Iron deficiency anemia among women: An issue of health equity.

Grace H Tang, Michelle Sholzberg

Journal: Blood reviews 2024;64():101159

PMID: 38042684

Abstract

Iron deficiency is the most common and widespread nutritional deficiency in the world. For women, the risk of iron deficiency and iron deficiency anemia increases due to iron demands during pregnancy and regular iron losses due to menstruation during reproductive years. These interrelated conditions are of public health concern as they are highly prevalent, and the negative consequences such as chronic fatigue, cognitive impairment and poor quality of life are broad and multifaceted. People of low socioeconomic status are at higher risk of iron deficiency due to low intake of expensive iron-rich foods, and decreased access to healthcare. In this review, we applied a health equity lens to describe the current state of care for women with iron deficiency with or without anemia. We have highlighted several structural challenges that span from the laboratory diagnosis, inconsistent screening guidelines, and stigma associated with heavy menstrual bleeding, to treatment barriers.

Copyright © 2023 Elsevier Ltd. All rights reserved.

Address: Hematology-Oncology Clinical Research Group, St. Michael's Hospital, Toronto, Ontario, Canada.; Department of Medicine, and Department of Laboratory Medicine and Pathobiology, St. Michael's Hospital, Li Ka Shing Knowledge Institute, Toronto, Canada. Electronic address: [email protected].
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