Association of household environment and prevalence of anemia among children under-5 in India.
Association of household environment and prevalence of anemia among children under-5 in India.
复制标题
印度5岁以下儿童的家庭环境协会和贫血的患病率。
DOI：
10.3389/fpubh.2014.00196
复制
发表时间：
2014
影响因子：
5.2
通讯作者：
Roy N
中科院分区：
文献类型：
--
作者：
Baranwal A;Baranwal A;Roy N
目的：本研究探讨了家庭环境与印度5岁以下儿童贫血患病率之间的关系。数据和方法：该研究基于52,868名5岁以下儿童，包括在印度国家家庭健康调查3中。结果变量是贫血的患病率。为了了解环境在决定儿童贫血中的作用，应用了由环境、儿童、社会经济和媒体暴露变量组成的逐步逻辑回归模型。结果：与印度所有其他地区相比，东北部和东部地区的儿童贫血发生率较高。不清洁的燃料使用，简陋的厕所设施，居住在非混凝土房屋中，暴露于吸烟是决定贫血患病率的重要变量。当吸烟仅受社会经济因素控制时，它对贫血的影响较小，但当它与社会经济、儿童和媒体变量一起调整时，它显示出重要的影响，因为它增加了贫血的风险。结论：5岁以下儿童一般呆在家中，对家庭环境的接触较多。因此，在这些儿童中，有多种危险因素导致贫血和营养缺乏。需要更多的资源来教育公众并提高对改善个人卫生、环境卫生和住房设施、保健和营养等方面的认识。在实施更广泛的计划以管理5岁以下儿童的营养缺乏症和贫血症的同时，还应该对贫血症的控制采取综合措施，包括家庭环境条件和社会经济决定因素。
Objective: The study explores the association between the household environment and the prevalence of anemia among children under the age of 5 years in India. Data and methodology: The study is based on 52,868 children under the age of 5 years, included in India’s National Family Health Survey-3. The outcome variable was the prevalence of anemia. To understand the role of environment in determining child anemia, step wise logistic regression models consisting of environmental, child, socio-economic, and media exposure variables were applied. Results: The occurrence of childhood anemia was higher in the North Eastern and Eastern regions compared to all other regions of India. Unclean fuel use, poor toilet facilities, staying in non-concrete house, exposure to smoking were important variables determining the prevalence of anemia. Smoking, when it was controlled with only socio economic factors, showed lesser impact on anemia, but when it got adjusted with socio-economic, child, and media variables together it showed an important impact as it increased the risk of anemia. Conclusion: Children under 5 years of age generally stay inside their house and are more exposed to the household environment. Thus, among these children there are multiple risk factors causing anemia along with the nutritional deficiencies. Better resources are needed to educate the public and to increase awareness for improved hygiene, sanitation and housing facilities, health and nutrition, etc. Along with a wider program to manage nutritional deficiency, anemia in children <5 years, there should be a holistic approach toward anemia control inculcating household environmental conditions and socio economic determinants.