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Anaemia, iron status and vitamin A deficiency among adolescent refugees in Kenya and Nepal.
Public Health Nutr. 2006 Feb; 9(1):26-34.PH

Abstract

OBJECTIVE

To investigate the prevalence of anaemia (haemoglobin<11.0 to 13.0 g dl(-1) depending on age and sex group), iron deficiency (transferrin receptor concentration>8.3 microg ml(-1)) and vitamin A deficiency (serum retinol <0.7 micromol l(-1)) in adolescent refugees.

DESIGN

Cross-sectional surveys.

SETTING

Kakuma refugee camp in Kenya and seven refugee camps in Nepal.

SUBJECTS

Adolescent refugee residents in these camps.

RESULTS

Anaemia was present in 46% (95% confidence interval (CI): 42-51) of adolescents in Kenya and in 24% (95% CI: 20-28) of adolescents in Nepal. The sensitivity of palmar pallor in detecting anaemia was 21%. In addition, 43% (95% CI: 36-50) and 53% (95% CI: 46-61) of adolescents in Kenya and Nepal, respectively, had iron deficiency. In both surveys, anaemia occurred more commonly among adolescents with iron deficiency. Vitamin A deficiency was found in 15% (95% CI: 10-20) of adolescents in Kenya and 30% (95% CI: 24-37) of adolescents in Nepal. Night blindness was not more common in adolescents with vitamin A deficiency than in those without vitamin A deficiency. In Kenya, one of the seven adolescents with Bitot's spots had vitamin A deficiency.

CONCLUSIONS

Anaemia, iron deficiency and vitamin A deficiency are common among adolescents in refugee populations. Such adolescents need to increase intakes of these nutrients; however, the lack of routine access makes programmes targeting adolescents difficult. Adolescent refugees should be considered for assessment along with other at-risk groups in displaced populations.

Authors+Show Affiliations

Maternal and Child Nutrition Branch, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA, USA. BWoodruff@cdc.govNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

16480530

Citation

Woodruff, Bradley A., et al. "Anaemia, Iron Status and Vitamin a Deficiency Among Adolescent Refugees in Kenya and Nepal." Public Health Nutrition, vol. 9, no. 1, 2006, pp. 26-34.
Woodruff BA, Blanck HM, Slutsker L, et al. Anaemia, iron status and vitamin A deficiency among adolescent refugees in Kenya and Nepal. Public Health Nutr. 2006;9(1):26-34.
Woodruff, B. A., Blanck, H. M., Slutsker, L., Cookson, S. T., Larson, M. K., Duffield, A., & Bhatia, R. (2006). Anaemia, iron status and vitamin A deficiency among adolescent refugees in Kenya and Nepal. Public Health Nutrition, 9(1), 26-34.
Woodruff BA, et al. Anaemia, Iron Status and Vitamin a Deficiency Among Adolescent Refugees in Kenya and Nepal. Public Health Nutr. 2006;9(1):26-34. PubMed PMID: 16480530.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Anaemia, iron status and vitamin A deficiency among adolescent refugees in Kenya and Nepal. AU - Woodruff,Bradley A, AU - Blanck,Heidi Michels, AU - Slutsker,Laurence, AU - Cookson,Susan T, AU - Larson,Mary Kay, AU - Duffield,Arabella, AU - Bhatia,Rita, PY - 2006/2/17/pubmed PY - 2006/7/25/medline PY - 2006/2/17/entrez SP - 26 EP - 34 JF - Public health nutrition JO - Public Health Nutr VL - 9 IS - 1 N2 - OBJECTIVE: To investigate the prevalence of anaemia (haemoglobin<11.0 to 13.0 g dl(-1) depending on age and sex group), iron deficiency (transferrin receptor concentration>8.3 microg ml(-1)) and vitamin A deficiency (serum retinol <0.7 micromol l(-1)) in adolescent refugees. DESIGN: Cross-sectional surveys. SETTING: Kakuma refugee camp in Kenya and seven refugee camps in Nepal. SUBJECTS: Adolescent refugee residents in these camps. RESULTS: Anaemia was present in 46% (95% confidence interval (CI): 42-51) of adolescents in Kenya and in 24% (95% CI: 20-28) of adolescents in Nepal. The sensitivity of palmar pallor in detecting anaemia was 21%. In addition, 43% (95% CI: 36-50) and 53% (95% CI: 46-61) of adolescents in Kenya and Nepal, respectively, had iron deficiency. In both surveys, anaemia occurred more commonly among adolescents with iron deficiency. Vitamin A deficiency was found in 15% (95% CI: 10-20) of adolescents in Kenya and 30% (95% CI: 24-37) of adolescents in Nepal. Night blindness was not more common in adolescents with vitamin A deficiency than in those without vitamin A deficiency. In Kenya, one of the seven adolescents with Bitot's spots had vitamin A deficiency. CONCLUSIONS: Anaemia, iron deficiency and vitamin A deficiency are common among adolescents in refugee populations. Such adolescents need to increase intakes of these nutrients; however, the lack of routine access makes programmes targeting adolescents difficult. Adolescent refugees should be considered for assessment along with other at-risk groups in displaced populations. SN - 1368-9800 UR - https://www.unboundmedicine.com/medline/citation/16480530/Anaemia_iron_status_and_vitamin_A_deficiency_among_adolescent_refugees_in_Kenya_and_Nepal_ L2 - https://www.cambridge.org/core/product/identifier/S136898000600005X/type/journal_article DB - PRIME DP - Unbound Medicine ER -