Severity of Anemia among Children under 36 Months Old in Rural Western China

Gao, Wenlong; Yan, Hong; Duo-laoWANG,; Dang, Shaonong; Pei, Leilei

doi:10.1371/journal.pone.0062883

Cited by 32 publications

(31 citation statements)

References 17 publications

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“…9 In this study, 7.8 % of girls and 12.9% of the boys were severely affected, This is probably due to the higher growth rate among boys which increases the higher demand for iron, which cannot be supplied by the diet. 10 The age of child and mother's anemia level predicted childhood anemia, similar to the findings of some other studies conducted in Burma, Benin, and Mali. 11,12 Consumption of vegetables and fruits was associated with rates of anemia.…”

Section: Discussionsupporting

confidence: 87%

Anemia among 6 - 59 months children in a rural area of Bareilly district: a cross sectional study

Gupta

Mishra

Singh

et al. 2020

Int J Community Med Public Health

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Background: Anemia is a global health problem affecting mostly in developing countries. Iron deficiency anemia is a significant health problem and especially in developing countries. It’s the most neglected micronutrient deficiency disorder among under-five children. The objective of the study was to assess the prevalence and determinants of anemia among under-five children and to suggest suitable remediable measures to prevent and control of anemia.Method: This is a cross-sectional study. Household survey carried out in twelve villages in a rural practice area Dhaura, Bareilly. A total of 396 children were contacted for obtaining blood samples by taking 33 children from each village. Blood samples were taken from all children between the 6th month to 59 months of age using simple random sampling. After the collection, data will be analyzed using the SPSS software version 20.Result: A total of 47.5% of the children were found to have anemia. Among them 25.5% had mild, 63.3% had moderate and 11.2% had severe anemia. The majority of them were male 269 (67.9%). The mean age of participating children was 17.351±7.785 months. 48.2% of anemic children were low birth weight.Conclusion: High prevalence could be due to deficiency in iron nutrition among under-five children associated with poor food availability, due to lack of nutritional education and other sociodemographic conditions, child’s age and worse household conditions also contributed to the prevalence of anemia.

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Section: Discussionsupporting

confidence: 87%

Anemia among 6 - 59 months children in a rural area of Bareilly district: a cross sectional study

Gupta

Mishra

Singh

et al. 2020

Int J Community Med Public Health

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“…Thus, mothers might have problems in purchasing and providing good nutritious food for themselves as well as their children which might result in anemia due to inadequate intake of iron and other micronutrient-rich foods [ 36 ]. This is true because, within 12 months after birth, mothers and their children share a similar sociological environment, thus, their dietary patterns and quality of life may be similar [ 37 ]. Also, mothers and their children may share similar exposure to infections such as helminthiasis, malaria and other infectious diseases that may interfere with their red blood cells production and iron stores [ 38 ].…”

Section: Discussionmentioning

confidence: 99%

Maternal anemia is a potential risk factor for anemia in children aged 6–59 months in Southern Africa: a multilevel analysis

et al. 2018

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BackgroundThe effect of maternal anemia on childhood hemoglobin status has received little attention. Thus, we examined the potential association between maternal anemia and childhood anemia (aged 6–59 months) from selected Southern Africa countries.MethodsA cross-sectional study using nationally representative samples of children aged 6–59 months from the 2010 Malawi, 2011 Mozambique, 2013 Namibia, and 2010–11 Zimbabwe demographic and health surveys (DHS) was conducted. Generalized linear mixed models (GLMMs) were constructed to test the associations between maternal anemia and childhood anemia, controlling for individual and community sociodemographic covariates.ResultsThe GLMMs showed that anemic mothers had increased odds of having an anemic child in all four countries; adjusted odds ratio (aOR = 1.69 and 95% confidence interval [CI]:1.37–2.13) in Malawi, (aOR = 1.71; 95% CI: 1.37–2.13) in Mozambique, (aOR = 1.55; 95% CI: 1.08–2.22) in Namibia, and (aOR = 1.52; 95% CI: 1.25–1.84) in Zimbabwe. Furthermore, the odds of having an anemic child was higher in communities with a low percentage of anemic mothers (aOR = 1.52; 95% CI: 1.19–1.94) in Mozambique.ConclusionsDespite the long-standing efforts to combat childhood anemia, the burden of this condition is still rampant and remains a significant problem in Southern Africa. Thus, public health strategies aimed at reducing childhood anemia should focus more on addressing infections, and micronutrient deficiencies both at individual and community levels in Southern Africa.Electronic supplementary materialThe online version of this article (10.1186/s12889-018-5568-5) contains supplementary material, which is available to authorized users.

