Predictors of anemia among Haitian children aged 6 to 59 months and women of childbearing age and their implications for programming

Rebecca Anne Heidkamp, Ismael Ngnie-Teta, Mohamed Ag Ayoya, Rebecca J. Stoltzfus, Aissa Mamadoultaibou, Emmanuela Blain Durandisse, Joseline Marhone Pierre

Research output: Contribution to journalArticle

Abstract

Background. The Haitian National Nutrition Policy prioritizes prevention and treatment of anemia among mothers and young children, but there are few available data to support planning for scale-up of anemia interventions. Objective. To describe the prevalence and predictors of anemia among Haitian women (15 to 49 years) and children (6 to 59 months) and to draw implications for national nutrition programming. Methods. Descriptive and univariate analyses and multivariate logistic regression models were performed using data from the nationally representative Haitian Demographic Health Survey 2005/06. Results. The prevalence of mild (hemoglobin 11.0 to 11.9 g/dL), moderate (hemoglobin 8.0 to 10.9 g/dL), and severe (hemoglobin <8.0 g/dL) anemia was 19.2%, 21.7%, and 4.4%, respectively, among women aged 15 to 49 years and 22.9%, 33.9%. and 2.2% among children aged 6 to 59 months. Unexpectedly, anemia was more prevalent in urban women (54.4 %) and children (65.1%) than in rural women (43.1%, p <.001) and children (55.7%, p = .004). In multivariate regression models, factors associated with anemia among urban women (birth spacing, p = .027; overweight BMI, p <.001; education level, p = .022) were different fromthose in rural women (wealth quintile, p <.05; employment, p = .003). Anemia in urban and rural children aged 6 to 59 months increased with child age (p <.05) and maternal anemia status (p = .004; p <.001). Female sex (p = .007) and maternal overweight (p = .009) were associated with reduced risk of anemia in rural children only. Conclusions. Anemia among Haitian young children and women of childbearing age is a severe public health problem. The findings suggest the need for contextspecific rural and urban strategies, reinforcement of anemia prevention in health services reaching women of childbearing age, and targeted interventions for young children.

Original languageEnglish (US)
Pages (from-to)462-479
Number of pages18
JournalFood and Nutrition Bulletin
Volume34
Issue number4
StatePublished - Dec 2013

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childbearing
anemia
Anemia
programming
hemoglobin
rural women
Hemoglobins
Mothers
nutrition policy
nutrition
Women's Health Services
woman
regression
Logistic Models
only child
Birth Intervals
demographic survey
Nutrition Policy
health survey
educational status

Keywords

  • Anemia
  • Children
  • Demographic Health Survey
  • Haiti
  • Women

ASJC Scopus subject areas

  • Geography, Planning and Development
  • Nutrition and Dietetics
  • Food Science

Cite this

Heidkamp, R. A., Ngnie-Teta, I., Ayoya, M. A., Stoltzfus, R. J., Mamadoultaibou, A., Durandisse, E. B., & Pierre, J. M. (2013). Predictors of anemia among Haitian children aged 6 to 59 months and women of childbearing age and their implications for programming. Food and Nutrition Bulletin, 34(4), 462-479.

Predictors of anemia among Haitian children aged 6 to 59 months and women of childbearing age and their implications for programming. / Heidkamp, Rebecca Anne; Ngnie-Teta, Ismael; Ayoya, Mohamed Ag; Stoltzfus, Rebecca J.; Mamadoultaibou, Aissa; Durandisse, Emmanuela Blain; Pierre, Joseline Marhone.

In: Food and Nutrition Bulletin, Vol. 34, No. 4, 12.2013, p. 462-479.

Research output: Contribution to journalArticle

Heidkamp, RA, Ngnie-Teta, I, Ayoya, MA, Stoltzfus, RJ, Mamadoultaibou, A, Durandisse, EB & Pierre, JM 2013, 'Predictors of anemia among Haitian children aged 6 to 59 months and women of childbearing age and their implications for programming', Food and Nutrition Bulletin, vol. 34, no. 4, pp. 462-479.
Heidkamp, Rebecca Anne ; Ngnie-Teta, Ismael ; Ayoya, Mohamed Ag ; Stoltzfus, Rebecca J. ; Mamadoultaibou, Aissa ; Durandisse, Emmanuela Blain ; Pierre, Joseline Marhone. / Predictors of anemia among Haitian children aged 6 to 59 months and women of childbearing age and their implications for programming. In: Food and Nutrition Bulletin. 2013 ; Vol. 34, No. 4. pp. 462-479.
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abstract = "Background. The Haitian National Nutrition Policy prioritizes prevention and treatment of anemia among mothers and young children, but there are few available data to support planning for scale-up of anemia interventions. Objective. To describe the prevalence and predictors of anemia among Haitian women (15 to 49 years) and children (6 to 59 months) and to draw implications for national nutrition programming. Methods. Descriptive and univariate analyses and multivariate logistic regression models were performed using data from the nationally representative Haitian Demographic Health Survey 2005/06. Results. The prevalence of mild (hemoglobin 11.0 to 11.9 g/dL), moderate (hemoglobin 8.0 to 10.9 g/dL), and severe (hemoglobin <8.0 g/dL) anemia was 19.2{\%}, 21.7{\%}, and 4.4{\%}, respectively, among women aged 15 to 49 years and 22.9{\%}, 33.9{\%}. and 2.2{\%} among children aged 6 to 59 months. Unexpectedly, anemia was more prevalent in urban women (54.4 {\%}) and children (65.1{\%}) than in rural women (43.1{\%}, p <.001) and children (55.7{\%}, p = .004). In multivariate regression models, factors associated with anemia among urban women (birth spacing, p = .027; overweight BMI, p <.001; education level, p = .022) were different fromthose in rural women (wealth quintile, p <.05; employment, p = .003). Anemia in urban and rural children aged 6 to 59 months increased with child age (p <.05) and maternal anemia status (p = .004; p <.001). Female sex (p = .007) and maternal overweight (p = .009) were associated with reduced risk of anemia in rural children only. Conclusions. Anemia among Haitian young children and women of childbearing age is a severe public health problem. The findings suggest the need for contextspecific rural and urban strategies, reinforcement of anemia prevention in health services reaching women of childbearing age, and targeted interventions for young children.",
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AU - Ngnie-Teta, Ismael

