Heinrichs Helen, Endris Bilal Shikur, Dejene Tariku, Dinant Geert-Jan, Spigt Mark
Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, The Netherlands.
School of Public Health, Addis Ababa University, Addis Ababa, Ethiopia.
Matern Child Nutr. 2021 Apr;17(2):e13082. doi: 10.1111/mcn.13082. Epub 2020 Sep 23.
Anaemia in children remains a significant public health threat. Recent numbers from Ethiopia showed that more than two-thirds of children under the age of 2 years were anaemic. This study aimed to investigate the determinants of anaemia throughout Ethiopia over 11 years, making use of the Ethiopian Demographic and Health Survey (EDHS) rounds 2005, 2011 and 2016. The EDHS made it possible to use data on blood tests and detailed questionnaires among infants and young children. Multivariable logistic regression was applied to assess the association of anaemia and different immediate and underlying determinants. A total of 7,324 children aged 6-23 months were included in the analysis, with prevalences of anaemia being 71% in 2005, 61% in 2011 and 72% in 2016. The following determinants were significantly associated with childhood anaemia throughout the entire period: children younger than 1 year, anaemic mothers and those growing up in pastoralist regions. Risk factors such as diet and infections were consistently not significantly associated with anaemia. Given the tremendous adverse health effects of anaemia in young children, urgent action is needed. Hence, this study recommends nationwide multisectoral interventions targeting pastoralist regions, maternal and child health, screening and treatment of risk groups that could reduce the prevalence of anaemia.
儿童贫血仍然是一个重大的公共卫生威胁。埃塞俄比亚最近的数据显示,超过三分之二的2岁以下儿童患有贫血。本研究旨在利用2005年、2011年和2016年的埃塞俄比亚人口与健康调查(EDHS),调查埃塞俄比亚11年来贫血的决定因素。EDHS使得能够使用关于婴幼儿血液检测和详细问卷的数据。应用多变量逻辑回归来评估贫血与不同直接和潜在决定因素之间的关联。共有7324名6至23个月大的儿童纳入分析,2005年贫血患病率为71%,2011年为61%,2016年为72%。在整个时期,以下决定因素与儿童贫血显著相关:1岁以下儿童、贫血母亲以及在牧区长大的儿童。饮食和感染等风险因素一直与贫血没有显著关联。鉴于贫血对幼儿有巨大的不良健康影响,需要采取紧急行动。因此,本研究建议在全国范围内针对牧区、母婴健康、风险群体筛查和治疗采取多部门干预措施,以降低贫血患病率。