scholarly journals Anemia prevalence, severity and associated factors among children aged 6–71 months in rural Hunan Province, China: a community-based cross-sectional study

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Huixia Li ◽  
Juan Xiao ◽  
Minghui Liao ◽  
Guangwen Huang ◽  
Jianfei Zheng ◽  
...  

Abstract Background In 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. Methods A 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. Results The 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. Conclusions The 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.

2020 ◽  
Author(s):  
Huixia Li ◽  
Juan Xiao ◽  
Minghui Liao ◽  
Guangwen Huang ◽  
Jianfei Zheng ◽  
...  

Abstract Background In recent ten 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 determinant factors of anemia among children aged 6-71 months in rural Hunan Province. Methods A 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, 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 determinant factors analyses involving overall anemia and anemic severity were conducted on multivariate logistic regression models. Results The overall anemia prevalence was 9.7% (506/5229), and the prevalence of mild, moderate and severe anemia was 6.7% (349/5229), 2.9% (151/5229) and 0.1% (6/5229), 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, maternal moderate/severe anemia 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, lower 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. Conclusions The 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.


2021 ◽  
Vol 47 (1) ◽  
Author(s):  
Alemnesh Abebe Taye ◽  
Wondwosen Asegidew ◽  
Mitku Mammo Taderegew ◽  
Yonas Girma Bizuwork ◽  
Betregiorgis Zegeye

Abstract Background Lack of exclusive breastfeeding during the first half-year of life is an important risk factor for childhood morbidity and mortality. Despite this, less than 40% of infants below 6 months are exclusively breastfed worldwide. This is because breastfeeding is declining and being replaced by formula feeding. Nowaday, formula feeding has become a more common practice in urban communities of developing countries. However, relatively little information is available regarding formula feeding practice and its associated factors in Ethiopia, particularly in Addis Ababa. Hence, this study was aimed at assessing the prevalence of formula feeding practice and its associated factors among mothers of an infant aged 0–6 months in Addis Ababa, Ethiopia. Methods A community-based cross-sectional study was conducted from April-1 to May 30/2020 among 494 mothers with infants 0–6 months of age. Data were collected using a pre-tested structured questionnaire. Data were entered and cleaned by using Epi data version 3.1 and analysed by SPSS software version 25. Then data were processed by using descriptive analysis, including frequency distribution, and summary measures. The degree of association was assessed using binary logistic regression analysis. P-value < 0.05 was considered statistically significant. Result The prevalence of formula feeding and pre-lacteal feeding practice was 46.2 and 34.4%, respectively. Educational status with a diploma and above (AOR = 3.09, 95%CI: 1.56–6.14), delivery by cesarean section (AOR = 6.13, 95%CI: 4.01–9.37), pre-lacteal feeding practice (AOR = 7.61, 95%CI: 4.11–11.06), and delayed initiation of breastfeeding (after 1 h to 1 day (AOR = 3.43, 95% CI: 1.59–7.40), after 1 day to 3 days (AOR = 3.71, 95% CI: 1.51–9.41), and after 3 days (AOR = 5.41, 95% CI: 2.15–13.60)) were significantly associated with formula feeding practice. Conclusions Nearly half of the participants were practiced formula-feeding for their infant. Educational status of mothers, the timing of initiation of breastfeeding, delivery by cesarean section, and pre-lacteal feeding practice were significantly associated with formula feeding practice. Therefore, early initiation of breastfeeding, educating mothers about the risks associated with pre-lacteal feeding, and supporting mothers who gave birth by cesarean section for exclusive breastfeeding should be encouraged at the community and institutional levels.


2019 ◽  
Author(s):  
Addisu belete Ferede ◽  
Gashaw Andargie Bikes ◽  
Tsgehana gebregyorgis Gebremichael

Abstract Abstract Objective : the aim of the study was to assess appropriate complementary feeding practices and associated factors among mothers with children of age 6 - 23 months in Faggeta-Lekoma District, Northwest Ethiopia. Result – A total of 593 study subjects were included in the study. The magnitude of appropriate complementary feeding practice was 10.6%. Majority (67.1%) of the mothers timely initiated complementary feeding at 6 months. About 60% of mothers fulfill the minimum meal frequency feeding to their children, the day preceding the survey. Only 12.3 % mothers offered four or more food groups to their child Mother’s education: high school and above [AOR=3.12(95%CI 1.43, 6.81)], postnatal care visit [AOR=5.30 (95%CI 2.69, 10.42)], Age of a child: 18-23 months [AOR=3.98 (95%CI 1.55, 10.22)] were significantly associated with appropriate complementary feeding practice. Keywords : appropriate Complementary feeding practice, Children aged 6–23 months, Ethiopia


2019 ◽  
Author(s):  
Addisu Belete Ferede ◽  
Gashaw Andargie Bikes ◽  
Tsgehana GebreGyorgis Gebremichael

Abstract Abstract Objective: the aim of the study was to assess appropriate complementary feeding practices and associated factors among mothers with children of age 6 - 23 months in Faggeta-Lekoma District, Northwest Ethiopia. Result – A total of 593 study subjects were included in the study. The magnitude of appropriate complementary feeding practice was 10.6%. Majority (67.1%) of the mothers timely initiated complementary feeding at 6 months. About 60% of mothers fulfill the minimum meal frequency feeding to their children, the day preceding the survey. Only 12.3 % mothers offered four or more food groups to their child Mother’s education: high school and above [AOR=3.12(95%CI 1.43, 6.81)], postnatal care visit [AOR=5.30 (95%CI 2.69, 10.42)], Age of a child: 18-23 months [AOR=3.98 (95%CI 1.55, 10.22)] were significantly associated with appropriate complementary feeding practice. Keywords: appropriate Complementary feeding practice, Children aged 6–23 months, Ethiopia


PLoS ONE ◽  
2021 ◽  
Vol 16 (7) ◽  
pp. e0254825
Author(s):  
Uday Narayan Yadav ◽  
Om Prakash Yadav ◽  
Devendra Raj Singh ◽  
Saruna Ghimire ◽  
Binod Rayamajhee ◽  
...  

