Prevalence and risk factors of anemia among children aged 6–23 months in Huaihua, Hunan Province

BACKGROUND: Anemia is one of the most common diseases of childhood and is a health problem globally, particularly in developing counties and in children less than 2 years of age. Anemia during childhood has short- and long-term effects on health. However, few studies have investigated the prevalence of anemia among children in Huaihua. Therefore, this study analyzed the prevalence and risk factors of anemia among children 6 to 23 months of age in Huaihua. METHODS: This cross-sectional study was conducted at a maternal and child health care hospital in Huaihua, from September to November 2017. The study population recruited using a multistage sampling technique. A structured questionnaire was used to collect data on the characteristics of the children and members of their families. Hemoglobin (Hb) levels were measured by using a microchemical reaction method. Logistic regression analysis was used to identify associated factors and odds ratio with 95% CI was computed to assess the strength of association. RESULTS: In total, 4450 children were included in this study. The prevalence of anemia was 29.73%. In multivariate logistic regression analysis, the results show that mother and father of Miao ethnicity (OR = 1.23 and 1.31), diarrhea in the previous 2 weeks (OR = 1.35), breastfeeding in the prior 24 h (OR = 1.50), and caregivers able to identify the optimum timing of complementary feeding (OR = 1.15) had positive correlations with anemia. However, children aged 18 to 23 months (OR = 0.55), father of Dong ethnicity (OR = 0.82), addition of milk powder once or twice (OR = 0.71), addition of infant formula once or twice, three times, and four or more times in the previous 24 h (OR = 0.72, 0.70, and 0.75), and addition of a nutrient sachet four or more times in the prior week (OR = 0.70) were negatively associated with anemia. CONCLUSIONS: The prevalence of anemia among children 6 to 23 months of age in Huaihua was higher than that in more developed regions of China. The feeding practice of caregivers was associated with anemia. nutrition improvement projects are needed to reduce the burden of anemia among children in Huaihua.