Socio-economic and demographic determinants of childhood anemia

ABSTRACT OBJECTIVE: To evaluate socio-economic and demographic determinants of anemia among Indian children aged 6-59 months. METHODS: Statistical analysis was performed on the cross-sectional weighted sample of 40,885 children from 2005 to 2006 National Family Health Survey by using multinomial l...

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Main Authors: Sankar Goswmai, Kishore K. Das
Format: Article
Language:English
Published: Elsevier 2015-10-01
Series:Jornal de Pediatria
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0021-75572015000500471&lng=en&tlng=en
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author Sankar Goswmai
Kishore K. Das
author_facet Sankar Goswmai
Kishore K. Das
author_sort Sankar Goswmai
collection DOAJ
description ABSTRACT OBJECTIVE: To evaluate socio-economic and demographic determinants of anemia among Indian children aged 6-59 months. METHODS: Statistical analysis was performed on the cross-sectional weighted sample of 40,885 children from 2005 to 2006 National Family Health Survey by using multinomial logistic regression to assess the significance of some risk factors in different degrees of child anemia. Anemia was diagnosed by World Health Organization (WHO) cut-off points on hemoglobin level. Pearson's chi-squared test was applied to justify the associations of anemia with different categories of the study population. RESULTS: The prevalence of anemia was 69.5%; 26.2% mild, 40.4% moderate, and 2.9% severe anemia. Overall prevalence rate, along with mild and moderate cases, showed an increasing trend up to 2 years of age and then decreased. Rural children had a higher prevalence rate. Of 28 Indian states in the study, 10 states showed very high prevalence, the highest being Bihar (77.9%). Higher birth order, high index of poverty, low level of maternal education, mother's anemia, non-intake of iron supplements during pregnancy, and vegetarian mother increased the risks of all types of anemia among children (p < 0.05). Christian population was at lower risk; and Scheduled Caste, Scheduled Tribe, and Other Backward Class categories were at higher risk of anemia. CONCLUSION: The results suggest a need for proper planning and implementation of preventive measures to combat child anemia. Economically under-privileged groups, maternal nutrition and education, and birth control measures should be priorities in the programs.
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spelling doaj.art-0b3f51687df24a4abb03b7ee45c0c7db2022-12-22T02:00:31ZengElsevierJornal de Pediatria1678-47822015-10-0191547147710.1016/j.jped.2014.09.009S0021-75572015000500471Socio-economic and demographic determinants of childhood anemiaSankar GoswmaiKishore K. DasABSTRACT OBJECTIVE: To evaluate socio-economic and demographic determinants of anemia among Indian children aged 6-59 months. METHODS: Statistical analysis was performed on the cross-sectional weighted sample of 40,885 children from 2005 to 2006 National Family Health Survey by using multinomial logistic regression to assess the significance of some risk factors in different degrees of child anemia. Anemia was diagnosed by World Health Organization (WHO) cut-off points on hemoglobin level. Pearson's chi-squared test was applied to justify the associations of anemia with different categories of the study population. RESULTS: The prevalence of anemia was 69.5%; 26.2% mild, 40.4% moderate, and 2.9% severe anemia. Overall prevalence rate, along with mild and moderate cases, showed an increasing trend up to 2 years of age and then decreased. Rural children had a higher prevalence rate. Of 28 Indian states in the study, 10 states showed very high prevalence, the highest being Bihar (77.9%). Higher birth order, high index of poverty, low level of maternal education, mother's anemia, non-intake of iron supplements during pregnancy, and vegetarian mother increased the risks of all types of anemia among children (p < 0.05). Christian population was at lower risk; and Scheduled Caste, Scheduled Tribe, and Other Backward Class categories were at higher risk of anemia. CONCLUSION: The results suggest a need for proper planning and implementation of preventive measures to combat child anemia. Economically under-privileged groups, maternal nutrition and education, and birth control measures should be priorities in the programs.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0021-75572015000500471&lng=en&tlng=enÍndiaCriançaAnemiaFatores de risco
spellingShingle Sankar Goswmai
Kishore K. Das
Socio-economic and demographic determinants of childhood anemia
Jornal de Pediatria
Índia
Criança
Anemia
Fatores de risco
title Socio-economic and demographic determinants of childhood anemia
title_full Socio-economic and demographic determinants of childhood anemia
title_fullStr Socio-economic and demographic determinants of childhood anemia
title_full_unstemmed Socio-economic and demographic determinants of childhood anemia
title_short Socio-economic and demographic determinants of childhood anemia
title_sort socio economic and demographic determinants of childhood anemia
topic Índia
Criança
Anemia
Fatores de risco
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0021-75572015000500471&lng=en&tlng=en
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