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Author Spotlight: Developing a Point-of-Care Hemoglobin Estimation Method for Anemia Management
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Anaemia prevalence and risk factors among children aged 6 to 23 months in rural China

L Zeng1, W Zeng1, Q Gao1

  • 1Center for Experimental Economics in Education, Shaanxi Normal University, Xi'an, China.

Hong Kong Medical Journal = Xianggang Yi Xue Za Zhi
|July 31, 2023
PubMed

Insights

Anaemia affects over 42% of young children in rural China, with infants 6-11 months most vulnerable. Continued breastfeeding and formula feeding are key risk factors for childhood anaemia.

Area of Science:

  • Pediatric Public Health
  • Nutritional Epidemiology
  • Childhood Nutrition

Background:

  • Anaemia is a significant global child health issue.
  • Limited data exists on anaemia prevalence and risk factors in young Chinese children from impoverished rural regions.
  • This study addresses this gap by examining children aged 6-23 months in China's Qinba Mountains area.

Purpose of the Study:

  • To determine the prevalence of anaemia among children aged 6 to 23 months in poor rural areas of China.
  • To identify the risk factors associated with anaemia in this specific population.
  • To inform public health strategies for anaemia prevention and control.

Main Methods:

  • A cross-sectional study involving 1132 children aged 6 to 23 months.
  • Haemoglobin levels assessed via finger prick blood tests.
  • Household surveys collected data on socio-demographics, illness, and feeding practices; regression analyses identified predictors.

Main Results:

  • Overall anaemia prevalence was 42.6%, with the highest rate (53.6%) in children aged 6-11 months.
  • Risk factors varied by age group, but continued breastfeeding and any history of formula feeding significantly impacted anaemia across all age groups (P<0.05).
  • Consumption of iron-rich or iron-fortified foods was also identified as a risk factor.

Conclusions:

  • Anaemia poses a substantial public health challenge for children under two in rural China.
  • Interventions should focus on promoting healthy feeding practices and improving nutritional knowledge.
  • Targeted nutrition improvement projects are crucial to alleviate the anaemia burden in this vulnerable population.
Abstract

Keywords:
AnaemiaChildHaemoglobinsIron

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