Determinants of Anemia Severity among Children Aged 6-23 Months in Myanmar
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Abstract
Purpose: To examine the prevalence of anemia severity and the predictability of child sex, wealth index, iron-rich foods consumption, consumption of dark green leafy vegetables, maternal anemia, and fever in last 2 weeks on the severity of anemia among children aged 6-23 months in Myanmar.
Design: A predictive correlational study.
Methods: Data record forms were used to collect the required information with specific inclusion and exclusion criteria from the original data source, the Myanmar Demographic and Health Survey 2015-2016. Data analysis was conducted using descriptive statistics, the chi-square test, and binary logistic regression.
Main findings: Among the 846 children assessed, 57.3% had moderate to severe anemia and 42.7% had mild anemia. The chi-square test indicated significant associations between anemia severity and factors including the child’s sex, consumption of dark green leafy vegetables, and maternal anemia (p < .05). Binary logistic regression identified the male sex (OR = 2.14, p < .001), consumption of dark green leafy vegetables (OR = 0.65, p = .010), and maternal anemia (OR = 1.37, p = .029) as significant predictors of moderate to severe anemia.
Conclusion and recommendations: These results emphasize the necessity for nutritional interventions for both mothers and children. The prevention of maternal anemia should be urgently considered and prioritized as an essential component of antenatal care programs in Myanmar.
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References
World Health Organization. Anaemia [Internet]. Geneva, Switzerland: WHO; 2021 [cited 2021 Sep 19]. Available from: https://www.who.int/health-topics/anaemia# tab=tab_1.
Zhao A, Zhang Y, Peng Y, Li J, Yang T, Liu Z, et al. Prevalence of anemia and its risk factors among children 6-36 months old in Burma. Am J Trop Med Hyg. 2012;87(2):306-11. doi: 10.4269/ajtmh.2012.11-0660.
The Global Health Observatory. Anemia in women and children [Internet]. Geneva, Switzerland: GHO; 2021 [cited 2021 Sep 19]. Available from: https://www.who.int/data/gho/data/themes/topics/anaemia_in_women_and_children.
Molla A, Egata G, Mesfin F, Arega M, Getacher L. Prevalence of anemia and associated factors among infants and young children aged 6-23 months in Debre Berhan town, North Shewa, Ethiopia. J Nutr Metab. 2020:2020:2956129. doi: 10.1155/2020/2956129.
World Health Organization. The global prevalence of anaemia in 2011 [Internet]. Geneva, Switzerland: WHO; 2015 [cited 2021 Sep 19]. Available from: https://www.who.int/publications/i/item/9789241564960.
National Nutrition Centre, Department of Public, Ministry of Health and Sport. Myanmar micronutrient and food consumption survey MMFCS (2017-2018): interim report. Nay Pyi Taw, Myanmar: National Nutrition Centre; 2019. 116 p.
World Health Organization. Haemoglobin concentrations for the diagnosis of anemia and assessment of severity [Internet]. Geneva, Switzerland: WHO; 2011 [cited 2021 Sep 19]. Available from: https://www.who.int/publications/i/item/WHO-NMH-NHD-MNM-11.1.
Prieto-Patron A, Van der Horst K, Hutton ZV, Detzel P. Association between anaemia in children 6 to 23 months old and child, mother, household and feeding indicators. Nutrients. 2018;10(9):1269. doi: 10.3390/nu10091269.
Wilunda C, Tanaka S, Esamai F, Kawakami K. Prenatal anemia control and anemia in children aged 6-23 months in sub-Saharan Africa. Matern Child Nutr. 2017;13(3):e12375. doi: 10.1111/mcn.12375.
Huang Z, Jiang F-X, Li J, Jiang D, Xiao T-G, Zeng J-H. Prevalence and risk factors of anemia among children aged 6-23 months in Huaihua, Hunan Province. BMC Public Health. 2018;18(1):1267. doi: 10.1186/s12889-018-6207-x.
