Association of Women’s Empowerment With Anaemia and Haemoglobin Concentration in Children in Sub-Saharan Africa: A Multilevel Analysis

Résumé

Abstract The relationship between different dimensions of women's empowerment and childhood anaemia in sub-Saharan Africa (SSA) is unclear. We assessed the associations between women’s empowerment and anaemia and haemoglobin (Hb) concentration among children using data from 72,032 women and their singleton children aged 6-59 months from the most recent Demographic and Health Surveys conducted between 2006 and 2019 in 31 SSA countries. Of the included children, 65.8% were anaemic and the mean Hb concentration was 102.3 g/dl (SD 16.1). The odds of anaemia in children reduced with increasing empowerment in the dimensions of attitude towards violence [quintile (Q1) vs. Q5, OR 0.80; 95% CI 0.71–0.89, Ptrend <0.001], decision making (Q1 vs. Q5, OR 0.68; 95% CI 0.59–0.79, Ptrend <0.001), education (Q1 vs. Q5, OR 0.80; 95% CI 0.72–0.89, Ptrend <0.001), and social independence (Q1 vs. Q5, OR 0.89; 95% CI 0.79–1.00, Ptrend <0.015). Similarly, children’s mean Hb concentration increased with increasing women’s empowerment in all the above dimensions. In conclusion, women empowerment was associated with reduced odds of anaemia and higher Hb concentration in children. Promotion of women's empowerment may reduce the burden of childhood anaemia in SSA.

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