Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ram Padarth","family":"Bichha","sequence":"additional","affiliation":[{"name":"Nepal Ministry of Health and Population  Kathmandu Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kedar Raj","family":"Parajuli","sequence":"additional","affiliation":[{"name":"Nepal Ministry of Health and Population  Kathmandu Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naveen","family":"Paudyal","sequence":"additional","affiliation":[{"name":"Nutrition Section United Nations Children's Fund (UNICEF)  Kathmandu Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nira","family":"Joshi","sequence":"additional","affiliation":[{"name":"New ERA  Kathmandu Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"Jr","given":"Ralph D.","family":"Whitehead","sequence":"additional","affiliation":[{"name":"Nutrition Branch, Division of Nutrition, Physical Activity, and Obesity United States Centers for Disease Control and Prevention  Atlanta Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stanley","family":"Chitekwe","sequence":"additional","affiliation":[{"name":"Nutrition Section United Nations Children's Fund (UNICEF)  Kathmandu Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zuguo","family":"Mei","sequence":"additional","affiliation":[{"name":"Nutrition Branch, Division of Nutrition, Physical Activity, and Obesity United States Centers for Disease Control and Prevention  Atlanta Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rafael","family":"Flores\u2010Ayala","sequence":"additional","affiliation":[{"name":"Nutrition Branch, Division of Nutrition, Physical Activity, and Obesity United States Centers for Disease Control and Prevention  Atlanta Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Debendra P.","family":"Adhikari","sequence":"additional","affiliation":[{"name":"United States Agency for International Development (USAID)  Kathmandu Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sanjay","family":"Rijal","sequence":"additional","affiliation":[{"name":"Nutrition Section United Nations Children's Fund (UNICEF)  Kathmandu Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Elena","family":"Jefferds","sequence":"additional","affiliation":[{"name":"Nutrition Branch, Division of Nutrition, Physical Activity, and Obesity United States Centers for Disease Control and Prevention  Atlanta Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,4,27]]},"reference":[{"issue":"3","key":"e_1_2_10_2_1","first-page":"179","article-title":"Prevalence of anemia amongst adolescents in Nepal: A community based study in rural and urban areas of Morang District","volume":"11","author":"Baral K. 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