Hemoglobin level and common mental disorder among school adolescent girls in Central Ethiopia: Structural Equation Model
Abstract The prevalence of common mental disorder (CMD) and anemia is observed to be on the rise over time, adversely affecting the health and overall quality of life among adolescents. Extensive literature corroborates the significant impact of anemia on cognitive development, intelligence and deve...
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| Format: | Article |
| Language: | English |
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Wiley
2025-01-01
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| Series: | Maternal and Child Nutrition |
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| Online Access: | https://doi.org/10.1111/mcn.13760 |
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| author | Shemsu Kedir Kalkidan Hassen Abate Bekri Mohammed Behre Dari Mosa Yasin Awol Wabe Kalid Sherefa Reshid Legese Petros Musa Jemal Beyene Wondafrash Ademe |
| author_facet | Shemsu Kedir Kalkidan Hassen Abate Bekri Mohammed Behre Dari Mosa Yasin Awol Wabe Kalid Sherefa Reshid Legese Petros Musa Jemal Beyene Wondafrash Ademe |
| author_sort | Shemsu Kedir |
| collection | DOAJ |
| description | Abstract The prevalence of common mental disorder (CMD) and anemia is observed to be on the rise over time, adversely affecting the health and overall quality of life among adolescents. Extensive literature corroborates the significant impact of anemia on cognitive development, intelligence and developmental milestones. Nevertheless, the linkage between hemoglobin level and CMD emerging during adolescence remains relatively unexplored. Thus, the objective of this study was to investigate the association between hemoglobin level and CMD as well as the mediating factor among school adolescent girls residing in Central Ethiopia. A cross‐sectional study design was conducted among adolescent girls attending schools in Silti Woreda, Central Ethiopia, comprising a total sample size of 516 individuals during the period from October 2–20, 2023. Hemoglobin level was adjusted for altitude, while CMD was evaluated utilising the summation score of a 20‐item Self‐Reporting Questionnaire. Data were analysed through fitting Structural Equation Model and the maximum likelihood estimation method. Goodness of fit was assessed using the χ2The ‐test statistic, Comparative Fit Index, Root Mean Square Error of Approximation, Standardised Root Mean Square Residual, Non‐Normed Fit Index, Pclose and coefficient of determination (R2). The prevalence of CMD was 22.3% (95% CI: 18.6%–25.8%). Hemoglobin level (UTE = −0.73, CI: −0.93, −0.53) and experience of morbidity symptoms (UTE = 1.05; CI: 0.74, 1.38) were significantly associated with CMD. Furthermore, hemoglobin level is significantly influenced by morbidity frequency symptoms (UDE = −0.63, CI = −0.77, −0.49) and animal source food (ASF) (UDE = 0.09, CI = 0.01, 0.17). Hemoglobin level has been identified as a significant mediator of the experience of morbidity symptoms and ASF on CMD. However, household food insecurity and wealth index had no significant association with CMD. A significant proportion of adolescent girls face CMD, often linked to a lower hemoglobin level. Having a significant association with CMD, the hemoglobin level is found to mediate a significant effect of morbidity symptom experience and ASF on CMD. Hence, addressing early infection prevention, promoting ASF and treating anemia are promptly needed. |
| format | Article |
| id | doaj-art-2bf4d98450ef46049bccb7ccca01f634 |
| institution | OA Journals |
| issn | 1740-8695 1740-8709 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Wiley |
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| series | Maternal and Child Nutrition |
