Magnitude, Severity, and Associated Factors of Anemia among Under-Five Children Attending Hawassa University Teaching and Referral Hospital, Hawassa, Southern Ethiopia, 2016.

IF 2.2 Q3 HEMATOLOGY
Anemia Pub Date : 2020-08-07 eCollection Date: 2020-01-01 DOI:10.1155/2020/7580104
Yeshimebet Gebereselassie, Mesganaw BirhanSelassie, Tadesse Menjetta, Jemal Alemu, Aster Tsegaye
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引用次数: 7

Abstract

Background: Anemia is a widespread public health problem associated with increased risk of morbidity and mortality. Infants, under-5-year-old children, and pregnant women have greater susceptibility to anemia. The magnitude and associated risk factors for anemia vary in different settings. The study aimed to assess the magnitude, severity, and associated factors of anemia at Hawassa University Teaching and Referral hospital, Hawassa, southern Ethiopia.

Methods: In a hospital-based cross-sectional study, a total of 422 under-five children were included. Sociodemographic data and other predisposing factors were collected by structured questionnaire. Venous blood samples were collected and analyzed for hemoglobin determination using a Cell-Dyn 1800 automated analyzer. Stool samples were collected and processed using direct wet mount and formol-ether concentration method to detect intestinal parasites. Data were entered and analyzed using SPSS version 20 statistical packages. Binary and multiple logistic regressions were computed to assess factors associated with anemia. p value less than 0.05 was taken as statistically significant.

Result: The overall prevalence of anemia was found to be 41.7%. The mean hemoglobin level was 10.59 g/dl. Anemia was of mild, moderate, and severe type in 6.6%, 19%, and 16.1% of the children, respectively. Children in the age group 6-23 months (AOR = 2.04 (95% CI: 1.13, 3.69)), and mothers having no formal education (AOR = 1.73 (95% CI: 0.99, 3.02)) were identified as associated factors for anemia.

Conclusion: The prevalence of anemia among the study subjects was 41.7% indicative of the fact that anemia is an important public health problem. It was associated with the child's age, residence, mother's education level, and intestinal parasite (Ascaris lumbricoides). It clearly indicates that there should be well integrated public health interventions to improve the health status that needs to be prioritized to prevent anemia among children under five years of age.

2016年埃塞俄比亚南部阿瓦萨,阿瓦萨大学教学和转诊医院五岁以下儿童贫血的程度、严重程度和相关因素
背景:贫血是一种广泛存在的公共卫生问题,与发病率和死亡率增高相关。婴儿、5岁以下儿童和孕妇更容易患贫血。贫血的程度和相关危险因素在不同的环境中有所不同。本研究旨在评估埃塞俄比亚南部阿瓦萨的阿瓦萨大学教学和转诊医院的贫血程度、严重程度和相关因素。方法:在一项以医院为基础的横断面研究中,共纳入422名5岁以下儿童。通过结构化问卷收集社会人口学数据及其他易感因素。采集静脉血样本,使用Cell-Dyn 1800自动分析仪分析血红蛋白测定。采集粪便标本,采用直接湿载法和甲醚浓度法检测肠道寄生虫。使用SPSS 20版统计软件包进行数据录入和分析。计算二元和多元logistic回归来评估与贫血相关的因素。P值< 0.05为差异有统计学意义。结果:我院贫血总患病率为41.7%。平均血红蛋白水平为10.59 g/dl。轻度贫血占6.6%,中度贫血占19%,重度贫血占16.1%。6-23个月年龄组的儿童(AOR = 2.04 (95% CI: 1.13, 3.69))和未受过正规教育的母亲(AOR = 1.73 (95% CI: 0.99, 3.02))被确定为贫血的相关因素。结论:研究对象的贫血患病率为41.7%,表明贫血是一个重要的公共卫生问题。与儿童年龄、居住地、母亲受教育程度、肠道寄生虫(蛔虫)有关。它清楚地表明,应该采取综合的公共卫生干预措施,改善需要优先考虑的健康状况,以预防五岁以下儿童的贫血。
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来源期刊
Anemia
Anemia HEMATOLOGY-
CiteScore
4.80
自引率
3.40%
发文量
11
审稿时长
18 weeks
期刊介绍: Anemia is a peer-reviewed, Open Access journal that publishes original research articles, review articles, and clinical studies on all types of anemia. Articles focusing on patient care, health systems, epidemiology, and animal models will be considered, among other relevant topics. Affecting roughly one third of the world’s population, anemia is a major public health concern. The journal aims to facilitate the exchange of research addressing global health and mortality relating to anemia and associated diseases.
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