Anemia among children and adolescents in a rural area
Journal Title: Paediatrica Indonesiana - Year 2014, Vol 54, Issue 2
Abstract
Background Anemia in children and adolescents affects growthand development. It is a preventable disease, but unfortunately isoften ignored until the symptoms occur. There have been limitedreports on the prevalence of anemia in children and adolescentsin Indonesia, especially from rural areas.Objective To describe the prevalence of anemia in children andadolescents in district ofMalinau, a rural area in East KalimantanProvince.Methods This cross-sectional study was done in June 20 10 usinglaboratory records between July 2009 to January 20 10. Laboratoryrecords of patients aged between 6 months and 18 years whichinvestigated were complete blood count (CBC) from ambulatory,inpatient, and emergency care ofMalinau Public Hospital in EastKalimantan. Mentzer and England & Fraser indices were used todifferentiate iron deficiency anemia (IDA) and thalassemia amongmicrocytic hypochromic anemic patients.Results This study involved 709 laboratory records. Prevalenceof anemia was 53 .9% (95% CI 50.2% to 57 .5%) . The prevalenceof IDA among age groups were as follows: 29.4% (95% CI 24.3to 34.5%) in 6- 59 months group, 16% (95% CI 11 to 21 %) in5- 11.9 years, and 15.2% (95% CI 10.2 to 20.2%) in 12- 18 years.Children aged 6- 59 months tended to have more anemia th anthose aged 5- 11.9 years (OR 2. 184, 95% CI 1.398 to 3.413) oraged 12- 18 years (OR 2.3 19, 95% CI 1.464 to 3.674).Conclusion T he prevalence of an emia in children andadolescents of the Malinau Regency is 53 .9% (95% CI 50.2 to57.5%), quite similar to that of other developing countries . Agovernment program to overcome anemia is recommended, n otonly for pregnant women, but also for children and adolescents.
Authors and Affiliations
Ivan Widjaja, Felix Widjaja, Lucyana Santoso, Erick Wonggokusuma, Oktaviati Oktaviati
Correlation between non-exclusive breastfeeding and low birth weight to stunting in children
Background Indonesia is ranked fifth in the world for the problem of stunting. Stunting in children under the age of five requires special attention, due to its inhibiting effect on children’s physical and mental develop...
Glycated hemoglobin HbA1c, waist circumference, and waist-to-height ratio in overweight and obese adolescents
Background Central obesity has been associated with a high risk of insulin resistance. Waist circumference and waist-to-height ratio are anthropometric indices for determining central obesity and have been associated wit...
Soil-transmitted helminth infection and skin prick test reactivity in children
Background Allergic diseases cause an increasingly largeburden in developed countries and in urban areas of middleincomecountries . Paras itic infections may induce allergicresponses in humans, particularly soil-transmit...
Gross motor dysfunction as a risk factor for aspiration pneumonia in children with cerebral palsy
Background Respiratory problems, such as aspiration pneumonia, are major causes of morbidity and mortality in children with cerebral palsy (CP) and greatly affect the quality of life of these children. Nevertheless, ther...
The immunogenicity and safety of the new, Indonesian DTwP-HB-Hib vaccine compared to the DTwP/HB vaccine given with the Hib vaccine
Background Haemophilus influenzae type b (Hib) causes infection with predominant manifestations of pneumonia, meningitis, and other invasive diseases, occurring primarily in children aged under 2 years, particularly in i...