Cargando…
Prevalence of anemia and its associated factors among children aged 6–59 months in the Lao People’s Democratic Republic: A multilevel analysis
Anemia is a major public health concern among children aged <5 years in the Lao People’s Democratic Republic. Thus far, no study has determined the factors associated with anemia among children aged <5 years in the Lao People’s Democratic Republic using a nationwide representative sample. Ther...
Autores principales: | , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7993607/ https://www.ncbi.nlm.nih.gov/pubmed/33765048 http://dx.doi.org/10.1371/journal.pone.0248969 |
_version_ | 1783669589688713216 |
---|---|
author | Keokenchanh, Sengtavanh Kounnavong, Sengchanh Midorikawa, Kaoru Ikeda, Wakaha Morita, Akemi Kitajima, Takumi Sokejima, Shigeru |
author_facet | Keokenchanh, Sengtavanh Kounnavong, Sengchanh Midorikawa, Kaoru Ikeda, Wakaha Morita, Akemi Kitajima, Takumi Sokejima, Shigeru |
author_sort | Keokenchanh, Sengtavanh |
collection | PubMed |
description | Anemia is a major public health concern among children aged <5 years in the Lao People’s Democratic Republic. Thus far, no study has determined the factors associated with anemia among children aged <5 years in the Lao People’s Democratic Republic using a nationwide representative sample. Therefore, this study aimed to evaluate the prevalence of anemia and its associated factors with multilevel variations among children aged 6–59 months. This quantitative, cross-sectional study used a nationally representative sample from the Lao Social Indicator Survey II, 2017. Children aged 6–59 months tested for anemia were included in this study through multistage sampling approaches. Anemia was defined as a hemoglobin level of <11.0 g/dL. Multilevel binary logistic regression analyses were used to determine the adjusted effect of the factors associated with anemia. Among the 5,087 children included, the overall prevalence of anemia was 43.0%. Three factors were associated with higher odds of developing anemia—male sex (adjusted odds ratio, 1.16; 95% confidence interval, 1.01–1.34), underweight (adjusted odds ratio, 1.30; 95% confidence interval, 1.09–1.55), and residence in central provinces (adjusted odds ratio, 1.59; 95% confidence interval, 1.30–1.95) and southern provinces (adjusted odds ratio, 1.42; 95% confidence interval, 1.11–1.81). However, the other three factors—age, educational level of the household head, and Hmong-Mien ethnicity—were inversely associated with anemia. To resolve the problem regarding the severity of the anemia among children aged <5 years in the Lao People’s Democratic Republic. Our findings highlight the need for designing an effective approach to address each factor associated with childhood anemia. Interventions should focus on the prevention of childhood anemia, which is considered a major priority of public health intervention in the Lao People’s Democratic Republic. |
format | Online Article Text |
id | pubmed-7993607 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-79936072021-04-05 Prevalence of anemia and its associated factors among children aged 6–59 months in the Lao People’s Democratic Republic: A multilevel analysis Keokenchanh, Sengtavanh Kounnavong, Sengchanh Midorikawa, Kaoru Ikeda, Wakaha Morita, Akemi Kitajima, Takumi Sokejima, Shigeru PLoS One Research Article Anemia is a major public health concern among children aged <5 years in the Lao People’s Democratic Republic. Thus far, no study has determined the factors associated with anemia among children aged <5 years in the Lao People’s Democratic Republic using a nationwide representative sample. Therefore, this study aimed to evaluate the prevalence of anemia and its associated factors with multilevel variations among children aged 6–59 months. This quantitative, cross-sectional study used a nationally representative sample from the Lao Social Indicator Survey II, 2017. Children aged 6–59 months tested for anemia were included in this study through multistage sampling approaches. Anemia was defined as a hemoglobin level of <11.0 g/dL. Multilevel binary logistic regression analyses were used to determine the adjusted effect of the factors associated with anemia. Among the 5,087 children included, the overall prevalence of anemia was 43.0%. Three factors were associated with higher odds of developing anemia—male sex (adjusted odds ratio, 1.16; 95% confidence interval, 1.01–1.34), underweight (adjusted odds ratio, 1.30; 95% confidence interval, 1.09–1.55), and residence in central provinces (adjusted odds ratio, 1.59; 95% confidence interval, 1.30–1.95) and southern provinces (adjusted odds ratio, 1.42; 95% confidence interval, 1.11–1.81). However, the other three factors—age, educational level of the household head, and Hmong-Mien ethnicity—were inversely associated with anemia. To resolve the problem regarding the severity of the anemia among children aged <5 years in the Lao People’s Democratic Republic. Our findings highlight the need for designing an effective approach to address each factor associated with childhood anemia. Interventions should focus on the prevention of childhood anemia, which is considered a major priority of public health intervention in the Lao People’s Democratic Republic. Public Library of Science 2021-03-25 /pmc/articles/PMC7993607/ /pubmed/33765048 http://dx.doi.org/10.1371/journal.pone.0248969 Text en © 2021 Keokenchanh et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article Keokenchanh, Sengtavanh Kounnavong, Sengchanh Midorikawa, Kaoru Ikeda, Wakaha Morita, Akemi Kitajima, Takumi Sokejima, Shigeru Prevalence of anemia and its associated factors among children aged 6–59 months in the Lao People’s Democratic Republic: A multilevel analysis |
title | Prevalence of anemia and its associated factors among children aged 6–59 months in the Lao People’s Democratic Republic: A multilevel analysis |
title_full | Prevalence of anemia and its associated factors among children aged 6–59 months in the Lao People’s Democratic Republic: A multilevel analysis |
title_fullStr | Prevalence of anemia and its associated factors among children aged 6–59 months in the Lao People’s Democratic Republic: A multilevel analysis |
title_full_unstemmed | Prevalence of anemia and its associated factors among children aged 6–59 months in the Lao People’s Democratic Republic: A multilevel analysis |
title_short | Prevalence of anemia and its associated factors among children aged 6–59 months in the Lao People’s Democratic Republic: A multilevel analysis |
title_sort | prevalence of anemia and its associated factors among children aged 6–59 months in the lao people’s democratic republic: a multilevel analysis |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7993607/ https://www.ncbi.nlm.nih.gov/pubmed/33765048 http://dx.doi.org/10.1371/journal.pone.0248969 |
work_keys_str_mv | AT keokenchanhsengtavanh prevalenceofanemiaanditsassociatedfactorsamongchildrenaged659monthsinthelaopeoplesdemocraticrepublicamultilevelanalysis AT kounnavongsengchanh prevalenceofanemiaanditsassociatedfactorsamongchildrenaged659monthsinthelaopeoplesdemocraticrepublicamultilevelanalysis AT midorikawakaoru prevalenceofanemiaanditsassociatedfactorsamongchildrenaged659monthsinthelaopeoplesdemocraticrepublicamultilevelanalysis AT ikedawakaha prevalenceofanemiaanditsassociatedfactorsamongchildrenaged659monthsinthelaopeoplesdemocraticrepublicamultilevelanalysis AT moritaakemi prevalenceofanemiaanditsassociatedfactorsamongchildrenaged659monthsinthelaopeoplesdemocraticrepublicamultilevelanalysis AT kitajimatakumi prevalenceofanemiaanditsassociatedfactorsamongchildrenaged659monthsinthelaopeoplesdemocraticrepublicamultilevelanalysis AT sokejimashigeru prevalenceofanemiaanditsassociatedfactorsamongchildrenaged659monthsinthelaopeoplesdemocraticrepublicamultilevelanalysis |