Maternal education and risk of iron deficiency anemia in children under 5 years of age
DOI:
https://doi.org/10.59736/IJP.24.03.1090Keywords:
Iron Deficiency Anemia, Maternal Education, Preschool Children, Malnutrition, Socioeconomic StatusAbstract
Background: Iron deficiency anemia (IDA) is a common public health issue in young children, especially in low- and middle-income countries. There is growing evidence of the impact of maternal education on child health, nutrition and health seeking behaviour. Low maternal education can contribute to childhood IDA.
Methods: This cross-sectional analytical study was conducted at the Department of Pediatric Medicine, SKBZ, CMH, Muzaffarabad from 21-06-2024 to 30-06-2025, including 124 patients between the ages of 6-59 months. A proforma was used to record socioeconomic, demographic and clinical information. Education level of mother was classified as educated and non-educated. Anemia was measured from blood samples. Data were entered into SPSS version 27.0, and binary logistic regression was performed.
Results: Among 124 children aged 6–59 months, 33.9% had iron deficiency anemia (IDA). IDA was significantly more common among children of mothers with no formal education than among those with educated mothers (51.4% vs. 27.0%; p=0.010). Cow’s milk consumption (45.3% vs. 21.7%; p=0.005) and malnutrition (45.5% vs. 24.6%; p=0.015) were also significantly associated with IDA. In the combined multivariable logistic regression model, maternal education (AOR=3.72, 95% CI: 1.53–9.06; p=0.004) and malnutrition (AOR=3.20, 95% CI: 1.40–7.33; p=0.006) remained independently associated with higher odds of IDA.
Conclusion: Iron deficiency anemia (IDA) in children under 5 is strongly associated with maternal education and malnutrition. Education and nutrition of mothers may reduce IDA.
References
Means RT. Iron deficiency and iron deficiency anemia: implications and impact in pregnancy, fetal development, and early childhood parameters. Nutrients. 2020;12(2):447.
DOI: https://doi.org/10.3390/nu12020447
Rodrigues Junior JI, Mecenas VG, de Oliveira Lima M, Menezes RC, Oliveira PM, Longo-Silva G. Association between iron deficiency anemia and sleep duration in the first year of life. Revista Paulista de Pediatria. 2024;42: e2022173. DOI:https://doi.org/10.1590/1984-0462/2024/42/2022173
Davidson EM, Simpson JA, Fowkes FJ. The interplay between maternal–infant anemia and iron deficiency. Nutrition Rev. 2023;81(4):480-91.
DOI: https://doi.org/10.1093/nutrit/nuac066
Zheng J, Liu J, Yang W. Association of iron-deficiency anemia and non-iron-deficiency anemia with neurobehavioral development in children aged 6–24 months. Nutrients. 2021;13(10):3423. DOI: https://doi.org/10.3390/nu13103423
Ali M, Amin MR, Jarl J, Chisholm N, Saha S. Maternal health status and household food security on determining childhood anemia in Bangladesh-a nationwide cross-sectional study. BMC public health. 2021;21(1):1581. DOI:10.1186/s12889-021-11581-3
Al-Suhiemat AA, Shudifat RM, Obeidat H. Maternal level of education and nutritional practices regarding iron deficiency anemia among preschoolers in Jordan. J Pediatr Nurs. 2020;5:3139.DOI:https://doi.org/10.1016/j.pedn.2020.08.019
Wirawan F, Nurrika D. Maternal pre-pregnancy anemia and childhood anemia in Indonesia: a risk assessment using a population-based prospective longitudinal study. Epidemiol Health. 2022;44: e2022100. DOI: 10.4178/epih.e2022100
Endris BS, Dinant GJ, Gebreyesus SH, Spigt M. Risk factors of anemia among preschool children in Ethiopia: a Bayesian geo-statistical model. BMC nutrition. 2022;8(1):2-10. DOI: https://doi.org/10.1186/s40795-021-00495-3
Samararathna R, Gunaratne AV, Mettananda S. Knowledge and practices on childhood anaemia, thalassaemia and iron deficiency among mothers of children aged between 6 and 59 months in a suburban area of Sri Lanka. J Health Population Nutrition. 2022;41(1):59. DOI:https://doi.org/10.1186/s41043-022-00341-7
Buyinza F, Muhammod A. Mothers’ education and childhood anaemia in Uganda.South Afr. 2024;41(2):427-45.
Gedfie S, Getawa S, Melku M. Prevalence and Associated Factors of Iron Deficiency and Iron Deficiency Anemia Among Under-5 Children: A Systematic Review and Meta-Analysis. Glob Pediatr Health. 2022; 9:2333794X221110860.
Doi: 10.1177/2333794X221110860.
Habib A, Kureishy S, Soofi S, Hussain I, Rizvi A, Ahmed I, et al. Prevalence and risk factors for iron deficiency anemia among children under five and women of reproductive age in Pakistan: findings from the national nutrition survey 2018. Nutrients. 2023;15(15):3361.
doi.org/10.3390/nu15153361
Moscheo C, Licciardello M, Samperi P, La Spina M, Russo G. New Insights into Iron DeficiencyAnemia in Children: A Practical Review.Metabolites. 2022;12(4):289.
doi: 10.3390/metabo12040289.
Kajoba D, Egesa WI, Muyombya S, Ortiz YA, Nduwimana M, Ndeezi G. Prevalence and factors associated with iron deficiency anaemia among children aged 6‐23 months in Southwestern Uganda. Int J Pediatr.2024;2024(1):6663774.doi.org/10.1155/2024/6663774
Chandran V, Kirby RS. An analysis of maternal, social and household factors associated with childhood anemia. Int J EnvironRes Public Health. 2021;18(6):3105.
Chouraqui JP. Dietary approaches to iron deficiency prevention in childhood—a critical public health issue. Nutrients. 2022;14(8):1604. doi: 10.3390/nu14081604
Adhikari B, Neupane B, Rice J, Jha N, Dahal K, Sapkota PM, et al. Determinants of coexistence of undernutrition and anemia among children aged 6–59 months in Nepal: Evidence from the 2022 Nepal Demographic and Health Survey. PLoS One.2026;21(1): e0339985.
doi.org/10.1371/journal.pone.0339985
Liu Y, Ren W, Wang S, Xiang M, Zhang S, Zhang F. Global burden of anemia and cause among children under five years 1990–2019: findings from the global burden of disease study 2019. Front Nutr. 2024; 11:1474664.
doi:10.3389/fnut.2024.1474664.
Oktarina C, Dilantika C, Sitorus NL, Basrowi RW. Relationship between iron deficiency anemia and stunting in pediatric populations in developing countries: a systematic review and meta-analysis. Children. 2024;11(10):1268.
doi.org/10.3390/children11101268
SaengnipanthkulS,SirikarnP,Musikaboonleart S, Tran LC, Puwanant M. Prevalence and associated factors of at risk of anemia among children under five in Northeast Thailand using noninvasive hemoglobin screening in a cross sectional study. Sci Rep. 2025;15(1):23215.
doi.org/10.1038/s41598-025-05550-8
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