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Table 2 Bivariate associations between the predictors and childhood anemia (n = 167,017)

From: Factors associated with anemia among children in South and Southeast Asia: a multilevel analysis

 

Anemia status %[95% CI]

Study variables

Bangladesh

(DHS 2011)

Cambodia

(DHS 2014)

India

(NFHS 2016)

Maldives

(DHS 2016/17)

Myanmar

(DHS 2015)

Nepal

(DHS 2016)

SSEA

Pooled

Sample sizes (n)

n = 1,937

n = 3,310

n = 155,393

n = 1,696

n = 2,934

n = 1,747

n = 167,017

Overall prevalence

51

(48.4–53.6)

55.4

(53.1–57.7)

57.5

(57.1–57.9)

50.8

(47.6–53.9)

59

(56.6–61.3)

51.4

(48.4–54.3)

57.3

(56.9–57.7)

Mild anemia

29.7

(27.5–32.1)

29.23

(27.3–31.2)

27.8

(27.5–28.1)

29.3

(26.3–32.4)

31.8

(29.7–33.9)

25.9

(23.7–28.1)

27.9

(27.6–28.2)

Moderate anemia

20.6

(18.6–22.8)

25.8

(23.8–27.9)

28.2

(27.2–28.6)

20.9

(17.9–24.3)

26.7

(24.5–29)

25.1

(22.4–27.8)

27.9

(27.6–28.3)

Severe anemia

0.6

(0.3–1.1)

0.4

(0.2–0.6)

1.4

(1.3–1.5)

0.5

(0.2–1.3]

0.4

(0.2–0.7)

0.5

(0.2–0.9)

1.4

(1.3–1.5)

Individual-level factors

       

Child-level factors

       

Sex of child

       

Male

51.7

(48.1–55.3)

57.5*

(54.4–60.6)

57.4

(56.8–57.9)

54.4**

(50.4–58.2)

58.3

(55.1–61.4)

51.8

(48.1–55.5)

57.2

(56.7–57.7)

Female

50.2

(46.6–53.9)

53.2

(50.1–56.3)

57.7

(57.1–58.3)

46.7

(42.6–50.9)

59.6

(56.5–62.7)

51

(46.6–55.3)

57.4

(56.8–57.9)

Child age (months)

       

6–11

74.2***

(66.9–80.4)

78.1***

(72-83.2)

67.9***

(66.8–69)

66.2**

(55.6–75.3)

79.5***

(72.9–84.8)

69.1**

(60.7–76.3)

68.4***

(67.3–69.4)

12–23

68.3

(62.8–73.3)

73.3

(69.3–76.9)

69.6

(68.8–70.3)

53.6

(46.5–60.4)

77.2

(72.7–81.1)

66.1

(60.3–71.3)

69.6

(68.8–70.3)

24–35

46.6

(40.7–52.6)

49.5

(45.3–53.7)

61.1

(60.34-62.0)

51.5

(45-57.9)

59.1

(53.9–64.1)

52.5

(46.9–58.1)

60.5

(59.7–61.3)

36–47

43.1

(38.2–48)

45.2

(40.6–49.9)

51.1

(50.3–51.9)

51.4

(45.9–57)

50.1

(45.7–54.4)

41.2

(35.7–46.8)

50.8

(50-51.5)

48–59

36.8

(31.8–42.2)

40.1

(35.3–44.9)

44.0

(43.2–44.8)

40.3

(45.9–57)

42.8

(37.9–47.8)

36.9

(31.2–42.3)

43.7

(42.9–44.5)

Recent fever

       

No

47.5

(44.1–50.9)

53**

(50.2–55.8)

57.1***

(56.6–57.3)

48.9

(45.9–52)

58*

(55.4–60.5)

50.4

(47.2–53.7)

56.8***

(56.4–57.2)

Yes

56.66

(52.6–60.6)

61.1

(57.3–64.8)

60.5

(59.5–61.4)

56.6

(48.6–64.2)

63.6

(58.3–68.5)

54.4

(48.7–60)

60.3

(59.4–61.1)

Recent diarrhea

       

No

51.1**

(48.3–53.8)

54**

(51.5–56.4)

56.9***

(56.4–57.3)

50.6

(47.5–53.8)

58.9*

(56.3–61.4)

51.5

(48.6–54.4)

56.7***

(56.2–57.1)

Yes

49.8

(38.3–61.3)

65.3

(58.8–71.3)

63.9

(62.7–65.1)

52.9

(37.3–68)

59.5

(52.4–66.2)

48.9

(37.5–60.5)

63.5

(62.4–64.7)

Children stunted

       