Background Coronavirus disease 2019 (COVID-19) has affected all age groups worldwide, but older adults have been affected greatly with an increased risk of severe illness and mortality. Nepal is struggling with the COVID-19 pandemic. The normal life of older adults, one of the vulnerable populations to COVID-19 infection, has been primarily impacted. The current evidence shows that the COVID-19 virus strains are deadly, and non-compliance to standard protocols can have serious consequences, increasing fear among older adults. This study assessed the perceived fear of COVID-19 and associated factors among older adults in eastern Nepal. Methods A cross-sectional study was conducted between July and September 2020 among 847 older adults (≥60 years) residing in three districts of eastern Nepal. Perceived fear of COVID-19 was measured using the seven-item Fear of COVID-19 Scale (FCV-19S). Multivariate logistic regression identified the factors associated with COVID-19 fear. Results The mean score of the FCV-19S was 18.1 (SD = 5.2), and a sizeable proportion of older adults, ranging between 12%-34%, agreed with the seven items of the fear scale. Increasing age, Dalit ethnicity, remoteness to the health facility, and being concerned or overwhelmed with the COVID-19 were associated with greater fear of COVID-19. In contrast, preexisting health conditions were inversely associated with fear. Conclusion Greater fear of the COVID-19 among the older adults in eastern Nepal suggests that during unprecedented times such as the current pandemic, the psychological needs of older adults should be prioritized. Establishing and integrating community-level mental health support as a part of the COVID-19 preparedness and response plan might help to combat COVID-19 fear among them.


2021 ◽  
Author(s):  
Dejen Feleke ◽  
Abebu Yasin Tadesse ◽  
Ermias Sisay Chanie ◽  
Amare Kassaw Wolie ◽  
Sheganew Fetene Tassew ◽  
...  

Abstract Introduction: improving the infant and young child feeding practices in children aged 0-23months is critical. It is necessary to improved infant and young child health, nutrition, and development. Infant and under five mortality rate in Ethiopia are 43/1,000 and 55/1,000 live births respectively. Objective: To assess Initiation of CF practice and associated factors among mothers with children aged 6−23months.Methods: a multicenter Community based cross sectional study was conducted among 416 mother-infant pairs of 6-23 months in Meket Woreda, Northwest Ethiopia from March 20-June 30, 2020. Bivariate and multivariable logistic regeration model was fitted to identify factors associated CF Practice. P-value less than 0.05 considered as significance.Result: Among 416 mothers with children aged 6–23 months, 76.4% mothers started giving CF timely at recommended age of 6 month of child age. Advised About CF during ANC follow up [AOR=0.03; 95%CI: 0.003-0.356], Child delivered place at a health facility [AOR=0.07; 95%CI: 0.0-0.619], mothers take family planning [AOR= 0.049; 95%CI: 0.011-0.23], give additional diet the 1st 6month [AOR = 0.035; 95% CI: 0.009-0.137] and BF makes appearance [AOR = 0.064; 95% CI: 0.003-0.687] were found to be independent predictors of CF practice.Conclusion and Recommendation: About 23.6% of mothers were not initiated CF practice their children at recommended age of 6month. This would have negative implication on the health of infants and young children. Health professionals should focus on advising and counseling mothers on appropriate CF during prenatal, delivery, post natal, and immunization services.


2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Senait Gebreslasie Gebremeskel ◽  
Tesfay Tsegay Gebru ◽  
Selam Shushay Kassahun ◽  
Berhanu Gebresilassie Gebrehiwot

Background. Prelacteal feeding is an obstacle to optimal breastfeeding practices in developing countries. It directly or indirectly affects the health of the infants. Despite its importance, this issue has received little attention in Ethiopia. As a result, this study aimed to assess prelacteal feeding and associated factors among mothers of children aged less than 12 months in the rural eastern zone, Tigray, Ethiopia. Methods. Community-based cross-sectional study design was employed. The final sample size was 828, and the multistage sampling technique was used. Pretested and structured interviewer-administered tool was used for data collection. Data were entered, coded, and cleaned by Epi-Info version 7 and analyzed by using SPSS 22.0. Multivariable logistic regression was used to control the effect of confounding. Results. Eight hundred three mothers participated in this study. During the first three days after birth, 198 (24.7%) mothers practiced prelacteal feeding. Parity (AOR: 1.52, 95% CI: 1.04–2.23), late initiation of breastfeeding (AOR: 1.83, 95% CI: 1.30–2.59), and colostrum discard (AOR: 1.57, 95% CI: 1.06–2.33) were strongly associated with prelacteal feeding practice. Conclusion and Recommendation. One-fourth of participants practiced prelacteal feeding. Late initiation of breastfeeding, colostrum discard, and parity were significant determinants of prelacteal feeding. Awareness creation and health education concerning the advantages of early initiation of breastfeeding and the importance of colostrum during their health visits is necessary.


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