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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
immunology and microbiology
Determinants of anemia among preschool children in rural, western Kenya
American Journal of Tropical Medicine and Hygiene, Volume 88, No. 4, Year 2013
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Description
Although anemia in preschool children is most often attributed to iron deficiency, other nutritional, infectious, and genetic contributors are rarely concurrently measured. In a population-based, cross-sectional survey of 858 children 6 - 35 months of age in western Kenya, we measured hemoglobin, malaria, inflammation, sickle cell, a- thalassemia, iron deficiency, vitamin A deficiency, anthropometry, and socio-demographic characteristics. Anemia (Hb < 11 g/dL) and severe anemia (Hb < 7 g/dL) prevalence ratios (PRs) for each exposure were determined using multivariable modeling. Anemia (71.8%) and severe anemia (8.4%) were common. Characteristics most strongly associated with anemia were malaria (PR: 1.7; 95% confidence interval [CI] = 1.5-1.9), iron deficiency (1.3; 1.2-1.4), and homozygous a-thalassemia (1.3; 1.1-1.4). Characteristics associated with severe anemia were malaria (10.2; 3.5-29.3), inflammation (6.7; 2.3-19.4), and stunting (1.6; 1.0 -2.4). Overall 16.8% of anemia cases were associated with malaria, 8.3% with iron deficiency, and 6.1% with inflammation. Interventions should address malaria, iron deficiency, and non-malarial infections to decrease the burden of anemia in this population. Copyright © 2013 by The American Society of Tropical Medicine and Hygiene.
Authors & Co-Authors
Foote, Eric M.
United States, Seattle
University of Washington School of Medicine
Sullivan, Kevin M.
United States, Atlanta
Rollins School of Public Health
Ruth, Laird J.
United States, Atlanta
Centers for Disease Control and Prevention
Oremo, Jared
Kenya, Nairobi
Safe Water and Aids Project
Ibrahim, Saduma
Kenya, Nairobi
Safe Water and Aids Project
Williams, Thomas Neil
Kenya, Kilifi
Centre for Geographic Medicine Research
Suchdev, Parminder S.
United States, Atlanta
Centers for Disease Control and Prevention
Statistics
Citations: 125
Authors: 7
Affiliations: 5
Identifiers
Doi:
10.4269/ajtmh.12-0560
ISSN:
00029637
Research Areas
Food Security
Genetics And Genomics
Health System And Policy
Infectious Diseases
Maternal And Child Health
Study Design
Cross Sectional Study
Study Approach
Quantitative
Study Locations
Kenya