Multilevel Analysis of the Effects of Individual-and Community-Level Factors on Childhood Anemia, Severe Anemia, and Hemoglobin Concentration in Malawi

Type Journal Article - Journal of Tropical Pediatrics
Title Multilevel Analysis of the Effects of Individual-and Community-Level Factors on Childhood Anemia, Severe Anemia, and Hemoglobin Concentration in Malawi
Author(s)
Publication (Day/Month/Year) 2017
URL https://academic.oup.com/tropej/article-abstract/doi/10.1093/tropej/fmx059/4049586/Multilevel-Analys​is-of-the-Effects-of-Individual?redirectedFrom=fulltext
Abstract
Background: The purpose of this article was to examine individual- and community-level factors associated with childhood anemia, severe anemia, and hemoglobin (Hb) concentration in Malawi.
Methods: Using data from the 2010 Malawi demographic and health survey (MDHS), the multilevel regression models were constructed to analyze 2597 children aged 6–59 months living in 849 communities.
Results: The results showed that both childhood anemia and severe anemia were negatively associated with child’s age, no fever in the previous 2 weeks and height-for-age, and positively associated with residing in poor household. Childhood anemia was negatively associated with community female education. Child’s age, no fever in the previous 2 weeks and maternal Hb levels were positively associated with child Hb concentration, while residing in poorest households was negatively associated with children’s Hb concentration.
Conclusion: Comprehensive public health strategies aimed at reducing childhood anemia need to focus more on the significant characteristics addressed in this study.

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