Msaki Rose V, Lyimo Elizabeth, Masumo Ray M, Mwana Eliasaph, Katana Doris, Julius Nyamizi, Munuo Adeline, Leyna Germana, Issaka Abukari I, Dhami Mansi V, Agho Kingsley E
Tanzania Food and Nutrition Centre, Dar es Salaam, Tanzania.
School of Sciences, Western Sydney University, Penrith, NSW, Australia.
PLOS Glob Public Health. 2022 Nov 10;2(11):e0001258. doi: 10.1371/journal.pgph.0001258. eCollection 2022.
Iron deficiency anaemia remains a public health problem, particularly in children aged 6-59 months. This study assessed factors associated with iron deficiency anaemia among children aged 6-23 months, 24-59 months and 6-59 months in Tanzania. Data for this cross-sectional study were extracted from the 2015-16 Tanzania Demographic and Health Survey and Malaria Indicator Survey (2015-16 TDHS-MIS). The study covered 8014 children aged 6-59 months and their mothers. Iron deficiency anaemia was defined (haemoglobin < 11g/dL). Univariable and multivariable logistic regression analyses that adjust for clustering and sampling weights were conducted to describe the associations between anaemia and potential confounding variables. The prevalence of iron deficiency anaemia among children aged 6-23 months, 24-59 months and 6-59 months were 76%, 49% and 59%, respectively. Factors associated with increased odds of iron deficiency anaemia among children aged 6-23 months included a mother being employed, being a male child, child perceived to small size at birth by mothers, a mother being anaemic and children belonging to the poorest socio-economic quintile. In addition, being a mother with no schooling, children not being dewormed, a mother being anaemic, delivering a baby at home, child fever and stunting, were factors associated with increased odds of iron deficiency anaemia among children aged 24-59 months. Factors associated with increased odds of iron deficiency anaemia among children aged 6-59 months were: a mother being employed, being a mother with no schooling, being a male child, belonging to the 6-59 months age bracket, a mother having a BMI of between 19 and 25 kg/m2, a mother being anaemic, having a baby at home, children belonging to bigger households, child fever and stunting. Interventions to minimise the burden of iron deficiency anaemia in children should target employed and/or anaemic mothers, poor and rich households, as well as male children.
缺铁性贫血仍然是一个公共卫生问题,尤其是在6至59个月大的儿童中。本研究评估了坦桑尼亚6至23个月、24至59个月以及6至59个月大儿童中与缺铁性贫血相关的因素。这项横断面研究的数据摘自2015 - 16年坦桑尼亚人口与健康调查以及疟疾指标调查(2015 - 16 TDHS - MIS)。该研究涵盖了8014名6至59个月大的儿童及其母亲。缺铁性贫血的定义为(血红蛋白<11g/dL)。进行了单变量和多变量逻辑回归分析,并对聚类和抽样权重进行了调整,以描述贫血与潜在混杂变量之间的关联。6至23个月、24至59个月以及6至59个月大儿童的缺铁性贫血患病率分别为76%、49%和59%。6至23个月大儿童中与缺铁性贫血几率增加相关的因素包括母亲就业、为男童、母亲认为孩子出生时体型小、母亲贫血以及孩子属于最贫困社会经济五分位数。此外,母亲未受过教育、孩子未驱虫、母亲贫血、在家分娩、孩子发烧和发育迟缓,是24至59个月大儿童中铁缺铁性贫血几率增加的相关因素。6至59个月大儿童中与缺铁性贫血几率增加相关的因素有:母亲就业、母亲未受过教育、为男童、属于6至59个月年龄组、母亲BMI在19至25 kg/m²之间、母亲贫血、在家分娩、孩子属于大家庭、孩子发烧和发育迟缓。减轻儿童缺铁性贫血负担的干预措施应针对就业和/或贫血的母亲、贫困和富裕家庭以及男童。
Cochrane Database Syst Rev. 2022-2-1
Public Health Pract (Oxf). 2022-1-20
PLoS One. 2018-9-25
Pediatric Health Med Ther. 2018-2-5
Clin Med Insights Womens Health. 2017-12-1