The Main Risk Factors Related with Anemia among Preschool Children in Nasiriyah City

Faktor Risiko Utama yang Berhubungan dengan Anemia pada Anak Usia Prasekolah di Kota Nasiriyah

Authors

DOI:

https://doi.org/10.21070/ijhsm.v2i2.111

Keywords:

Anemia in Children, Iron Deficiency Anemia, Malnutrition, Chronic Infections

Abstract

Anemia is a common problem of public health which associated with an increased risk of morbidity and mortality especially in children of poor countries. This study aimed to determine the prevalence and factors that related with anemia in children at pre-school going age. The current study includes 90 children (48 male and 42 female). According to age, 60% of children were under 3 years old, the rest (40%) of children were between 3-6 years old. For male children aged 1-3 years, the hemoglobin level was 6.77 g/dL and 31.25%  of them had severe hemoglobin deficiency. As for females in the same age group, the hemoglobin level was 7.40 g/dL, but most of them ( 59.52% ) suffered from moderate anemia. Iron deficiency was found in 14.58 % of male and 23.81% of female, however thalassemia was diagnosed in 18.75 % and 14.29 %  of male and female, respectively with non-significant difference (P=0.50). In addition, 41.67% of the male children and 19.05% of the female children were malnourished. Diarrhea was common in both males and females where 39.59 % of males and 54.76% of females presented symptoms of diarrhea. In conclusion, the anemia in children under six years is complex, and highly associated with nutritional status, disease processes, and socio-economic status. If these causes are tackled through better nutrition, access to health and quality education anemia prevalence amongst this group might be greatly reduced.

Highlights:

  1. High Prevalence in Young Children – Anemia is common among preschool children, with those under three years old being the most affected.

  2. Nutritional Deficiencies & Health Conditions – Iron deficiency, thalassemia, malnutrition, and diarrhea contribute significantly to anemia in both male and female children.

  3. Need for Comprehensive Interventions – Addressing anemia requires improving nutrition, healthcare access, and socio-economic conditions to reduce its prevalence.

Keywords: Anemia in Children, Iron Deficiency Anemia, Malnutrition, Chronic Infections

References

[1] J. L. Smith and S. Brooker, "Impact of Hookworm Infection and Deworming on Anemia," PLoS Neglected Tropical Diseases, vol. 11, no. 6, p. e0006000, 2017.

[2] World Health Organization, Haemoglobin Concentrations for the Diagnosis of Anaemia and Assessment of Severity, WHO, 2011.

[3] Ministry of Health, Community Development, Gender, Elderly and Children (MoHCDGEC), Ministry of Health (MoH), National Bureau of Statistics (NBS), et al., Tanzania Demographic and Health Survey and Malaria Indicator Survey (TDHS-MIS) 2015-16, Dar es Salaam, Tanzania and Rockville, Maryland, USA, 2016.

[4] A. A. Hamad, H. M. Mustafa, and O. A. Mohsein, "Detection of the Levels of Immune Cytokines (IL-4, IL-5, TNF-α) in School-Age and Preschoolers with an Ascaris lumbricoides Infection," Journal of Parasitic Diseases, vol. 48, no. 1, pp. 1-6, 2024.

[5] P. A. Parbey, E. Tarkang, E. Manu, et al., "Risk Factors of Anaemia Among Children Under Five Years in the Hohoe Municipality, Ghana: A Case Control Study," Anemia, vol. 2019, p. 2139717, 2019.

[6] R. H. Simbauranga, E. Kamugisha, A. Hokororo, et al., "Prevalence and Factors Associated with Severe Anaemia Amongst Under-Five Children Hospitalized at Bugando Medical Centre, Mwanza, Tanzania," BMC Hematology, vol. 15, no. 1, p. 13, 2015.

[7] K. Takele, T. Zewotir, and D. Ndanguza, "Risk Factors of Morbidity Among Children Under Age Five in Ethiopia," BMC Public Health, vol. 19, no. 1, p. 942, 2019.

[8] J. E. Ewusie, C. Ahiadeke, J. Beyene, et al., "Prevalence of Anemia Among Under-5 Children in the Ghanaian Population: Estimates from the Ghana Demographic and Health Survey," BMC Public Health, vol. 14, no. 1, p. 626, 2014.

[9] World Health Organization, The Global Prevalence of Anemia in Children, WHO, 2021.

[10] N. J. White, et al., "Malaria," The Lancet, vol. 391, no. 10130, pp. 1608-1621, 2018.

[11] Z. Getaneh, B. Enawgaw, G. Engidaye, M. Seyoum, M. Berhane, Z. Abebe, et al., "Prevalence of Anemia and Associated Factors Among School Children in Gondar Town Public Primary Schools, Northwest Ethiopia: A School-Based Cross-Sectional Study," PLoS One, vol. 12, no. 12, p. e0190151, 2017.

[12] D. J. Weatherall, "The Inherited Diseases of Hemoglobin: An Expanding Global Health Problem," Blood, vol. 115, no. 22, pp. 4331-4336, 2020.

[13] UNICEF, State of the World’s Children: Nutrition, Health, and Anemia, UNICEF, 2020.

[14] World Health Organization, Accelerating Anaemia Reduction: A Comprehensive Framework for Action, WHO, 2023.

[15] J. J. Irwin and J. T. Kirchner, "Anemia in Children," American Family Physician, vol. 64, no. 8, 2001. [Online]. Available: http://www.aafp.org/afp. [Accessed: Aug. 22, 2010].