Alemayehu M, Meskele M, Alemayehu B, Yakob B. Prevalence and correlates of anemia among children aged 6-23 months in Wolaita Zone, Southern Ethiopia. PLoS One. 2019;14(3):e0206268. doi: 10.1371/journal.pone.0206268.
Melku M, Alene KA, Terefe B, Enawgaw B, Biadgo B, Abebe M, et al. Anemia severity among children aged 6-59 months in Gondar town, Ethiopia: a community-based cross-sectional study. Ital J Pediatr. 2018;44(1):107. doi: 10.1186/s13052-018-0547-0.
Nankinga O, Aguta D. Determinants of anemia among women in Uganda: further analysis of the Uganda demographic and health surveys. BMC Public Health. 2019;19(1):1757. doi: 10.1186/s12889-019-8114-1.
Zuffo CR, Osório MM, Taconeli CA, Schmidt ST, da Silva BH, Almeida CC. Prevalence and risk factors of anemia in children. J Pediatr (Rio J). 2016;92(4):353-60. doi: 10.1016/j.jped.2015.09.007.
Akalu Y, Yeshaw Y, Tesema GA, Demissie GD, Molla MD, Muche A, et al. Iron-rich food consumption and associated factors among children aged 6-23 months in sub-Saharan Africa: a multilevel analysis of demographic and health surveys. PLoS One. 2021;16(6):e0253221. doi: 10.1371/journal.pone.0253221.
Mya KS, Kyaw AT, Tun T. Feeding practices and nutritional status of children age 6-23 months in Myanmar: a secondary analysis of the 2015-16 demographic and health survey. PLoS One. 2019;14(1):e0209044. doi: 10.1371/journal.pone.0209044.
Htwe KM. Social determinants of undernutrition among under-5 children in rural areas of Myanmar: a narrative review. Asia Pac J Public Health. 2021;33(1):23-9. doi: 10.1177/1010539520962974.
Gemechu K, Asmerom H, Gedefaw L, Arkew M, Bete T, Adissu W. Anemia prevalence and associated factors among school-children of Kersa Woreda in eastern Ethiopia: a cross-sectional study. PLoS One. 2023;18(3):e0283421. doi: 10.1371/journal.pone.028342.
Srinivas V, Mankeshwar R. Prevalence and determinants of nutritional anemia in an urban area among unmarried adolescent girls: a community-based cross-sectional study. Int J Med Public Health. 2015;5(4):283. doi: 10.4103/2230-8598.165950.
Ministry of Health and Sports (MoHS), Inner City Fund (ICF). Myanmar demographic and health survey 2015‐16. Nay Pyi Taw, Myanmar, and Rockville, Maryland USA: Ministry of Health and Sports, Inner City Fund; 2017. 485 p.
Seifu BL, Tesema GA. Individual-and community-level factors associated with anemia among children aged 6–23 months in sub-Saharan Africa: evidence from 32 sub-Saharan African countries. Arch Public Health. 2022;80:183. doi: 10.1186/s13690-022-00950-y.
Peduzzi P, Concato J, Kemper E, Holford TR, Feinstein AR. A simulation study of the number of events per variable in logistic regression analysis. J Clin Epidemiol. 1996;49(12):1373-9. doi: 10.1016/s0895-4356(96)00236-3.
Kang Y, Kim J. Age-specific risk factors for child anaemia in Myanmar: analysis from the demographic and health survey 2015-2016. Matern Child Nutr. 2019;15(4):e12870. doi: 10.1111/mcn.12870.
Chandran V, Kirby RS. An analysis of maternal, social and household factors associated with childhood anemia. Int J Environ Res Public Health. 2021;18(6):3105. doi: 10.3390/ijerph18063105.
Adriyani FHN, Hikmanti A. Correlations of anemia, stunting, and sociodemographic characteristics and energy among children aged 6-23 months at Karangklesem village, South Purwokerto. Paper presented at: Proceedings of the 1st International Conference on Community Health (ICCH 2019); 2020 Feb 10; Atlantis Press. doi: 10.2991/ahsr.k.200204.044.
