High-risk fertility behaviour and childhood anaemia in sub-Saharan Africa.

Okyere, J; Aboagye, RG; Ahinkorah, BO; Seidu, A-A; Ameyaw, EK; Budu, E; Zegeye, B; Yaya, S

High-risk fertility behaviour and childhood anaemia in sub-Saharan Africa.

Okyere, J Aboagye, RG Ahinkorah, BO Seidu, A-A Ameyaw, EK Budu, E Zegeye, B Yaya, S

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Publisher:: BMJ Journals
Publication Type:: Journal Article
Citation:: BMJ Open, 2022, 12, (5), pp. 1-9
Issue Date:: 2022-05-11

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Field	Value	Language
dc.contributor.author	Okyere, J
dc.contributor.author	Aboagye, RG
dc.contributor.author	Ahinkorah, BO
dc.contributor.author	Seidu, A-A
dc.contributor.author	Ameyaw, EK
dc.contributor.author	Budu, E
dc.contributor.author	Zegeye, B
dc.contributor.author	Yaya, S
dc.date.accessioned	2022-11-09T04:08:24Z
dc.date.available	2022-11-09T04:08:24Z
dc.date.issued	2022-05-11
dc.identifier.citation	BMJ Open, 2022, 12, (5), pp. 1-9
dc.identifier.issn	2044-6055
dc.identifier.issn	2044-6055
dc.identifier.uri	http://hdl.handle.net/10453/163368
dc.description.abstract	OBJECTIVE: This study sought to examine the association between high-risk fertility behaviour and childhood anaemia in sub-Saharan Africa . DESIGN: An analytical study was conducted using cross-sectional data from mothers with children under age 5 (n=64 512) from 28 sub-Saharan African countries. Multilevel logistic regression models were fitted to examine the association between high-risk fertility behaviour and childhood anaemia. The results were presented using adjusted odds ratios (aORs) with 95% confidence interval (CI). SETTING: Twenty-eight sub-Saharan African countries. OUTCOME MEASURE: Childhood anaemia. RESULTS: The percentage of children with anaemia in the 28 countries was 66.7%. We found that age more than 34 at delivery and short birth interval had significant associations with childhood anaemia. Children of mothers whose most recent delivery occurred after 34 years were less likely to be anaemic compared with those whose most recent delivery occurred before age 34 (aOR=0.89; 95% CI 0.83 to 0.95). We found that children born to mothers with short birth intervals were more likely to be anaemic, compared with those with long birth intervals (aOR=1.08; 95% CI 1.01 to 1.16). CONCLUSIONS: We, therefore, draw the attention of policy makers and programme implementers to invest in policies and programmes aimed at combating childhood anaemia in sub-Saharan Africa to focus on the population at risk, that is, women whose most recent delivery occurred at younger ages and those with short birth intervals. Encouraging contraceptive use and creating awareness about the importance of birth spacing among reproductive-age women would be more helpful.
dc.format	Electronic
dc.language	eng
dc.publisher	BMJ Journals
dc.relation.ispartof	BMJ Open
dc.relation.isbasedon	10.1136/bmjopen-2021-051921
dc.rights	info:eu-repo/semantics/openAccess
dc.subject	1103 Clinical Sciences, 1117 Public Health and Health Services, 1199 Other Medical and Health Sciences
dc.subject.mesh	Adult
dc.subject.mesh	Africa South of the Sahara
dc.subject.mesh	Anemia
dc.subject.mesh	Child
dc.subject.mesh	Child, Preschool
dc.subject.mesh	Cross-Sectional Studies
dc.subject.mesh	Female
dc.subject.mesh	Fertility
dc.subject.mesh	Humans
dc.subject.mesh	Mothers
dc.subject.mesh	Adult
dc.subject.mesh	Africa South of the Sahara
dc.subject.mesh	Anemia
dc.subject.mesh	Child
dc.subject.mesh	Child, Preschool
dc.subject.mesh	Cross-Sectional Studies
dc.subject.mesh	Female
dc.subject.mesh	Fertility
dc.subject.mesh	Humans
dc.subject.mesh	Mothers
dc.subject.mesh	Humans
dc.subject.mesh	Anemia
dc.subject.mesh	Cross-Sectional Studies
dc.subject.mesh	Mothers
dc.subject.mesh	Fertility
dc.subject.mesh	Adult
dc.subject.mesh	Child
dc.subject.mesh	Child, Preschool
dc.subject.mesh	Africa South of the Sahara
dc.subject.mesh	Female
dc.title	High-risk fertility behaviour and childhood anaemia in sub-Saharan Africa.
dc.type	Journal Article
utslib.citation.volume	12
utslib.location.activity	England
utslib.for	1103 Clinical Sciences
utslib.for	1117 Public Health and Health Services
utslib.for	1199 Other Medical and Health Sciences
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Public Health
utslib.copyright.status	open_access	*
pubs.consider-herdc	false
dc.date.updated	2022-11-09T04:08:21Z
pubs.issue	5
pubs.publication-status	Published
pubs.volume	12
utslib.citation.issue	5

Abstract:

OBJECTIVE: This study sought to examine the association between high-risk fertility behaviour and childhood anaemia in sub-Saharan Africa . DESIGN: An analytical study was conducted using cross-sectional data from mothers with children under age 5 (n=64 512) from 28 sub-Saharan African countries. Multilevel logistic regression models were fitted to examine the association between high-risk fertility behaviour and childhood anaemia. The results were presented using adjusted odds ratios (aORs) with 95% confidence interval (CI). SETTING: Twenty-eight sub-Saharan African countries. OUTCOME MEASURE: Childhood anaemia. RESULTS: The percentage of children with anaemia in the 28 countries was 66.7%. We found that age more than 34 at delivery and short birth interval had significant associations with childhood anaemia. Children of mothers whose most recent delivery occurred after 34 years were less likely to be anaemic compared with those whose most recent delivery occurred before age 34 (aOR=0.89; 95% CI 0.83 to 0.95). We found that children born to mothers with short birth intervals were more likely to be anaemic, compared with those with long birth intervals (aOR=1.08; 95% CI 1.01 to 1.16). CONCLUSIONS: We, therefore, draw the attention of policy makers and programme implementers to invest in policies and programmes aimed at combating childhood anaemia in sub-Saharan Africa to focus on the population at risk, that is, women whose most recent delivery occurred at younger ages and those with short birth intervals. Encouraging contraceptive use and creating awareness about the importance of birth spacing among reproductive-age women would be more helpful.

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http://hdl.handle.net/10453/163368