Using structural equation modelling to understand the contributors to anemia among young Burkinabe children
Anaemia is a persistent problem among young Burkinabe children, yet population-specific information on its determinants is scant. We used baseline data from an evaluation of Helen Keller International's Enhanced Homestead Food Production Program (n=1210 children) to quantify household-, mother-, and...
| Autores principales: | , , , , |
|---|---|
| Formato: | Journal Article |
| Lenguaje: | Inglés |
| Publicado: |
John Wiley & Sons
2020
|
| Materias: | |
| Acceso en línea: | https://hdl.handle.net/10568/142792 |
| _version_ | 1855522972476899328 |
|---|---|
| author | Bliznashka, Lilia Arsenault, Joanne E. Becquey, Elodie Ruel, Marie T. Olney, Deanna K. |
| author_browse | Arsenault, Joanne E. Becquey, Elodie Bliznashka, Lilia Olney, Deanna K. Ruel, Marie T. |
| author_facet | Bliznashka, Lilia Arsenault, Joanne E. Becquey, Elodie Ruel, Marie T. Olney, Deanna K. |
| author_sort | Bliznashka, Lilia |
| collection | Repository of Agricultural Research Outputs (CGSpace) |
| description | Anaemia is a persistent problem among young Burkinabe children, yet population-specific information on its determinants is scant. We used baseline data from an evaluation of Helen Keller International's Enhanced Homestead Food Production Program (n=1210 children) to quantify household-, mother-, and child-level factors associated with anaemia in Burkinabe children aged 6-12 months. We used structural equation modelling to assess a theoretical model, which tested four categories of factors: (a) household food security and dietary diversity, (b) household sanitation and hygiene (latrine and poultry access and bednet ownership), (c) maternal factors (anaemia, stress, cleanliness, and health, hygiene and feeding knowledge and practices), and (d) child nutrition and health (iron deficiency (ID), retinol binding protein (RBP), malaria, and inflammation). The model also included household socio-economic status, size, and polygamy; maternal age and education; and child age and sex. Results showed that ID, malaria, and inflammation were the primary direct determinants of anaemia, contributing 15%, 10%, and 10%, respectively. Maternal knowledge directly explained improved child feeding practices and household bednet ownership. Household dietary diversity directly explained 18% of child feeding practices. Additionally, RBP, child age and sex, and maternal anaemia directly predicted child haemoglobin. Our findings suggest that program effectiveness could be increased by addressing the multiple, context-specific contributors of child anaemia. For young Burkinabe children, anaemia control programs that include interventions to reduce ID, malaria, and inflammation should be tested. Other potential intervention entry points suggested by our model include improving maternal knowledge of optimal health, hygiene, and nutrition practices and household dietary diversity. |
| format | Journal Article |
| id | CGSpace142792 |
| institution | CGIAR Consortium |
| language | Inglés |
| publishDate | 2020 |
| publishDateRange | 2020 |
| publishDateSort | 2020 |
| publisher | John Wiley & Sons |
| publisherStr | John Wiley & Sons |
| record_format | dspace |
| spelling | CGSpace1427922025-12-11T07:49:20Z Using structural equation modelling to understand the contributors to anemia among young Burkinabe children Bliznashka, Lilia Arsenault, Joanne E. Becquey, Elodie Ruel, Marie T. Olney, Deanna K. iron deficiency chlorosis anaemia child nutrition micronutrient deficiencies nutrition children Anaemia is a persistent problem among young Burkinabe children, yet population-specific information on its determinants is scant. We used baseline data from an evaluation of Helen Keller International's Enhanced Homestead Food Production Program (n=1210 children) to quantify household-, mother-, and child-level factors associated with anaemia in Burkinabe children aged 6-12 months. We used structural equation modelling to assess a theoretical model, which tested four categories of factors: (a) household food security and dietary diversity, (b) household sanitation and hygiene (latrine and poultry access and bednet ownership), (c) maternal factors (anaemia, stress, cleanliness, and health, hygiene and feeding knowledge and practices), and (d) child nutrition and health (iron deficiency (ID), retinol binding protein (RBP), malaria, and inflammation). The model also included household socio-economic status, size, and polygamy; maternal age and education; and child age and sex. Results showed that ID, malaria, and inflammation were the primary direct determinants of anaemia, contributing 15%, 10%, and 10%, respectively. Maternal knowledge directly explained improved child feeding practices and household bednet ownership. Household dietary diversity directly explained 18% of child feeding practices. Additionally, RBP, child age and sex, and maternal anaemia directly predicted child haemoglobin. Our findings suggest that program effectiveness could be increased by addressing the multiple, context-specific contributors of child anaemia. For young Burkinabe children, anaemia control programs that include interventions to reduce ID, malaria, and inflammation should be tested. Other potential intervention entry points suggested by our model include improving maternal knowledge of optimal health, hygiene, and nutrition practices and household dietary diversity. 2020-01-01 2024-05-22T12:11:04Z 2024-05-22T12:11:04Z Journal Article https://hdl.handle.net/10568/142792 en Open Access John Wiley & Sons Bliznashka, Lilia; Arsenault, Joanne E.; Becquey, Elodie; Ruel, Marie T.; and Olney, Deanna K. 2020. Using structural equation modelling to understand the contributors to anemia among young Burkinabe children. Maternal and Child Nutrition 16(1): e12881. https://doi.org/10.1111/mcn.12881 |
| spellingShingle | iron deficiency chlorosis anaemia child nutrition micronutrient deficiencies nutrition children Bliznashka, Lilia Arsenault, Joanne E. Becquey, Elodie Ruel, Marie T. Olney, Deanna K. Using structural equation modelling to understand the contributors to anemia among young Burkinabe children |
| title | Using structural equation modelling to understand the contributors to anemia among young Burkinabe children |
| title_full | Using structural equation modelling to understand the contributors to anemia among young Burkinabe children |
| title_fullStr | Using structural equation modelling to understand the contributors to anemia among young Burkinabe children |
| title_full_unstemmed | Using structural equation modelling to understand the contributors to anemia among young Burkinabe children |
| title_short | Using structural equation modelling to understand the contributors to anemia among young Burkinabe children |
| title_sort | using structural equation modelling to understand the contributors to anemia among young burkinabe children |
| topic | iron deficiency chlorosis anaemia child nutrition micronutrient deficiencies nutrition children |
| url | https://hdl.handle.net/10568/142792 |
| work_keys_str_mv | AT bliznashkalilia usingstructuralequationmodellingtounderstandthecontributorstoanemiaamongyoungburkinabechildren AT arsenaultjoannee usingstructuralequationmodellingtounderstandthecontributorstoanemiaamongyoungburkinabechildren AT becqueyelodie usingstructuralequationmodellingtounderstandthecontributorstoanemiaamongyoungburkinabechildren AT ruelmariet usingstructuralequationmodellingtounderstandthecontributorstoanemiaamongyoungburkinabechildren AT olneydeannak usingstructuralequationmodellingtounderstandthecontributorstoanemiaamongyoungburkinabechildren |