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Determinants of anemia in pre-school children in the occupied Palestinian territory
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.
Abstract:
This paper presents the main findings of an analysis linking the dependent variable - anemia in pre-school children - to its determinants, to identify priority groups for action. The study was a cross sectional survey of randomly selected pre-school children 6-59 months (n = 3331) in the occupied Palestinian territory during the current uprising. Anemia (Hb <11 g/dl) in children was determined by a blood sample. Other indicators were examined; 24 variables related to the family, housing, maternal and child characteristics, in addition to changes in income and food intake that occurred during the uprising. Multivariate analysis revealed that anemia was independently related to reduction in income, iron intake, infrequent gastrointestinal infections, stunting and current breast feeding status. In addition, region was an independent risk factor for anemia - in the West Bank there were fewer anemic children in the age group 6-35 months compared to children from the same age group living in the Gaza Strip.
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