Anemia and iron deficiency among schoolchildren in the Western Brazilian Amazon: prevalence and associated factors

Author(s)

Teresa Gontijo de Castro ^[1] ; Mônica Silva-Nunes ^[2] ; Wolney Lisboa Conde ^[3] ; Pascoal Torres Muniz ^[4] ; Marly Augusto Cardoso ^[5]

Affiliation

^[1] Universidade Federal de Minas Gerais. Escola de Enfermagem - Brasil

^[2] Universidade Federal do Acre. Centro de Ciências da Saúde e Desporto - Brasil

^[3] Universidade de São Paulo. Faculdade de Saúde Pública - Brasil

^[4] Universidade Federal do Acre. Centro de Ciências da Saúde e Desporto - Brasil

^[5] Universidade de São Paulo. Faculdade de Saúde Pública - Brasil

• Document type: Journal article
• Source: Cadernos de Saúde Pública; v. 27, n. 1, p. 131-142, 2011-01-00.

Abstract

This cross-sectional population-based study investigated prevalence rates and associated factors for anemia, iron deficiency anemia, and iron deficiency among children 6 to 60 months of age in two towns in Acre State, Brazil (N = 624). Hemoglobin, plasma ferritin, and soluble transferrin receptor were measured in venous blood samples. Socioeconomic, demographic, and disease data were obtained using a questionnaire. Prevalence ratios were calculated by Poisson regression in a hierarchical model. Prevalence rates for anemia, iron deficiency anemia, and iron deficiency were 30.6%, 20.9%, and 43.5%, respectively. Children younger than 24 months showed higher risk of anemia, iron deficiency anemia, and iron deficiency. The highest family income tertile was a protective factor against iron deficiency anemia (PR: 0.62; 95%CI: 0.40-0.98). The highest height-for-age quartile was protective against anemia (0.62; 0.44-0.86) and iron deficiency anemia (0.51; 0.33-0.79), and recent history of diarrhea was associated with increased risk of anemia (1.47; 1.12-1.92) and iron deficiency anemia (1.44; 1.03-2.01). Geohelminth infection was associated with increased risk of anemia, iron deficiency anemia, and iron deficiency. (AU)