ArticleBMC pediatrics2019
Household, maternal, and child related determinants of hemoglobin levels of Ethiopian children: hierarchical regression analysis.
Article in BMC pediatrics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.
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Who cites it
20 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Drivers of stunting reduction in Ethiopia: a country case study.The American journal of clinical nutrition · 2020Pooled it
- The state of child nutrition in Ethiopia: an umbrella review of systematic review and meta-analysis reports.BMC pediatrics · 2020Pooled it
- Child-Owned Poultry Intervention Effects on Hemoglobin, Anemia, Concurrent Anemia and Stunting, and Morbidity Status of Young Children in Southern Ethiopia: A Cluster Randomized Controlled Community Trial.International journal of environmental research and public health · 2023Trial
- High-resolution spatial prediction of anemia risk among children aged 6 to 59 months in low- and middle-income countries.Communications medicine · 2025Article
- Impact of social determinants of health on the outcomes of Latin American children with Multisystem Inflammatory Syndrome (MIS-C).Pediatric pulmonology · 2025Article
- Under-5 Malaria and Fever Morbidities as Correlates of Anaemia in Niger: A Heteroscedasticity-Consistent Ordered Probit Approach.International journal of environmental research and public health · 2024Article
- Anaemia and associated factors among children aged 6-59 months during the post-ebola period in Sierra Leone: a national cross-sectional survey- 2019.Archives of public health = Archives belges de sante publique · 2024Article
- The Intersection of a Child's Demographics and Household Socioeconomic Status in the Multimorbidity of Malaria, Anaemia, and Malnutrition among Children Aged 6-59 Months in Nigeria.International journal of environmental research and public health · 2024Article
- Prevalence and risk factors for childhood anemia in Rwanda: Using Rwandan demographic and health survey 2019-2020.Public health challenges · 2024Article
- Lifestyle Patterns of Children Experiencing Homelessness: Family Socio-Ecological Correlates and Links with Physical and Mental Health.International journal of environmental research and public health · 2022Article
- Individual, household and area predictors of anaemia among children aged 6-59 months in Nigeria.Public health in practice (Oxford, England) · 2022Article
- Geographical variation and temporal trend in anemia among children aged 6-59 months in low- and middle-income countries during 2000-2018: forecasting the 2030 SDG target.Public health nutrition · 2021Article
- Prevalence and Determinants of Anemia among Children in Zanzibar, Tanzania: Analysis of Cross-Sectional Population Representative Surveys.Children (Basel, Switzerland) · 2021Article
- Family Socioecological Correlates of Lifestyle Patterns in Early Childhood: A Cross-Sectional Study from the EDEN Mother-Child Cohort.Nutrients · 2021Article
- Article
- Spatial variations and determinants of anemia among under-five children in Ethiopia, EDHS 2005-2016.PloS one · 2021Article
- A Scoping Review of the Risk Factors Associated with Anaemia among Children Under Five Years in Sub-Saharan African Countries.International journal of environmental research and public health · 2020Article
- Soluble transferrin receptor level, inflammation markers, malaria, alpha-thalassemia and selenium status are the major predictors of hemoglobin in children 6-23 months in Malawi.Food science & nutrition · 2020Article
- Prevalence and factors associated with anemia among children under five years of age in Rombo district, Kilimanjaro region, Northern Tanzania.F1000Research · 2020Article
- The contribution of dietary and non-dietary factors to socioeconomic inequality in childhood anemia in Ethiopia: a regression-based decomposition analysis.BMC research notes · 2019Article
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3 authors.
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Abstract
backgroundAnemia remains a major public health problem among children under five years old in Ethiopia, rising unexpectedly from 44% national prevalence in 2011 to 57% in 2016. In this study, we investigated the household, maternal and child-related dietary and non-dietary factors associated with hemoglobin (Hb) level of infants and young children.
methodWe analyzed data from a nationally representative sample of 2902 children aged 6-23 months, included in the 2016 Ethiopian demographic and health survey (EDHS). Hierarchical linear regression analysis was done to identify the factors associated with Hb level. We reported adjusted β (aβ) with 95% confidence interval (CI).
resultOverall, 72% of children under 2 years of age were anemic in Ethiopia in 2016. Household factors: rich household wealth category (aβ = 0.48, 95%CI = 0.33-0.63, P < 0.001), and agrarian regions (aβ = 0.64, 95%CI = 0.40-0.88, P < 0.001) were significantly associated with a higher mean Hb level. Maternal factors: secondary and above education level (aβ = 0.69, 95%CI = 0.23-1.16, P = 0.004), and being not anemic (aβ = 0.40, 95%CI = 0.26-0.53, P < 0.001) were significantly associated with a higher mean Hb level. Child factors: age below 12 months (aβ = 0.72, 95%CI = 0.57-0.88, P < 0.001), female sex (aβ = 0.16, 95%CI = 0.03-0.30, P = 0.019), being not underweight (aβ = 0.22, 95%CI = 0.02-0.42, P = 0.031), average birth size (aβ = 0.25, 95%CI = 0.08-0.42, P = 0.003), no history of recent infection (aβ = 0.18, 95%CI = 0.02-0.33, P = 0.025), currently breastfeeding (aβ = 0.28, 95%CI = 0.12-0.44, P = 0.002), vitamin A supplementation (aβ = 0.17, 95%CI = 0.06-0.28, P = 0.021), and frequent meal feeding (aβ = 0.11, 95%CI = 0.05-0.16, P = 0.034) were significantly associated with a higher mean Hb level.
conclusionHb level was associated with various dietary and non-dietary influences originating from household, maternal, and child levels. A comprehensive approach, addressing the multi-factorial nature of Hb status, might stand an important consideration to reverse the recent rise in anemia prevalence in Ethiopia.
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