[16] J. K. Meinzen-Derr, M. L. Guerrero, M. Altaye, et al., "Risk of Infant Anemia is Associated with Exclusive Breast-Feeding and Maternal Anemia in a Mexican Cohort," Journal of Nutrition, vol. 136, no. 2, pp. 452–8, 2006.

[17] S. Buck, K. Rolnick, A. A. Nwaba, et al., "Longer Breastfeeding Associated with Childhood Anemia in Rural South-Eastern Nigeria," International Journal of Pediatrics, vol. 2019, p. 9457981, 2019.

[18] R. M. Burke, P. A. Rebolledo, A. M. Aceituno, et al., "Effect of Infant Feeding Practices on Iron Status in a Cohort Study of Bolivian Infants," BMC Pediatrics, vol. 18, no. 1, p. 107, 2018.

[19] I. B. Mboya, R. Mamseri, B. J. Leyaro, J. George, S. E. Msuya, and M. Mgongo, "Prevalence and Factors Associated with Anemia Among Children Under Five Years of Age in Rombo District, Kilimanjaro Region, Northern Tanzania," F1000Research, vol. 9, p. 1102, 2023.

[20] Pita, G. M., S. Jiménez, B. Basabe, et al., "Anemia in Children Under Five Years Old in Eastern Cuba, 2005-2011," MEDICC Review, vol. 16, no. 1, pp. 16–23, 2014.

[21] I. D. Legason, A. Atiku, R. Ssenyonga, et al., "Prevalence of Anaemia and Associated Risk Factors Among Children in North-Western Uganda: A Cross-Sectional Study," BMC Hematology, vol. 17, no. 1, p. 10, 2017.

[22] S. H. Mohammed, T. D. Habtewold, and A. Esmaillzadeh, "Household, Maternal, and Child-Related Determinants of Hemoglobin Levels of Ethiopian Children: Hierarchical Regression Analysis," BMC Pediatrics, vol. 19, no. 1, p. 113, 2019.

[23] R. A. Ahmed and I. M. Osman, "Clinical and Hematological Pattern of Chronic Lymphocytic Leukemia in Sudanese Patients," International Blood Research & Reviews, vol. 7, no. 1, pp. 1–10, 2017, doi: 10.9734/IBRR/2017/31359.

[24] P. A. Parbey, E. Tarkang, E. Manu, et al., "Risk Factors of Anaemia Among Children Under Five Years in the Hohoe Municipality, Ghana: A Case-Control Study," Anemia, vol. 2019, p. 2139717, 2019.

[25] S. Goswmai and K. K. Das, "Socio-Economic and Demographic Determinants of Childhood Anemia," Journal of Pediatrics (Rio J.), vol. 91, no. 5, pp. 471–477, 2015.

[26] O. Ngesa and H. Mwambi, "Prevalence and Risk Factors of Anaemia Among Children Aged Between 6 Months and 14 Years in Kenya," PLoS One, vol. 9, no. 11, p. e113756, 2014.

[27] J. R. Khan, N. Awan, and F. Misu, "Determinants of Anemia Among 6–59 Months Aged Children in Bangladesh: Evidence from Nationally Representative Data," BMC Pediatrics, vol. 16, no. 1, p. 3, 2016.

[28] D. Kejo, P. M. Petrucka, M. H. Martin, et al., "Prevalence and Predictors of Anemia Among Children Under 5 Years of Age in Arusha District, Tanzania," Pediatric Health, Medicine and Therapy, vol. 9, pp. 9–15, 2018.

[29] S. Buck, K. Rolnick, A. A. Nwaba, et al., "Longer Breastfeeding Associated With Childhood Anemia in Rural South-Eastern Nigeria," International Journal of Pediatrics, vol. 2019, p. 9457981, 2019.

[30] R. M. Burke, P. A. Rebolledo, A. M. Aceituno, et al., "Effect of Infant Feeding Practices on Iron Status in a Cohort Study of Bolivian Infants," BMC Pediatrics, vol. 18, no. 1, p. 107, 2018.

[31] A. Tekin and S. Ünal, "Iron Deficiency Anemia in Infancy, Childhood, and Adolescence," Turkish Archives of Pediatrics, vol. 58, no. 4, pp. 358-362, 2023.

[32] A. Aliyo and A. Jibril, "Anemia and Associated Factors Among Under Five-Year-Old Children Who Attended Bule Hora General Hospital in West Guji Zone, Southern Ethiopia," Journal of Blood Medicine, vol. 13, pp. 395–406, 2022.

[33] E. H. Siegel, R. J. Stoltzfus, S. K. Khatry, S. LeClerq, J. Katz, and J. M. Tielsch, "Epidemiology of Anemia Among 4- to 17-Month Children Living in South Central Nepal," European Journal of Clinical Nutrition, vol. 60, no. 2, pp. 228–235, 2006.

[34] A. Aliyo and A. Jibril, "Anemia and Associated Factors Among Under Five-Year-Old Children Who Attended Bule Hora General Hospital in West Guji Zone, Southern Ethiopia," Journal of Blood Medicine, vol. 13, pp. 395–406, 2022.

Downloads

Published

2025-03-06

How to Cite

Saadon, H. B. (2025). The Main Risk Factors Related with Anemia among Preschool Children in Nasiriyah City: Faktor Risiko Utama yang Berhubungan dengan Anemia pada Anak Usia Prasekolah di Kota Nasiriyah. Indonesian Journal on Health Science and Medicine, 2(2), 10.21070/ijhsm.v2i2.111. https://doi.org/10.21070/ijhsm.v2i2.111

Issue

Section

Articles