| spelling | doaj-art-2bf4d98450ef46049bccb7ccca01f6342025-08-20T01:57:51ZengWileyMaternal and Child Nutrition1740-86951740-87092025-01-01211n/an/a10.1111/mcn.13760Hemoglobin level and common mental disorder among school adolescent girls in Central Ethiopia: Structural Equation ModelShemsu Kedir0Kalkidan Hassen Abate1Bekri Mohammed2Behre Dari Mosa3Yasin Awol Wabe4Kalid Sherefa Reshid5Legese Petros6Musa Jemal7Beyene Wondafrash Ademe8Department of Public Health, College of Medicine and Health Sciences Werabe University Werabe EthiopiaDepartment of Nutrition and Dietetics, Institute of Health Jimma University Jimma EthiopiaDepartment of Nutrition and Dietetics, Institute of Public Health, College of Medicine and Health Sciences University of Gondar Gondar EthiopiaDepartment of Microbiology Werabe Comprehensive Specialized Hospital Werabe EthiopiaDepartment of Microbiology Werabe Comprehensive Specialized Hospital Werabe EthiopiaDepartment of Surgery Werabe Comprehensive Specialized Hospital Werabe EthiopiaCentral Ethiopia Public Health Institute Werabe EthiopiaDepartment of Public Health, College of Medicine and Health Sciences Werabe University Werabe EthiopiaDepartment of Nutrition and Dietetics, Institute of Health Jimma University Jimma EthiopiaAbstract The prevalence of common mental disorder (CMD) and anemia is observed to be on the rise over time, adversely affecting the health and overall quality of life among adolescents. Extensive literature corroborates the significant impact of anemia on cognitive development, intelligence and developmental milestones. Nevertheless, the linkage between hemoglobin level and CMD emerging during adolescence remains relatively unexplored. Thus, the objective of this study was to investigate the association between hemoglobin level and CMD as well as the mediating factor among school adolescent girls residing in Central Ethiopia. A cross‐sectional study design was conducted among adolescent girls attending schools in Silti Woreda, Central Ethiopia, comprising a total sample size of 516 individuals during the period from October 2–20, 2023. Hemoglobin level was adjusted for altitude, while CMD was evaluated utilising the summation score of a 20‐item Self‐Reporting Questionnaire. Data were analysed through fitting Structural Equation Model and the maximum likelihood estimation method. Goodness of fit was assessed using the χ2The ‐test statistic, Comparative Fit Index, Root Mean Square Error of Approximation, Standardised Root Mean Square Residual, Non‐Normed Fit Index, Pclose and coefficient of determination (R2). The prevalence of CMD was 22.3% (95% CI: 18.6%–25.8%). Hemoglobin level (UTE = −0.73, CI: −0.93, −0.53) and experience of morbidity symptoms (UTE = 1.05; CI: 0.74, 1.38) were significantly associated with CMD. Furthermore, hemoglobin level is significantly influenced by morbidity frequency symptoms (UDE = −0.63, CI = −0.77, −0.49) and animal source food (ASF) (UDE = 0.09, CI = 0.01, 0.17). Hemoglobin level has been identified as a significant mediator of the experience of morbidity symptoms and ASF on CMD. However, household food insecurity and wealth index had no significant association with CMD. A significant proportion of adolescent girls face CMD, often linked to a lower hemoglobin level. Having a significant association with CMD, the hemoglobin level is found to mediate a significant effect of morbidity symptom experience and ASF on CMD. Hence, addressing early infection prevention, promoting ASF and treating anemia are promptly needed.https://doi.org/10.1111/mcn.13760adolescentanaemiaASFCMDhemoglobin levelSEM |
| spellingShingle | Shemsu Kedir Kalkidan Hassen Abate Bekri Mohammed Behre Dari Mosa Yasin Awol Wabe Kalid Sherefa Reshid Legese Petros Musa Jemal Beyene Wondafrash Ademe Hemoglobin level and common mental disorder among school adolescent girls in Central Ethiopia: Structural Equation Model Maternal and Child Nutrition adolescent anaemia ASF CMD hemoglobin level SEM |
| title | Hemoglobin level and common mental disorder among school adolescent girls in Central Ethiopia: Structural Equation Model |
| title_full | Hemoglobin level and common mental disorder among school adolescent girls in Central Ethiopia: Structural Equation Model |
| title_fullStr | Hemoglobin level and common mental disorder among school adolescent girls in Central Ethiopia: Structural Equation Model |
| title_full_unstemmed | Hemoglobin level and common mental disorder among school adolescent girls in Central Ethiopia: Structural Equation Model |
| title_short | Hemoglobin level and common mental disorder among school adolescent girls in Central Ethiopia: Structural Equation Model |
| title_sort | hemoglobin level and common mental disorder among school adolescent girls in central ethiopia structural equation model |
| topic | adolescent anaemia ASF CMD hemoglobin level SEM |
| url | https://doi.org/10.1111/mcn.13760 |
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