Differences in factors associated with anemia in Haitian children from urban and rural areas.
Differences in factors associated with anemia in Haitian children from urban and rural areas.
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DOI：
10.1371/journal.pone.0247975
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发表时间：
2021
期刊：
影响因子：
3.7
通讯作者：
Iannotti LL
中科院分区：
文献类型：
--
作者：
Palacios AM;Freeland-Graves JH;Dulience SJ;Delnatus JR;Iannotti LL
In Haiti, differences in the prevalence of anemia between urban and rural areas have been observed. To identify moderating factors that may help explain the difference in the prevalence of anemia in children from poor urban vs. rural areas of Haiti. This 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. In 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, ( = 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. In 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.
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影响因子：
168.9
作者：
Adair, Linda S.;Fall, Caroline H. D.;Osmond, Clive;Stein, Aryeh D.;Martorell, Reynaldo;Ramirez-Zea, Manuel;Sachdev, Harshpal Singh;Dahly, Darren L.;Bas, Isabelita;Norris, Shane A.;Micklesfield, Lisa;Hallal, Pedro;Victora, Cesar G.
通讯作者：
Victora, Cesar G.
影响因子：
1.7
作者：
Heard, Holly E.
通讯作者：
Heard, Holly E.
影响因子：
3.3
作者：
Iannotti, Lora L.;Delnatus, Jacques R.;Wolff, Patricia B.
通讯作者：
Wolff, Patricia B.
影响因子：
1.9
作者：
Akram, Raisul;Sultana, Marufa;Sarker, Abdur Razzaque
通讯作者：
Sarker, Abdur Razzaque
影响因子：
1.9
作者：
Heidkamp, Rebecca A.;Ngnie-Teta, Ismael;Pierre, Joseline Marhone
通讯作者：
Pierre, Joseline Marhone