Evidence map›Paper›PMID 33822795›Full record

ArticlePloS one2021

Differences in factors associated with anemia in Haitian children from urban and rural areas.

Ana M Palacios, Jeanne H Freeland-Graves, Sherlie Jean-Louis Dulience, Jacques Raymond Delnatus, Lora L Iannotti

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02747524 (Haiti Rural School Feeding Study), which is not on this map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 28% 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.

NCT02747524 nacompletednot on this map

Haiti Rural School Feeding Study: Effects of Vita Mamba on Anemia and Hemoglobin Concentrations

TypeinterventionalSponsorWashington University School of MedicineRan2014 to 2015Enrolled321ConditionsMalnutritionArmsVita Mamba peanut butter paste
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Observational
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

5 authors at 2 institutions in 1 country.

Ana M PalaciosDepartment of Applied Health Science, School of Public Health, Indiana University, Bloomington, IN, United States of America.ORCID 0000-0002-9489-2219
Jeanne H Freeland-GravesDepartment of Applied Health Science, School of Public Health, Indiana University, Bloomington, IN, United States of America.
Sherlie Jean-Louis DulienceMeds and Food for Kids, Haiti.
Jacques Raymond DelnatusMeds and Food for Kids, Haiti.
Lora L IannottiInstitute for Public Health, George Warren Brown School of Social Work, Washington University in St. Louis, St. Louis, Missouri, United States of America.
Indiana University Bloomington · USWashington University in St. Louis · US

Funding

Washington University Center for Diabetes Translation Research P30DK092950 · NIDDK · WASHINGTON UNIVERSITY · PI Ross C Brownson, Debra Haire-Joshu · 2011 to 2026
$11.7M
NIDDK NIH HHS P30 DK092950
6 · The paper itself

Abstract

backgroundIn Haiti, differences in the prevalence of anemia between urban and rural areas have been observed.

objectiveTo identify moderating factors that may help explain the difference in the prevalence of anemia in children from poor urban vs. rural areas of Haiti.

methodsThis cross-sectional study used secondary data from urban and rural school-based trials that assessed the effectiveness of a nutrition intervention. The study was registered at ClinicalTrials.gov as NCT02747524. A total of 300 rural- and 981 urban- children between 2.5-13 years of age were included in this analysis. Effect modification in a binary logistic generalized linear mixed model was conducted using sample weights in SPSS® version 26. Models were adjusted for age and income. School cluster was included as random effect.

resultsIn rural areas, stunting was more prevalent in children with anemia vs. no anemia, (16.6%, and 6.3%, P = 0.008), respectively. Also, rural children with anemia lived with fewer adults vs. rural children with no anemia, ([Formula: see text] = 2.83±1.29, and 3.30±1.54, P = 0.005), respectively. In poor urban areas, helminth morbidities were more frequent in children with anemia vs. no anemia, (21.9% vs. 13.9, P = 0.011), respectively. In the combined sample, stunting, [AOR = 2.05; 95%CI (1.32-3.18)], age [AOR = 0.89; 95%CI (0.85-0.93)], and households with more adults [AOR = 0.77; 95%CI (0.67-0.87)] were associated with anemia. Effect modification by place of residence was observed in households with more adults (t = 3.83, P<0.001). No other nutritional, dietary, sanitation or morbidity factors or effect modifiers were observed.

conclusionsIn this sample, factors associated with anemia differed in poor urban and rural children from Haiti including family structure and helminth morbidities. Stunting and lower age increased the odds of anemia in the combined sample. Family structure appears to have an important role in anemia, and further research understanding the influence of family structures in anemia is needed.

Indexed as

AdolescentAnemiaBody Mass IndexChildChild, PreschoolCross-Sectional StudiesDietFamily CharacteristicsFemaleGrowth DisordersHaitiHumansInfantMalePrevalenceRisk Factors

Identifiers

PMID33822795
PMCPMC8023464
OpenAlexW3141768950

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Registered trials

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.