Factors associated with anemia in refugee children
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Updated: Oct 31, 2026

A Point-of-Care Method with Integrated Decision Support Tool to Estimate Anemia at Population Level
Published on: January 19, 2024
K Hassan1, K M Sullivan, R Yip
1Adolescent Health, Grady Health System, Atlanta, GA 30322, USA.
Insights
Childhood anemia is prevalent in Palestinian refugee camps, affecting 67% of children under three. Factors like poor socioeconomic status, lack of breastfeeding, and recent illnesses contribute to this widespread anemia.
Area of Science:
- Pediatric Nutrition
- Public Health
- Hematology
Background:
- Anemia is a significant global health issue, particularly affecting young children.
- Palestinian refugee populations face unique challenges impacting child health and nutrition.
Purpose of the Study:
- To assess the prevalence of anemia in young children (6-35 months) residing in Palestinian refugee camps.
- To identify factors associated with anemia in this vulnerable population.
Main Methods:
- A nutrition survey was conducted in 1990 across Palestinian refugee camps in Syria, Jordan, the West Bank, and Lebanon.
- Logistic regression analysis was used to determine factors associated with anemia, considering age groups and geographical location.
Main Results:
- Overall anemia prevalence was 67%, with significant regional variations (54% in West Bank to 75% in Syria).
- Key associated factors included living in Syria, Lebanon, or Gaza; never being breast-fed; male sex; maternal illiteracy; recent fever or diarrhea; and stunting.
- Interactions between illness and stunting were observed, indicating heightened anemia risk in stunted children experiencing recent illnesses.
Conclusions:
- Early childhood anemia is strongly linked to indicators of poor socioeconomic status and recent infectious illnesses within Palestinian refugee camps.
- Interventions should address nutritional status, socioeconomic factors, and healthcare access to combat anemia in these communities.
Abstract:
A nutrition survey was performed in 1990 among children 6 through 35 mo of age living in Palestinian refugee camps in Syria, Jordan, the West Bank, Gaza Strip and Lebanon. Overall, 67% [95% confidence interval (CI): 66, 68] were anemic (hemoglobin <110 g/L), ranging from 54% in the West Bank to 75% in Syria. The following factors were significantly associated with anemia in one or more of three age groups (6-11.9, 12-23.9 and 24-35.9 mo) by logistic regression: living in Syria, Lebanon, or Gaza [with prevalence odds ratios (POR) in the range of 1.4-2.6 depending on the age group and area, relative to children living in Jordan]; never having been breast-fed (POR = 1.7); male sex (POR = 1.2); maternal illiteracy (POR = 1.4 relative to those with >/=6 y of education); having a recent (within 2 wk) or current episode of fever or diarrhea; and stunting. Recent or current illness and stunting interacted in two age groups with the general trend of stunted children with recent or current illness having high POR. Early childhood anemia is associated with factors reflecting poor socioeconomic status and recent diarrheal and febrile illnesses in Palestinian refugee camps.
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