Abstract
This study assessed the prevalence and predictors of receiving iron-and-folic-acid (IFA) supplement by male and female adolescents in two north Indian states. The UDAYA (Understanding the lives of adolescents and young adults in Bihar and Uttar Pradesh) survey dataset was used. Conducted during 2015-2016, UDAYA was a state representative cross-sectional survey. To recruit sample, UDAYA adopted a multi-stage systematic sampling method with a household selection probability proportional to size. Weighted bivariate and multivariate logistic regression analyses were deployed. The variance inflation factor was estimated to check the presence of multicollinearity among variables included in regression model. The state of Bihar and Uttar Pradesh, India. A total of 10 433 individuals from Bihar and 10 161 individuals from Uttar Pradesh were included, totalling 20 594 individuals (male: 5969, female: 14 625) aged 10-19 years. Overall, 3·6 % (95 % CI: 2·7, 4·7) of males and 4·8 % (95 % CI: 4·0, 5·7) of female adolescents received IFA supplement in preceding 1 year of survey date. Multivariate results indicate that IFA receipt varied with age, and state of residence among males, whereas religion and mother's education were associated with IFA receipt among females. Irrespective of sex, adolescents living in rural areas had higher odds of receiving IFA supplement than adolescents in urban setting. Low coverage in receiving IFA supplement among adolescents is a serious concern for the success of anaemia reduction programme. While designing interventions for overall increase in IFA distribution, the socio-economic factors influencing IFA receipt must be considered.
Highlights
Findings showed that only 1·9 % of females in Bihar and 2 % of females in Uttar Pradesh consumed at least one dose of IFA preceding 1 month of survey date, whereas only 0·6 % males had at least one dose of IFA supplement in Bihar which is lower than the IFA consumption among males in Uttar Pradesh (1·9 %)
Using data from the 2015–16 UDAYA survey, this study aimed to examine prevalence and predictors of receiving IFA by adolescents aged 10–19 years in two north Indian states namely Bihar and Uttar Pradesh
In absence of critical data on IFA receipt among adolescents in India, findings of this study would be useful for current National Iron Plus Initiative (NIPI) devised by the Indian government to mitigate Fe-deficiency anaemia burden
Summary
This study analysed the 2015–2016 UDAYA (Understanding the lives of adolescents and young adults in Bihar and Uttar Pradesh) survey data to assess the prevalence and predictors of receiving IFA supplement by male and female adolescents aged 10–19 years. Using response from the first question, this study tried to understand the prevalence and predictors of IFA receipt preceding 1 year of survey date, whereas information on consumption of IFA supplement during last month from survey date was tabulated to understand how often adolescents consumed IFA. Iron-and-folic-acid supplementation in India consumption among male and female adolescents in Bihar and Uttar Pradesh separately.
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