ArticleBMC public health2020
Anemia prevalence, severity and associated factors among children aged 6-71 months in rural Hunan Province, China: a community-based cross-sectional study.
Article in BMC public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 2 of them syntheses that pooled it.
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Who cites it
27 citing papers in PubMed, 2 syntheses or guidelines pooled it, 51 citations in OpenAlex.
- A systematic review and meta-analysis of the prevalence and associated factors of iron-deficiency anemia among Chinese children under 6 years of age.Frontiers in pediatrics · 2025Pooled it
- Blood lead concentrations in children with iron deficiency anemia: a systematic review and meta-analysis.Environmental science and pollution research international · 2022Pooled it
- Exposure to air pollutants is associated with adverse changes in hemoglobin trajectories and an increased risk of anemia in children and adolescents.BMC public health · 2026Article
- Prevalence and risk factors of childhood anemia in urban and rural areas of West Java, Indonesia: a cross-sectional study.BMC pediatrics · 2026Observational
- Prevalence and associated factors of at risk of anemia among children under five in Northeast Thailand using noninvasive hemoglobin screening in a cross sectional study.Scientific reports · 2025Article
- Childhood Anemia in Mozambique: A Multilevel Mixed-Effects Analysis of 2011-2022/23 Population-Based Surveys.Healthcare (Basel, Switzerland) · 2025Article
- Effects of HIV exposure on anemia and vitamin D nutritional status in children aged 6-24 months: a hospital-based cross-sectional study.Scientific reports · 2025Article
- The relationship between anemia and sleep disturbances among older Chinese adults: The mediating role of handgrip strength.PloS one · 2025Article
- Quantitative determination of iron (III) in polymaltose haematinic formulations on the Ghanaian market.PloS one · 2025Article
- Prevalence and Determinants of Iron Deficiency Anemia Among Children Under Five Years at Luwero General Hospital, Uganda.Journal of blood medicine · 2025Article
- Trends and inequalities in anaemia prevalence among children aged 6-59 months in Ghana, 2003-2022.International journal for equity in health · 2024Article
- 2-week prevalence and associated factors of fever, diarrhea, and coexisting fever and diarrhea among children aged 6-23 months in rural Hunan Province.Scientific reports · 2024Article
- Factors associated with anemia among reproductive age women in Nigeria; evidenced by the Nigeria malaria indicators survey: spatial and multilevel model analysis.Contraception and reproductive medicine · 2024Article
- Article
- Magnitude and predictors of anemia among preschool children (36-59 months) in Atingo town, Jimma, Ethiopia.Health science reports · 2023Article
- Anemia and associated factors among 6 to 59 months age children attending health facilities in Kombolcha town, Northeast Ethiopia: a facility-based cross-sectional study.BMC pediatrics · 2023Article
- Prevalence and contributing factors of anaemia among children aged 6-24 months and 25-59 months in Mali.Journal of nutritional science · 2023Article
- Prevalence of Bradycardia After Induction of General Anesthesia and Associated Factors Among Surgical Pediatric Patients. A Prospective Observational Study.Pediatric health, medicine and therapeutics · 2023Article
- Prevalence and determinants of anemia among children aged from 6 to 59 months in Liberia: a multilevel analysis of the 2019/20 Liberia demographic and health survey data.Frontiers in pediatrics · 2023Article
- A Case-Control Study of the Factors Associated with Anemia in Chinese Children Aged 3-7 years Old.Anemia · 2023Article
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8 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundIn recent 10 years, with the rapid socioeconomic development and the extensive implementation of children nutrition improvement projects, the previous epidemiological data cannot reflect the actual level of anemia among children in China, especially in rural areas. Therefore, this study analyzed the prevalence, severity and associated factors of anemia among children aged 6-71 months in rural Hunan Province.
methodsA community-based cross-sectional study was conducted. Through multistage stratified cluster sampling, 5229 children aged 6 to 71 months and their caregivers were randomly selected from 72 villages across 24 towns in 12 counties from rural Hunan. The demographic characteristics of children and their caregivers, feeding practice, nutritional status of children, caregivers' anemia-related feeding knowledge, and gestational conditions of mothers were acquired by using a unified questionnaire. Peripheral blood from the left-hand middle fingertip was sampled from each child, and hemoglobin concentration was measured using a HemoCue301 portable hemoglobin analyzer (Sweden). Associated factors analyses involving overall anemia and anemia severities were conducted on multivariate logistic regression models.
resultsThe overall anemia prevalence was 8.8%, and the prevalence of mild, moderate and severe anemia was 6.3, 2.5 and 0.1%, respectively. Children age groups of 6-11 months, 12-23 months and 36-47 months, exclusive breast-feeding within 6 months after birth, and maternal moderate/severe anemia were significantly associated with an increased risk of overall anemia in children. Children age groups of 6-11 months and 12-23 months were significantly associated with an increased risk of mild anemia in children. Children age groups of 6-11 months, 12-23 months and 36-47 months, low caregivers' anemia-related feeding knowledge level, and maternal moderate/severe anemia were significantly associated with an increased risk of moderate/severe anemia in children. Children who underwent regular physical examination were less likely to have moderate/severe anemia. The common protective factor for overall, mild and moderate/severe anemia in children was high family income.
conclusionsThe anemia status of preschool children in rural Hunan Province was a mild public health problem and associated with children age group, feeding practice, regular physical examination, family income, caregivers' anemia-related feeding knowledge level, and maternal moderate/severe anemia.
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