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Intergenerational influences on childhood anaemia.
Nkechi G Onyeneho1,2, Daniel J Corsi3, Anura Kurpad4
1Department of Global Health and Population, Harvard TH Chan School of Public Health, Takemi Program in International Health, Boston, Massachusetts.
Maternal & Child Nutrition
|September 13, 2018
Summary
This study reveals that both maternal and paternal anaemia significantly impact child anaemia, highlighting the need to consider household factors beyond just mothers. Interventions should address broader social determinants for effective childhood anaemia control.
Area of Science:
- Public Health
- Genetics and Heredity
- Pediatrics
Background:
- Childhood anaemia is a significant global health issue, often studied through maternal influences.
- Previous research has predominantly focused on maternal factors, offering a limited perspective on intergenerational anaemia transmission.
- Intergenerational influences on child health are complex and extend beyond maternal health.
Purpose of the Study:
- To investigate the intergenerational influences of both maternal and paternal anaemia on childhood anaemia.
- To analyze the role of household transfers and characteristics in childhood anaemia.
- To provide a more holistic understanding of factors contributing to childhood anaemia.
Main Methods:
- Analysis of 19,619 mother-father-offspring trios from the 2015-2016 Indian National Fertility and Health Survey.
- Utilized multinomial logistic regression models to assess associations between parental anaemia, household factors, and offspring anaemia.
- Measured haemoglobin (Hb) levels in children, mothers, and fathers using finger prick blood samples.
Main Results:
- Maternal anaemia showed significant associations with mild (OR 1.3) and moderate/severe (OR 1.6) childhood anaemia.
- Paternal mild anaemia was associated with moderate/severe childhood anaemia (OR 1.4).
- Identified correlations between parental and offspring Hb levels (0.1 for fathers, 0.2 for mothers).
Conclusions:
- Childhood anaemia is influenced by both maternal and paternal anaemia, necessitating a broader family-centered approach.
- Household characteristics and social deprivation play a crucial role in childhood anaemia.
- Public health strategies should adopt a comprehensive perspective, addressing social determinants at the household level for effective anaemia interventions.
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