Intergenerational influences on childhood anaemia

Dados Bibliográficos

ID15535830
AutoresNkechi G Onyeneho (0000-0002-0001-3579, Harvard Global Health Institute, autor correspondente), Daniel J Corsi (0000-0001-7063-3354, Ottawa Hospital), Anura V Kurpad (0000-0001-7998-2438, St.John's Medical College Hospital), Anura Kurpad (Department of Physiology St. John's Medical College Bangalore India), V Subramanian (0000-0003-2365-4165, Harvard University), SV Subramanian (Department of Social and Behavioral Sciences Harvard TH Chan School of Public Health Boston Massachusetts)
Ano2018
Volume15
Fascículo2
Páginase12673-e12673
Data de publicação2018-09-12
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoMaternal and Child Nutrition (JOURNAL)
Identificadores do periódicoISSN: 1740-8695 • E-ISSN: 1740-8709
EditoraWiley (PUBLISHER • GB)
DOI10.1111/mcn.12673
PMID30207425
OpenAlexW2889633746
IdiomaEN
Citações recebidas1
Referências citadas45

Prior research on assessing intergenerational influences on child anaemia has largely approached it from purely maternal perspective. Although there is much merit to focus on that, it is an extremely limited/reductionist view of understanding intergenerational influences. We expanded the intergenerational influences to include the fathers and overall of intergenerational household transfers. We analysed a sample of 19,619 mother-father-offspring trios from the 2015-2016 Indian National Fertility and Health Survey with available data on haemoglobin (Hb). Multinomial logistic regression models were used to establish associations between parent anaemia, household characteristics, and categories of offspring anaemia. Maternal and paternal Hb was measured as in children using a finger prick blood sample. The primary outcome was child's Hb level (in g/dl) and grades of anaemia defined as mild (10-10.9 g/dl), moderate (7-9.9 g/dl), and severe (<7 g/dl). Mean Hb was 10.1 g/dl for children, 14.2 g/dl among fathers, and 11.4 g/dl among mothers. Hb correlation was 0.1 between fathers and offspring and 0.2 between mothers and offspring (P < 0.001 for all correlations). Maternal-paternal Hb correlations were consistent across quintiles of wealth index. Maternal anaemia was associated with odds ratio of 1.3 (95% CI [1.1, 1.4]) and 1.6 (95% CI [1.4, 1.7]) for childhood mild and moderate/severe anaemia, respectively. Paternal mild anaemia was associated with an odds ratio of 1.1 (95% CI [0.9, 1.4]) and 1.4 (95% CI [1.2, 1.7]) for child moderate/severe anaemia. The clustering of poor circumstances suggests that public health strategies target social deprivation at the household level. A comprehensive perspective will provide holistic interventions to control childhood anaemia

Environmental health · Fertility · Logistic regression · Multinomial logistic regression · Odds · Odds ratio · Offspring · Population · Pregnancy · Child Nutrition and Water Access · Demography · Hemoglobinopathies and Related Disorders · Iron Metabolism and Disorders · Medicine · Genetics · Internal Medicine · Pediatrics