{
  "abstract": "Background\n\nAnemia remains a major public health concern in Africa, with substantial health and developmental consequences. Adolescents, particularly girls, are at increased risk due to rapid growth, menstruation, and inadequate dietary intake. Identifying the severity and determinants of anemia among adolescent girls in Africa is crucial for developing appropriate interventions, yet evidence remains scarce.Objective\n\nTo assess the severity and determinants of anemia among adolescent girls in Africa using nationally representative data.Methods\n\nData were obtained from the most recent Demographic and Health Surveys (DHS) of 25 African countries, including 41,662 adolescent girls aged 15-19 years. The severity of anemia was determined using descriptive statistics based on proportions. Anemia severity was modeled as a four-level ordinal outcome (none, mild, moderate, and severe) using survey-weighted multilevel ordinal (proportional-odds) logistic regression with a random intercept at the cluster level. Chi-square tests assessed initial associations, and adjusted odds ratios (AOR) with 95% confidence intervals (CI) were reported from the final model.Results\n\nThe overall magnitude of anemia among adolescent girls was 42.3% (95% CI: 41.96-44.20). In the multivariable analysis, factors significantly associated with lower odds of anemia included primary education (AOR = 0.84; 95% CI: 0.75-0.94), secondary and above education (AOR = 0.86; 95% CI: 0.75-0.98), rich and richer wealth status (AOR = 0.77; 95% CI: 0.65-0.91), employment (0.86; 95% CI: 0.78-0.94), hormonal contraceptive use (AOR = 0.44; 95% CI: 0.38-0.51), parity (0.85; 95% CI: 0.76-0.95), and normal and overweight/obese nutritional status (AOR = 0.84; 95% CI:0.73-0.97 and AOR = 0.75; 95% CI: 0.62-0.91), respectively.Conclusion\n\nAnemia affects a substantial proportion of adolescent girls in Africa and is influenced by educational, economic, reproductive, and nutritional factors. Interventions should focus on keeping girls in school, encouraging employment opportunities, and maintaining healthy bodyweight. Addressing these determinants is vital for improving adolescent girls' health and achieving sustainable development goals.",
  "abstract_shown": true,
  "affiliations": [
    "Department of Statistics Addis Ababa University Addis Ababa Ethiopia aau.edu.et.",
    "Department of Data Science Debre Berhan University Debre Berhan Ethiopia dbu.edu.et.",
    "Department of Human Nutrition Bahir Dar University P.O. Box 79 Bahir Dar Ethiopia bdu.edu.et.",
    "Bahir Dar Food and Nutrition Research Center Bahir Dar University P.O. Box 79 Bahir Dar Ethiopia bdu.edu.et."
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 3,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Bedilu Alamirie Ejigu",
      "orcid": "0000-0003-1159-6308"
    },
    {
      "affs": [
        1
      ],
      "name": "Getnet Bogale Begashaw",
      "orcid": "0000-0002-7107-8388"
    },
    {
      "affs": [
        2,
        3
      ],
      "name": "Fentanesh Nibret Tiruneh",
      "orcid": "0000-0001-6513-4833"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/eee1qnj9sby5s.bib",
  "cited_by": 0,
  "doi": "10.1155/anem/1066665",
  "fulltext_url": "https://europepmc.org/articles/PMC13678286",
  "id": "eee1qnj9sby5s",
  "issns": [
    "2090-1267",
    "2090-1275"
  ],
  "landing_url": "https://europepmc.org/article/MED/42898564",
  "language": "eng",
  "licence": "CC-BY",
  "licence_label": "CC BY",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "2720|Iron Metabolism and Disorders"
    ]
  ],
  "openalex": "W7222978275",
  "pdf_url": "https://europepmc.org/articles/PMC13678286?pdf=render",
  "pmcid": "PMC13678286",
  "pmid": "42898564",
  "published": "2026-10-18",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/eee1qnj9sby5s.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:19:33Z",
      "native_id": "MED:42898564",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42898564"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2720|Iron Metabolism and Disorders",
      "subfield": "general"
    }
  ],
  "title": "Severity and Determinants of Anemia Among Adolescent Girls in Africa: A Multicountry and Multilevel Analysis of 25 Countries.",
  "title_text": "Severity and Determinants of Anemia Among Adolescent Girls in Africa: A Multicountry and Multilevel Analysis of 25 Countries.",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:19:33Z",
  "url": "https://research.draconitic.com/paper/eee1qnj9sby5s",
  "venue": "Anemia",
  "versions": []
}