Path Analysis on The Life Course Determinants of Anemia in Children Under Five


Rokhayati1), Harsono Salimo2), Bhisma Murti1)

 

1)Masters Program in Public Health, Universitas Sebelas Maret

2)Department of Pediatrics, Dr. Moewardi Hospital, Surakarta

 

ABSTRACT

Background: Children are particularly vulnerable to iron deficiency anemia because of their increased iron requirements in the periods of rapid growth, especially in the first five years of life. Iron deficiency anemia in children has been linked to increased childhood morbidity and impaired cognitive development and school performance. This study aimed to examine the life course determinants of anemia in children under five using a path analysis model.

Subjects and Method: A cross sectional study was conducted at 25 integrated health posts (posyandu) in Banguntapan II community health center, Bantul, Yogyakarta, Indonesia. A sample of 200 children aged 24 to 60 months was selected by simple random sampling. The dependent variable was anemia. The independent variables were exclusive breastfeeding, complementary feeding, birth weight, maternal education, and employment. Anemia was measured by Hemoglobin meter. The other variables were collected by questionnaire. The data were analyzed by path analysis.

Results: The risk of anemia in children directly decreased with exclusive breastfeeding

(b= -1.56; 95%CI= -2.93 to -1.93; p=0.025), appropriate complementary feeding (b= 3.03; 95%CI= -4.40 to -1.67; p<0.001), and birth weight 2,500–4,000 g (b= -2.19; 95%CI= -3.56 to -0.82; p= 0.026). It was indirectly affected by maternal education and employment.

Conclusion: The risk of anemia in children directly decreases with exclusive breastfeeding, appropriate complementary feeding, and birth weights 2,500–4,000 g. It is indirectly affected by maternal education and employment.

Keywords: anemia, exclusive breastfeeding, path analysis

Correspondence: Rokhayati. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, 57126, Surakarta, Central Java. Email: ocharochayati1991@gmail.com. Mobile:+6285328014414.

DOI: https://doi.org/10.26911/the6thicph.03.14

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