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Prevalence of anemia and associated factors among school children in Gondar town public primary schools, northwest Ethiopia: A school-based cross-sectional study.
PLoS One. 2017; 12(12):e0190151.Plos

Abstract

BACKGROUND

Anemia is a global public health problem affecting 305 million school children (SC) worldwide. It has deleterious effects in SC, including lower school achievement due to impaired cognitive development and physical growth, fatigue and poor attention span, and increased morbidity because of reduced resistance to infection. Hence, the aim of this study was to assess the prevalence and associated factors of anemia among SC attending public primary schools in Gondar town, northwest Ethiopia.

METHODS

A school-based cross sectional study was conducted on a total of 523 SC aged from 6-14 years old. Multi-stage sampling followed by systematic random sampling techniques were employed to select study participants. Data on socio-demographic and socio-economic characteristics, and dietary status of children were collected using pre-tested structured questionnaire through face-to-face interview of children's caregivers. Anthropometric measurements were taken. Hemoglobin (Hb) concentration was determined by using HemoCue 301+analyser. Stool and blood samples were collected in the school premises, and examined for intestinal and hemoparasites, respectively. Data were entered into Epi Info version 3.5.3 and transferred to SPSS version 20 for analysis. Bivariate and multivariate binary logistic regression models were fitted to identify associated factors of anemia. P-value < 0.05 was considered as statistically significant.

RESULT

Of the total SC participated in the study, 269 (51.4%) were males. The median (inter quartile range (IQR)) age was 12 (10-13) years, and 332 (63.5%) of them were in the age group 11-14 years. About 81 (15.5%; 95%CI: 12.4%, 18.7%) of them were anemic: 56 (69.1%) and 25 (38.9%) of them were mildly and moderately anemic, respectively. Low maternal education (AOR = 2.30; 95%CI: 1.11, 4.78), stunting (AOR = 2.22; 95%CI: 1.30, 3.80), severe food insecurity (AOR = 5.11; 95%CI: 1.53, 17.13), and soil-transmitted helminthic (STH) infection (AOR = 7.13; 95%CI: 3.16, 16.86) were found significantly associated with anemia.

CONCLUSION

Anemia among SC was found to be a mild public health problem. It was strongly associated with low maternal education, food insecurity, stunting and intestinal helminthic infection. Focused policies and strategies towards the above factors should be designed to reduce anemia among SC.

Authors+Show Affiliations

Department of Hematology and Immunohematology, School of Biomedical and Laboratory Science, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.Department of Hematology and Immunohematology, School of Biomedical and Laboratory Science, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.Debre Birhan Referral Hospital Laboratory, Debre Birhan, Ethiopia.University of Gondar Hospital Laboratory, Gondar, Ethiopia.Mekelle University Referral Hospital Laboratory, Mekelle, Ethiopia.Department of Human Nutrition, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.Department of Hematology and Immunohematology, School of Biomedical and Laboratory Science, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.Department of Hematology and Immunohematology, School of Biomedical and Laboratory Science, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

29284032

Citation

Getaneh, Zegeye, et al. "Prevalence of Anemia and Associated Factors Among School Children in Gondar Town Public Primary Schools, Northwest Ethiopia: a School-based Cross-sectional Study." PloS One, vol. 12, no. 12, 2017, pp. e0190151.
Getaneh Z, Enawgaw B, Engidaye G, et al. Prevalence of anemia and associated factors among school children in Gondar town public primary schools, northwest Ethiopia: A school-based cross-sectional study. PLoS One. 2017;12(12):e0190151.
Getaneh, Z., Enawgaw, B., Engidaye, G., Seyoum, M., Berhane, M., Abebe, Z., Asrie, F., & Melku, M. (2017). Prevalence of anemia and associated factors among school children in Gondar town public primary schools, northwest Ethiopia: A school-based cross-sectional study. PloS One, 12(12), e0190151. https://doi.org/10.1371/journal.pone.0190151
Getaneh Z, et al. Prevalence of Anemia and Associated Factors Among School Children in Gondar Town Public Primary Schools, Northwest Ethiopia: a School-based Cross-sectional Study. PLoS One. 2017;12(12):e0190151. PubMed PMID: 29284032.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Prevalence of anemia and associated factors among school children in Gondar town public primary schools, northwest Ethiopia: A school-based cross-sectional study. AU - Getaneh,Zegeye, AU - Enawgaw,Bamlaku, AU - Engidaye,Getabalew, AU - Seyoum,Masresha, AU - Berhane,Muruts, AU - Abebe,Zegeye, AU - Asrie,Fikir, AU - Melku,Mulugeta, Y1 - 2017/12/28/ PY - 2017/08/04/received PY - 2017/12/08/accepted PY - 2017/12/29/entrez PY - 2017/12/29/pubmed PY - 2018/2/16/medline SP - e0190151 EP - e0190151 JF - PloS one JO - PLoS One VL - 12 IS - 12 N2 - BACKGROUND: Anemia is a global public health problem affecting 305 million school children (SC) worldwide. It has deleterious effects in SC, including lower school achievement due to impaired cognitive development and physical growth, fatigue and poor attention span, and increased morbidity because of reduced resistance to infection. Hence, the aim of this study was to assess the prevalence and associated factors of anemia among SC attending public primary schools in Gondar town, northwest Ethiopia. METHODS: A school-based cross sectional study was conducted on a total of 523 SC aged from 6-14 years old. Multi-stage sampling followed by systematic random sampling techniques were employed to select study participants. Data on socio-demographic and socio-economic characteristics, and dietary status of children were collected using pre-tested structured questionnaire through face-to-face interview of children's caregivers. Anthropometric measurements were taken. Hemoglobin (Hb) concentration was determined by using HemoCue 301+analyser. Stool and blood samples were collected in the school premises, and examined for intestinal and hemoparasites, respectively. Data were entered into Epi Info version 3.5.3 and transferred to SPSS version 20 for analysis. Bivariate and multivariate binary logistic regression models were fitted to identify associated factors of anemia. P-value < 0.05 was considered as statistically significant. RESULT: Of the total SC participated in the study, 269 (51.4%) were males. The median (inter quartile range (IQR)) age was 12 (10-13) years, and 332 (63.5%) of them were in the age group 11-14 years. About 81 (15.5%; 95%CI: 12.4%, 18.7%) of them were anemic: 56 (69.1%) and 25 (38.9%) of them were mildly and moderately anemic, respectively. Low maternal education (AOR = 2.30; 95%CI: 1.11, 4.78), stunting (AOR = 2.22; 95%CI: 1.30, 3.80), severe food insecurity (AOR = 5.11; 95%CI: 1.53, 17.13), and soil-transmitted helminthic (STH) infection (AOR = 7.13; 95%CI: 3.16, 16.86) were found significantly associated with anemia. CONCLUSION: Anemia among SC was found to be a mild public health problem. It was strongly associated with low maternal education, food insecurity, stunting and intestinal helminthic infection. Focused policies and strategies towards the above factors should be designed to reduce anemia among SC. SN - 1932-6203 UR - https://www.unboundmedicine.com/medline/citation/29284032/Prevalence_of_anemia_and_associated_factors_among_school_children_in_Gondar_town_public_primary_schools_northwest_Ethiopia:_A_school_based_cross_sectional_study_ L2 - https://dx.plos.org/10.1371/journal.pone.0190151 DB - PRIME DP - Unbound Medicine ER -