Evidence map›Paper›PMID 29764873›Full record

ArticleBMJ open2018

Individual, maternal and household risk factors for anaemia among young children in sub-Saharan Africa: a cross-sectional study.

Peter P Moschovis, Matthew O Wiens, Lauren Arlington, Olga Antsygina, Douglas Hayden, Walter Dzik, Julius P Kiwanuka, David C Christiani, Patricia L Hibberd

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 81 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
81citing papers in PubMed, 1 pooled it
6.7field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

81 citing papers in PubMed, 1 synthesis or guideline pooled it, 134 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. The effect of allogeneic blood transfusion on burn mortality in a resource-limited setting.Burns : journal of the International Society for Burn Injuries · 2025
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article

21 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 6 institutions in 4 countries.

Peter P MoschovisMassachusetts General Hospital, Boston, Massachusetts, USA.ORCID 0000-0002-9664-5959
Matthew O WiensUniversity of British Columbia, Vancouver, British Columbia, Canada.ORCID 0000-0002-3287-5181
Lauren ArlingtonMassachusetts General Hospital, Boston, Massachusetts, USA.
Olga AntsyginaScientific Research Institute of Healthcare Organization and Medical Management, Moscow, Russia.
Douglas HaydenMassachusetts General Hospital, Boston, Massachusetts, USA.
Walter DzikMassachusetts General Hospital, Boston, Massachusetts, USA.
Julius P KiwanukaMbarara University of Science and Technology, Mbarara, Uganda.
David C ChristianiMassachusetts General Hospital, Boston, Massachusetts, USA.
Patricia L HibberdBoston University School of Public Health, Boston, Massachusetts, USA.
Massachusetts General Hospital · USBoston University · USHarvard University · USMbarara University of Science and Technology · UGScientific Research Institute of Healthcare Organization and Medical Management · RUUniversity of British Columbia · CA

Funding

Harvard Clinical and Translational Science CenterUL1TR001102 · NCATS · HARVARD MEDICAL SCHOOL · PI NADLER, LEE MARSHALL · 2013 to 2017
$106.2M
Midcareer Investigator Award in Patient-Oriented Research (K24)K24AT003683 · NCCIH · TUFTS MEDICAL CENTER · PI HIBBERD, PATRICIA L · 2006 to 2015
$1.9M
The Role and Consequences of Anemia in Children with PneumoniaF32HL124951 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI MOSCHOVIS, PETER P · 2014 to 2016
$161k
NCATS NIH HHS UL1 TR001102NCCIH NIH HHS K24 AT003683NHLBI NIH HHS F32 HL124951
6 · The paper itself

Abstract

objectiveAnaemia affects the majority of children in sub-Saharan Africa (SSA). Previous studies of risk factors for anaemia have been limited by sample size, geography and the association of many risk factors with poverty. In order to measure the relative impact of individual, maternal and household risk factors for anaemia in young children, we analysed data from all SSA countries that performed haemoglobin (Hb) testing in the Demographic and Health Surveys. DESIGN AND

settingThis cross-sectional study pooled household-level data from the most recent Demographic and Health Surveys conducted in 27 SSA between 2008 and 2014.

participants96 804 children age 6-59 months.

resultsThe prevalence of childhood anaemia (defined as Hb <11 g/dL) across the region was 59.9%, ranging from 23.7% in Rwanda to 87.9% in Burkina Faso. In multivariable regression models, older age, female sex, greater wealth, fewer household members, greater height-for-age, older maternal age, higher maternal body mass index, current maternal pregnancy and higher maternal Hb, and absence of recent fever were associated with higher Hb in tested children. Demographic, socioeconomic factors, family structure, water/sanitation, growth, maternal health and recent illnesses were significantly associated with the presence of childhood anaemia. These risk factor groups explain a significant fraction of anaemia (ranging from 1.0% to 16.7%) at the population level.

conclusionsThe findings from our analysis of risk factors for anaemia in SSA underscore the importance of family and socioeconomic context in childhood anaemia. These data highlight the need for integrated programmes that address the multifactorial nature of childhood anaemia.

Indexed as

Africa South of the SaharaAnemiaChild, PreschoolCross-Sectional StudiesFamily CharacteristicsFemaleHumansInfantLogistic ModelsMaleMaternal HealthMultivariate AnalysisPregnancyPrevalenceRisk FactorsSelf Reportanaemiademographic and health surveysglobal healthsub-saharan Africa

Identifiers

PMID29764873
PMCPMC5961577
OpenAlexW2811500061

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.