Not stunted

48.8*

(45.6–52.0)

52.6**

(49.9–55.4)

53.9***

(53.4–54.5)

50.7

(47.3–54.1)

58.8

(56.1–61.5)

49.1*

(45.3–52.8)

53.8***

(53.3–54.3)

Stunted

53.3

(48.9–57.6)

60.6

(56.9–64.1)

63.1

(62.5–63.7)

50

(41.5–58.5)

59.1

(54.9–63.2)

55.4

(50.7–60.1)

62.7

(62.2–63.3)

Children underweight

       

Not underweight

51.4

(48.1–54.6)

53.52**

(51-55.9)

54.7***

(54.2–55.2)

50.6

(47.3–54)

58.1

(55.3–60.7)

48.2**

(44.7–51.7)

54.6***

(54.1–55.1)

Underweight

49.5

(45.1–53.9)

60.7

(56.3–65.1)

62.6

(61.9–63.2)

53.1

(43.8–62.1)

62.5

(57.6–67.1)

59.5

(54.6–64.3)

62.3

(61.7–62.9)

Children wasted

       

Not wasted

50.9

(48-53.7)

54.3**

(52-56.7)

56.7***

(56.2–57.2)

50.5

(47.2–53.8)

58.5

(56.1–61)

49.6***

(46.6–52.7)

56.5***

(56.1–56.9)

Wasted

49.6

(43.5–55.8)

64.6

(57.6–71.1)

60.7

(59.8–61.5)

51.6

(40.6–62.4)

63.7

(55.1–71.5)

68.1

(60-75.1)

60.6

(59.7–61.5)

Mothers and household-level factors

       

Mothers age (years)

       

15–24

54.2*

(50.2–58.1)

62.1**

(57.9–66)

61.37***

(60.6-62.05)

54.1

(46-62.1)

67.1**

(62.1–71.6)

55*

(50.8–59.1)

61.1***

(60.5–61.8)

25–34

47.8

(44.1–51.5)

53

(49.8–56.1)

55.9

(55.3–56.4)

50.9

(46.9–54.8)

57.4

(54.1–60.6)

49.9

(46.1–53.6)

55.6

(55.1–56.1)

35–49

49.1

(41.3–56.8)

53.4

(48.5–58.3)

54.6

(53.5–55.8)

48.8

(42.1–55.6)

57.3

(53.2–61.4)

44.8

(35.9–54.1)

54.4

(53.4–55.5)

Mothers education level

       

No education

52.1

(45.9–58.1)

55.3*

(49.1–61.3)

64.4***

(63.7–65)

38.6

(18.9–62.8)

53.6*

(48-59.2)

56.3*

(51.5–60.9)

64***

(63.3–64.6)

Primary

52.3

(47.9–56.5)

58

(55.1–60.8)

59.6

(58.6–60.5)

44.9

(39.1–50.9)

60.9

(57.2–64.4)

53.2

(47.1–59.2)

59.1

(58.2–59.9)

Secondary or above

49.8

(46.2–53.4)

51.1

(47.2–55)

53.7

(53.1–54.3)

52.4

(48.9–55.9)

58.6

(54.8–62.2)

47.1

(42.9–51.4)

53.6

(53.1–54.1)

Wealth quintile

       

Poorest

55.8**

(50.2–61.1)

63.1***

(58.4–67.5)

63.5***

(62.8–64.1)

45.2**

(40.9–49.5)

59.8*

(55.4–64)

48.9**

(43.3–54.6)

63.1***

(62.4–63.7)

Poor

57.8

(52.2–63.2)

60.6

(55.7–65.3)

58.9

(58.1–59.6)

48.1

(42.9–53.2)

59.5

(54.8–64)

47.8

(41.8–53.9)

58.7

(58-59.4)

Middle

52.8

(47.3–58.4)

54

(48.8–59.1)

58.1

(57.2–58.9)

45.8

(39.9–49.8)

59.8

(54.2–65.3)

60.1

(54.4–65.5)

57.8

(57.1–58.6)

Richer

44.1

(38.6–49.6)

53.9

(48.8–58.9)

53.1

(52.1–54.2)

55.1

(44.2–65.4)

53.9

(48.3–59.4)

56.3

(49.8–62.6)

53.1

(52.1–54.1)

Richest

43

(37.3–48.9)

43

(38.4–47.7)

51.3

(50.1–52.6)

78

(61-88.9)

61.7

(55.4–67.7)

39.2

(32.1–46.7)

51.2

(50-52.4)

Maternal anemia

       

Not anemic

43.8***

(40.5–47.1)

49.2***

(46.4–52.1)

