Evidence map›Paper›PMID 38458798›Full record

ArticleBMJ open2024

Determinants of iron-rich food deficiency among children under 5 years in sub-Saharan Africa: a comprehensive analysis of Demographic and Health Surveys.

Emmanuel Osei Bonsu, Isaac Yeboah Addo, Caleb Boadi, Elijah Frimpong Boadu, Sylvester R Okeke

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
3.6field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 8 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 4 institutions in 2 countries.

Emmanuel Osei BonsuDepartment of Epidemiology and Biostatistics, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana emmanuel.eob1@gmail.com.ORCID 0000-0001-8956-8839
Isaac Yeboah AddoUniversity of New South Wales, Sydney, New South Wales, Australia.
Caleb BoadiDepartment of Operations and Management Information Systems, University of Ghana, Legon, Ghana.
Elijah Frimpong BoaduDepartment of Civil Engineering, Kumasi Technical University, Kumasi, Ghana.
Sylvester R OkekeUniversity of New South Wales, Sydney, New South Wales, Australia.
UNSW Sydney · AUKumasi Technical University · GHKwame Nkrumah University of Science and Technology · GHUniversity of Ghana · GH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIron deficiency is a major public health problem that affects the physical and cognitive development of children under 5 years of age (under-5 children) in sub-Saharan Africa (SSA). However, the factors associated with the limited consumption of iron-rich foods in the region are poorly understood.

objectiveThis study examined the prevalence and determinants of iron-rich food deficiency among under-5 children in 26 SSA countries.

designThis nationally representative quantitative study employed pooled data from Demographic and Health Surveys conducted between 2010 and 2019.

methodsRepresentative samples comprising 296 850 under-5 children from the various countries were used. Bivariate and multivariate logistic regression models were used to determine the associations between the lack of iron-rich food uptake and various sociodemographic factors.

resultThe overall prevalence of iron-rich food deficiency among the children in the entire sample was 56.75%. The prevalence of iron-rich food deficiency varied widely across the 26 countries, ranging from 42.76% in Congo Democratic Republic to 77.50% in Guinea. Maternal education, particularly primary education (OR 0.62, 95% CI 0.57 to 0.68) and higher education (OR 0.58, 95% CI 0.52 to 0.64), demonstrated a reduced likelihood of iron-rich food deficiency in the sample. Likewise, paternal education, with both primary education (OR 0.69, 95% CI 0.63 to 0.75) and higher education (OR 0.66, 95% CI 0.60 to 0.73) showed decreased odds of iron-rich food deficiency. Postnatal visits contributed significantly to reducing the odds of iron-rich food deficiency (OR 0.90, 95% CI 0.83 to 0.95), along with antenatal visits, which also had a positive impact (OR 0.84, 95% CI 0.74 to 0.95). Finally, residents in rural areas showed slightly higher odds of iron-rich food deficiency (OR 1.12, 95% CI 1.10 to 1.28).

conclusionBased on the findings, interventions targeting iron-food deficiency in the SSA region should take into strong consideration the key determinants highlighted in this study.

Indexed as

Iron DeficienciesAfrica South of the SaharaChildChild, PreschoolDemographyEducational StatusFemaleHealth SurveysHumansIronPregnancyPrevalenceIroncommunity child healthnutritional supportnutrition & dietetics

Identifiers

PMID38458798
PMCPMC10928746
OpenAlexW4392765939

What Socratic holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.