Determinants of anemia in pre-school children in the occupied Palestinian territory

S Halileh1, N H Gordon

  • 1Institute of Community and Public Health, Birzeit University, West Bank, Occupied Palestinian Territory Department of Bioethics, Case Western Reserve University, Cleveland, Ohio, USA. Samia@birzeit.edu

Insights

Anemia in Palestinian preschool children is linked to reduced income, lower iron intake, and stunting. The Gaza Strip shows higher anemia rates than the West Bank, highlighting regional disparities in child health.

Area of Science:

  • Pediatric Nutrition
  • Public Health
  • Epidemiology

Background:

  • Anemia is a significant global child health issue, particularly in developing regions.
  • The occupied Palestinian territory faces unique socioeconomic and health challenges.
  • Identifying anemia determinants is crucial for targeted interventions in preschool children.

Purpose of the Study:

  • To analyze the determinants of anemia in preschool children (6-59 months) in the occupied Palestinian territory.
  • To identify high-risk groups for anemia intervention.
  • To examine the impact of the uprising on child anemia and related factors.

Main Methods:

  • Cross-sectional survey of 3331 randomly selected preschool children.
  • Data collection included blood samples for anemia (Hb <11 g/dl) and 24 variables (family, housing, maternal/child characteristics, income, food intake).
  • Multivariate analysis to identify independent risk factors for anemia.

Main Results:

  • Anemia was independently associated with reduced income, decreased iron intake, infrequent gastrointestinal infections, stunting, and current breastfeeding status.
  • The Gaza Strip had a higher prevalence of anemia in children aged 6-35 months compared to the West Bank.
  • Regional disparities in anemia prevalence were observed.

Conclusions:

  • Socioeconomic factors like income reduction and nutritional status (iron intake, stunting) are key determinants of anemia in preschool children.
  • Geographic location (Gaza Strip vs. West Bank) is an independent risk factor for anemia.
  • Interventions should address nutritional deficiencies, socioeconomic factors, and regional health disparities to combat childhood anemia.

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