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“…This finding of the burden of moderate-to-severe anaemia is similar to China (25%). 13 Childhood is the period when there is a high demand of iron for rapid growth but about half of the children are malnourished in Nepal. The higher prevalence of anaemia could lead to a higher burden of cognitive impairment, and increase susceptibility to infections.…”

Section: Discussionmentioning

confidence: 99%

“…Similar findings have been reported from Timor-Leste, 14 Burma 17 and China. 13 There are three major reasons, which may explain such an association. First, mother and children usually have the same or similar food source and the same socio-economic condition.…”

Section: Discussionmentioning

confidence: 99%

“…Thirdly, as those mothers are already iron deficient, their breast milk may not contain enough iron to meet the physiological iron demand of children. 13 It is not uncommon that a higher maternal educational status shall likely enhance a better maternal and child health. In our study, it was found that the children, whose mothers were uneducated, were more likely to suffer from moderate-tosevere anaemia.…”

Section: Discussionmentioning

confidence: 99%

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Moderate-to-severe anaemia among children aged 6–59 months in Nepal: An analysis from Nepal Demographic and Health Survey, 2011

Khanal

Karkee

Adhikari

et al. 2016

Clinical Epidemiology and Global Health

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Child Factors Prevalence Nepal a b s t r a c t Introduction: Anaemia among children is one of the major nutrition-related morbidities in developing countries. Surveillance of moderate-to-severe anaemia is recommended for the assessment of burden of anaemia in countries with high burden of anaemia. The objective of this study was to identify the factors associated with moderate-to-severe anaemia among the children aged 6-59 months in Nepal based on Nepal Demographic and Health Survey (NDHS) 2011.Methods: This study used the dataset from the NDHS 2011. The information of last-born children whose haemoglobin was measured during the survey was used for analysis in this study. The factors associated with moderate-to-severe anaemia among children were examined using Chi-square test and logistic regression. Complex Sample Analysis was used to account for the study design and sampling.Results: Of the 1605 last-born children aged 6-59 months, 343 (odds ratio (OR) 20.4%; 95% confidence interval (CI) 17.9-23.2%) had moderate-to-severe anaemia. Almost half (49.1%) of the children had some degree of anaemia. Mothers' education, anaemia, ethnicity and children's age were significantly associated with moderate-to-severe anaemia among children. The mothers, who had no education (OR 3.362; 95% CI 1.485-7.611), who were suffering from anaemia (OR 3.278; 95% CI 1.884-5.704) and who were from disadvantaged Dalit ethnic groups (OR 1.739; 95% CI 1.133-2.669) were more likely to have their infants with anaemia. Similarly younger infants aged 6-11 months were more likely (OR 3.477; 95% CI 2.412-5.012) to suffer from anaemia.Conclusion: There was comparatively a high prevalence of anaemia in children aged 6-59 months. Proper treatment for mothers' anaemia with special attention on less educated and from disadvantaged ethnic groups will help reduce the anaemic status in children.

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Severity of Anemia among Children under 36 Months Old in Rural Western China

Cited by 32 publications

References 17 publications

Anemia among 6 - 59 months children in a rural area of Bareilly district: a cross sectional study

Anemia among 6 - 59 months children in a rural area of Bareilly district: a cross sectional study

Maternal anemia is a potential risk factor for anemia in children aged 6–59 months in Southern Africa: a multilevel analysis

Moderate-to-severe anaemia among children aged 6–59 months in Nepal: An analysis from Nepal Demographic and Health Survey, 2011

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