Determinants of normal haemoglobin concentration among children in Ghana: a positive deviance analysis of nationally representative cross-sectional survey data

作者: Dickson A. Amugsi

DOI: 10.1101/19010769

关键词: PovertyPositive devianceDemographyNormal haemoglobinWealth indexOddsMedicineAttendanceCross-sectional studyPublic health

摘要: Anaemia among children under 5, is a public health problem of serious concern. In Ghana, 8 out every 10 are anaemic. This study employed novel approach to investigate the determinants normal haemoglobin (Hb) concentration aged 6 59 months, using data from Ghana Demographic and Health Surveys. The results showed that year change in maternal education was positively associated with Hb concentration. Children non-anaemic mothers were 1.67 (CI=1.32, 2.10; P<.001) times more likely have relative anaemic mothers. Compared who had less than 4 antenatal care (ANC) visits, at least ANC visits increased odds their having by 1.62 (CI=1.09, 2.40; P<.018). living middle rich households respectively 1.48 (CI=1.06, 2.07; p<.021) 1.59 (CI=1.08, 2.33; p<.018) those poor households. Maternal education, anaemia, attendance, household wealth index strong Ghana. Strategies aimed addressing childhood anaemia should take into account poverty attendance.

参考文章(32)
Mansour M, LeVine Ra, Ghassemi H, Zeitlin M, Sockalingam S, Dillanueva M, Carballo M, Positive deviance in child nutrition -- with emphasis on psychosocial and behavioural aspects and implications for development. Tokyo Japan United Nations University 1990.. ,(1990)
Mirian R Baião, Ronir R Luiz, Gloria V da Veiga, Marta M A S Santos, Rosa M L Semedo, Prevalence of anaemia and associated factors among children below five years of age in Cape Verde, West Africa Journal of Health Population and Nutrition. ,vol. 32, pp. 646- 657 ,(2014) , 10.3329/JHPN.V32I4.3021
Saskia de Pee, Martin W. Bloem, Mayang Sari, Lynnda Kiess, Ray Yip, Soewarta Kosen, The high prevalence of low hemoglobin concentration among Indonesian infants aged 3-5 months is related to maternal anemia. Journal of Nutrition. ,vol. 132, pp. 2215- 2221 ,(2002) , 10.1093/JN/132.8.2215
Dickson Abanimi Amugsi, Maurice B Mittelmark, Abraham Oduro, None, Association between Maternal and Child Dietary Diversity: An Analysis of the Ghana Demographic and Health Survey PLOS ONE. ,vol. 10, pp. e0136748- ,(2015) , 10.1371/JOURNAL.PONE.0136748
Hyeon-Jeong Choi, Hye-Ja Lee, Han Byul Jang, Ju Yeon Park, Jae-Heon Kang, Kyung-Hee Park, Jihyun Song, Effects of maternal education on diet, anemia, and iron deficiency in Korean school-aged children. BMC Public Health. ,vol. 11, pp. 870- 870 ,(2011) , 10.1186/1471-2458-11-870
S.-R. Pasricha, J. Black, S. Muthayya, A. Shet, V. Bhat, S. Nagaraj, N. S. Prashanth, H. Sudarshan, B.-A. Biggs, A. S. Shet, Determinants of anemia among young children in rural India Pediatrics. ,vol. 126, ,(2010) , 10.1542/PEDS.2009-3108
Michael H Boyle, Yvonne Racine, Katholiki Georgiades, Dana Snelling, Sungjin Hong, Walter Omariba, Patricia Hurley, Purnima Rao-Melacini, None, The influence of economic development level, household wealth and maternal education on child health in the developing world Social Science & Medicine. ,vol. 63, pp. 2242- 2254 ,(2006) , 10.1016/J.SOCSCIMED.2006.04.034
Purnima Menon, Patrice L. Engle, Lawrence James Haddad, Care and Nutrition: Concepts and Measurement ,(1997)
Joycelyne E Ewusie, Clement Ahiadeke, Joseph Beyene, Jemila S Hamid, Prevalence of anemia among under-5 children in the Ghanaian population: estimates from the Ghana demographic and health survey BMC Public Health. ,vol. 14, pp. 626- 626 ,(2014) , 10.1186/1471-2458-14-626
Kathryn Bolles, Catherine Speraw, Gretchen Berggren, Jack Guy Lafontant, Ti Foyer (Hearth) community-based nutrition activities informed by the positive deviance approach in Leogane, Haiti: a programmatic description. Food and Nutrition Bulletin. ,vol. 23, pp. 9- 15 ,(2002) , 10.1177/15648265020234S203