AU - Ayoya, Mohamed Ag

AU - Stoltzfus, Rebecca J.

AU - Mamadoultaibou, Aissa

AU - Durandisse, Emmanuela Blain

AU - Pierre, Joseline Marhone

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N2 - Background. The Haitian National Nutrition Policy prioritizes prevention and treatment of anemia among mothers and young children, but there are few available data to support planning for scale-up of anemia interventions. Objective. To describe the prevalence and predictors of anemia among Haitian women (15 to 49 years) and children (6 to 59 months) and to draw implications for national nutrition programming. Methods. Descriptive and univariate analyses and multivariate logistic regression models were performed using data from the nationally representative Haitian Demographic Health Survey 2005/06. Results. The prevalence of mild (hemoglobin 11.0 to 11.9 g/dL), moderate (hemoglobin 8.0 to 10.9 g/dL), and severe (hemoglobin <8.0 g/dL) anemia was 19.2%, 21.7%, and 4.4%, respectively, among women aged 15 to 49 years and 22.9%, 33.9%. and 2.2% among children aged 6 to 59 months. Unexpectedly, anemia was more prevalent in urban women (54.4 %) and children (65.1%) than in rural women (43.1%, p <.001) and children (55.7%, p = .004). In multivariate regression models, factors associated with anemia among urban women (birth spacing, p = .027; overweight BMI, p <.001; education level, p = .022) were different fromthose in rural women (wealth quintile, p <.05; employment, p = .003). Anemia in urban and rural children aged 6 to 59 months increased with child age (p <.05) and maternal anemia status (p = .004; p <.001). Female sex (p = .007) and maternal overweight (p = .009) were associated with reduced risk of anemia in rural children only. Conclusions. Anemia among Haitian young children and women of childbearing age is a severe public health problem. The findings suggest the need for contextspecific rural and urban strategies, reinforcement of anemia prevention in health services reaching women of childbearing age, and targeted interventions for young children.

AB - Background. The Haitian National Nutrition Policy prioritizes prevention and treatment of anemia among mothers and young children, but there are few available data to support planning for scale-up of anemia interventions. Objective. To describe the prevalence and predictors of anemia among Haitian women (15 to 49 years) and children (6 to 59 months) and to draw implications for national nutrition programming. Methods. Descriptive and univariate analyses and multivariate logistic regression models were performed using data from the nationally representative Haitian Demographic Health Survey 2005/06. Results. The prevalence of mild (hemoglobin 11.0 to 11.9 g/dL), moderate (hemoglobin 8.0 to 10.9 g/dL), and severe (hemoglobin <8.0 g/dL) anemia was 19.2%, 21.7%, and 4.4%, respectively, among women aged 15 to 49 years and 22.9%, 33.9%. and 2.2% among children aged 6 to 59 months. Unexpectedly, anemia was more prevalent in urban women (54.4 %) and children (65.1%) than in rural women (43.1%, p <.001) and children (55.7%, p = .004). In multivariate regression models, factors associated with anemia among urban women (birth spacing, p = .027; overweight BMI, p <.001; education level, p = .022) were different fromthose in rural women (wealth quintile, p <.05; employment, p = .003). Anemia in urban and rural children aged 6 to 59 months increased with child age (p <.05) and maternal anemia status (p = .004; p <.001). Female sex (p = .007) and maternal overweight (p = .009) were associated with reduced risk of anemia in rural children only. Conclusions. Anemia among Haitian young children and women of childbearing age is a severe public health problem. The findings suggest the need for contextspecific rural and urban strategies, reinforcement of anemia prevention in health services reaching women of childbearing age, and targeted interventions for young children.

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KW - Children

KW - Demographic Health Survey

KW - Haiti

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