Kelley M VanBuskirk1, Anthony Ofosu2, Amy Kennedy3, Donna M Denno4. 1. Policy Planning Monitoring and Evaluation Division, Ghana Health Service, Accra, GhanaSchool of Medicine, University of Washington, Seattle, WA 98195, USADepartments of Pediatrics and Global Health, University of Washington, Seattle, WA 98115, USA. 2. Policy Planning Monitoring and Evaluation Division, Ghana Health Service, Accra, Ghana. 3. School of Medicine, University of Washington, Seattle, WA 98195, USA. 4. Departments of Pediatrics and Global Health, University of Washington, Seattle, WA 98115, USA ddenno@uw.edu.
Abstract
OBJECTIVE: To assess anemia prevalence and identify associated parameters in children <3 years of age in a rural area of Ghana. METHOD: Univariate and multivariate logistic regression of cross-sectional survey results from 861 children aged <3 years attending routine immunization services in Berekum district. RESULTS: Anemia prevalence was 73.1%; most were either mildly (31.2%) or moderately (38.7%) affected. Risk factors for anemia (hemoglobin < 11.0 g/dl) in multivariate analysis were malaria parasitemia and male sex; these factors and younger age were associated with anemia severity. A partial defect in glucose-6-phosphate dehydrogenase was associated with decreased severity. Height-for-age, but not weight-for-age, was associated with anemia and its severity. CONCLUSIONS: Malaria parasitemia was strongly associated with anemia and its severity, suggesting that malaria control may be the most effective way to reduce the burden of anemia in rural Ghanaian children.
OBJECTIVE: To assess anemia prevalence and identify associated parameters in children <3 years of age in a rural area of Ghana. METHOD: Univariate and multivariate logistic regression of cross-sectional survey results from 861 children aged <3 years attending routine immunization services in Berekum district. RESULTS:Anemia prevalence was 73.1%; most were either mildly (31.2%) or moderately (38.7%) affected. Risk factors for anemia (hemoglobin < 11.0 g/dl) in multivariate analysis were malaria parasitemia and male sex; these factors and younger age were associated with anemia severity. A partial defect in glucose-6-phosphate dehydrogenase was associated with decreased severity. Height-for-age, but not weight-for-age, was associated with anemia and its severity. CONCLUSIONS:Malaria parasitemia was strongly associated with anemia and its severity, suggesting that malaria control may be the most effective way to reduce the burden of anemia in rural Ghanaian children.
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