49.5***

(48.9–50.1)

43.2**

(38.9–47.6)

53***

(49.8–56.1)

43.1***

(39.1–46.6)

49.3***

(48.8–49.9)

Anemic

60.5

(56.9–64.1)

63.1

(59.7–66.3)

63.7

(63.2–64.3)

55.4

(51.2–59.6)

67

(63.6–70.2)

61.8

(57.7–65.7)

63.6

(63.1–64.2)

Community-level factors

       

Place of residence

       

Urban

45.8*

(41.2–50.5)

42.8***

(38.3–47.5)

54.8***

(53.8–55.8)

65.9**

(56.1–74.5)

60.6

(55,8-65.3)

48.1*

(44.2–51.9)

54.6***

(53.7–55.6)

Rural

52.5

(49.4–55.6)

57.5

(54.9–60)

58.6

(58.2–59.1)

45.5

(42.9–48.2)

58.5

(55.7–61.2)

55.2

(50.8–59.6)

58.4

(58-58.8)

Community maternal anemia a

       

Low

44.2***

(40.7–47.8)

49.7***

(46.4–52.9)

50.4***

(49.8–51.1)

44.6**

(40.2–49.1)

54.5**

(50.9–58.1)

42.6***

(38.8–46.5)

50.3***

(49.7–50.9)

High

57.3

(53.7–60.9)

60.6

(57.3–63.7)

63.7

(63.1–64.3)

56.9

(52.1–61.5)

63

(59.8–66.1)

60.2

(56.2–64.1)

63.5

(63-64.1)

Community parity b

       

Low

48.6**

(45.5–51.6)

54.1

(51.2–57.1)

55.4***

(54.8–55.9)

52.6

(48.5–56.6)

58.4*

(55.5–61.2)

48.6**

(44.8–52.4)

55.3***

(54.8–55.8)

High

55.8

(50.9–60.6)

57.7

(53.9–61.4)

61.8

(61.2–62.5)

46.5

(41.5–52.1)

60.2

(55.5–64.7)

55.5

(51–60)

61.5

(60.9–62.1)

Community wealth c

       

Low

47.1**

(43.5–50.7)

49.4***

(46.2–52.5)

54.8***

(54.2–55.5)

54.9**

(50.1–59.9)

58.2*

(54.8–61.4)

53.9**

(50.2–57.6)

54.8***

(54.1–55.4)

High

54.8

(51.1–58.6)

62.1

(58.8–65.1)

60.3

(59.8–60.8)

44.8

(41-48.72)

59.7

(56.1–63.3)

47.3

(42.6–52.1)

60.1

(59.6–60.6)

Community female education d

       

Low

53.3

(49.3–57.3)

57.5*

(54.6–60.4)

62.7***

(62.2–63.3)

46.6*

(41.3–52)

59.5*

(56.2–62.4)

56.5**

(52.4–60.6)

62.3***

(61.8–62.8)

High

49.1

(45.6–52.6)

51.9

(47.9–55.9)

52.9

(52.3–53.3)

53.5

(49.5–57.4)

58.3

(54.6–61.8)

45.9

(41.9–50)

52.9

(52.3–53.5)

Community safe water access e

       

Low

53.6

(45.9–61.3)

-

57.5

(57.1–58.1)

58.3**

(52.1–64.2)

61.5

(57.4–65.4)

53.3**

(49.8–56.9)

57.6

(56.8–58.3)

High

50.7

(47.9–53.5)

-

57.4

(56.5–57.8)

45.1

(42.1–48.2)

57.3

(54.2–60.3)

46.3

(41.2–51.6)

57.4

(56.9–57.9)

Community toilet facility f

       

Low

51.1

(47.5–54.6)

59.8**

(56.6–63.2)

60.6***

(60.1–61.1)

52.2

(39.1–65.1)

59.5

(56.2–62.7)

56.8**

(51.5–61.9)

60.6***

(60.1–61.1)

High

50.9

(47-54.9)

50.5

(47.3–53.7)

54.4

(53.7–55.1)

50.7

(47.4–54)

58.3

(54.6–61.9)

48.3

(44.6–52)

54.3

(53.7–54.9)

  1. Frequency (n) are unweighted; percentage (%) are weighted, SSEA: South and Southeast Asia; *p < 0.05, **p < 0.01, ***p < 0.001; a mean percent of women with Hb levels less than 12 g/dL; bmean percent of women with fertility rate of 5 children and above; cmean percent of households wealth quintiles categorized richer and richest and above; dmean percent of women with primary education level and above; emean percent of households with access to the improved water source; fmean percent of household with access to an improved toilet facility