Anaemia Prevalence and Contributory Factors among Children in Uttarakhand, India
Asian Journal of Medicine and Health,
Background: In India, Anaemia among children is still one of the major nutritional problems of public health concern.
Aim of the Study: The aim of the present study was to assess the prevalence of anaemia among Anganwadi children (3-6 years of age) and to determine the important risk factors associated with anaemia.
Study Design: Cross-sectional study.
Place and Duration of Study: Study was conducted among 390 Anganwadi children of Udham Singh Nagar district of Uttarakhand, during April, 2019- August, 2019.
Methodology: In this cross sectional study, data on socio-demographic, socioeconomic, hygiene and dietary practices were collected using a self-structured questionnaire. Hemoglobin (Hb) and anthropometric measurements were carried out. Multivariable logistic regression analysis was employed to estimate the adjusted odds ratio (AOR).
Results: A majority, 70.54% of the Anganwadi children were found to be anaemic, with higher prevalence among male children (51.30%) as compared to female children (48.70%). The mean hemoglobin concentration of children was 9.91 (±1.9 g/dl). Stunting was higher among males (54.83%) as compared to females (45.17%).Multivariable logistic regression analysis showed that anaemia was significantly associated with monthly income of family AOR (95% CI) 3.25(2.49, 4.00), mother's illiteracy AOR (95% CI) 1.98 (1.49, 2.46), history of anaemia in mother AOR (95% CI) 1.60(0.67, 2.52 ), history of worms in child's stool AOR (95% CI) 3.17(2.26,4.03), barefoot walking AOR (95% CI) 3.08(2.11,4.04) and lack of habit of hand washing AOR (95% CI) 1.55(0.98, 2.11).
Conclusion: The prevalence of anaemia among children was high. Iron supplementation, nutrition education among mothers and overall personal hygiene are important to ameliorate their iron status.
- Iron deficiency anaemia
- Anganwadi children
How to Cite
Dubey AP. Iron deficiency anaemia: Epidemiology, diagnosis and clinical profile. In nutrition in children: Developing country concerns. Sachdev HPS and Choudhury P; 1994.
Lozoff B MD, Elias Jimenez E, Smith JB. Double burden of iron deficiency in infancy and low socioeconomic status. Arch Pediatr Adolesc Med. 2006b;160:1108-13.
Grantham-McGregor S, Ani C. A review of studies on the effect of iron deficiency on cognitive development in children. The J Nutr. 2001;131:649S-68S.
Horton S, Ross J. The economics of iron deficiency. Food Policy. 2003;28:51- 75.
Pasricha SR, Black J, Muthayya S, Shet A, Bhat V, Nagaraj S, Prashanth NS, Sudarshan H, Biggs BA, Shet AS. Determinants of anemia among young children in rural India. Pediatrics 2010;126: e140-9.
National Family Health Survey-3 (NFHS-III). Key findings: Anaemia among women and children. International Institute for Population Sciences. Mumbai, India; 2005-06.
National Family Health Survey-4 (NFHS-IV). Key findings: Anaemia among women and children. International Institute for Population Sciences. Mumbai, India; 2015-16.
Gorstein J, Sullivan KM, Parvanta I, Begin F. Indicators and methods for cross-sectional surveys of vitamin and mineral status of populations. The Micronutrient Initiative (Ottawa) and the Centers for Disease Control and Prevention (Atlanta); 2007;53.
WHO (World Health Organization). Multicentre growth reference study group. WHO child growth standards: Length/height-for-age, weight- for-age, weight-for-length, weight-for-height and body mass index-for-age: Methods and development. Geneva (Switzerland): World Health Organization; 2006.
World Health Organization. Haemoglobin concentrations for the diagnosis of anaemia and assessment of severity. World Health Organization; 2011.
Rao VG, Yadav R, Dolla CK, Kumar S, Bhondeley MK, Ukey M. Undernutrition & childhood morbidities among tribal preschool children. Indian J Medical Research. 2005;122:43.
George KA, Kumar NS, Lal JJ, Sreedevi R. Anaemia and nutritional status of pre-school children in Kerala. Indian J Pediatrics. 2000; 67:575-8.
Saba F, Poornima S, Balaji PA, Varne SR, Jayashree K. Anemia among hospitalized children at a multispecialty hospital, Bangalore (Karnataka), India. J Family Medicine Primary Care. 2014;3:48.
Rakesh PS, George LS, Joy TM, George S, Renjini BA, Beena KV. Anemia among school children in Ernakulam District, Kerala, India. Indian J Hematology Blood Transfusion. 2019;35:114-8.
Kothari MT, Coile A, Huestis A, Pullum T, Garrett D, Engmann C. Exploring associations between water, sanitation, and anemia through 47 nationally representative demographic and health surveys. Annals of the New York Academy of Sciences. 2019;1450:249.
Gebreegziabiher G, Etana B, Niggusie D. Determinants of anemia among children aged 6–59 months living in Kilte Awulaelo Woreda, Northern Ethiopia. Anemia. 2014; 1-9.
Oliveira MDN, Martorell R, Nguyen P. Risk factors associated with hemoglobin levels and nutritional status among Brazilian children attending daycare centers in Sao Paulo city, Brazil. Archivos Latinoamericanos de Nutricio. 2010;60:23–29.
Adish AA, Esrey SA, Gyorkos TW, Johns T. Risk factors for iron deficiency anaemia in preschool children in northern Ethiopia. Public health Nutr. 1999;2:243-252.
Dey S, Goswami S, Dey T. Identifying predictors of childhood anaemia in North-East India. Journal of Health, Population, and Nutrition. 2013;31:462.
Choi HJ, Lee HJ, Jang HB, Park JY, Kang JH, Park KH, Song J. Effects of maternal education on diet, anemia, and iron deficiency in Korean school-aged children. BMC Public Health. 2011;11:870.
Savoie N, Rioux FM. Impact of maternal anemia on the infant’s iron status at 9 months of age. Canadian J Public Health. 2002;93:203-7.
Faber M, Swanevelder S, Benade AS. Is there an association between the nutritional status of the mother and that of her 2-year-old to 5-year-old child?. Int J food Sci Nutr. 2005;56:237-44.
Hotez PJ, Brindley PJ, Bethony JM, King CH, Pearce EJ, Jacobson J. Helminth infections: The great neglected tropical diseases. The J Clinical Investigation. 2008;118:1311-21.
Jiraanankul V, Aphijirawat W, Mungthin M, Khositnithikul R, Rangsin R, Traub RJ, Piyaraj P, Naaglor T, Taamasri P, Leelayoova S. Incidence and risk factors of hookworm infection in a rural community of central Thailand. The American J Tropical Medicine Hygiene. 2011;84:594-8.
Esrey SA. Water, waste and well-being: a multicounty study. American J Epidemiology. 1996;143:608-23.
Checkley W, Gilman RH, Black RE, Epstein LD, Cabrera L, Sterling CR, Moulton LH. Effect of water and sanitation on childhood health in a poor Peruvian peri-urban community. The Lancet. 2004; 363:112-8.
Mahmud MA, Spigt M, Mulugeta Bezabih A, Lopez Pavon I, Dinant GJ, Blanco Velasco R. Risk factors for intestinal parasitosis, anaemia, and malnutrition among school children in Ethiopia. Pathogens and Global Health. 2013;107: 58-65.
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