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Bossy AO, Yahaya JJ, Jumanne S. Prevalence and predictors of iron deficiency anaemia among children with sickle cell disease in Dodoma, Tanzania: a cross-sectional study. BMC Public Health 2024; 24:1026. [PMID: 38609881 PMCID: PMC11015568 DOI: 10.1186/s12889-024-18438-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2023] [Accepted: 03/26/2024] [Indexed: 04/14/2024] Open
Abstract
BACKGROUND Patients with sickle cell disease (SCD) are prone to iron profile derangements. This study aimed to determine the prevalence of iron deficiency anaemia (IDA) and their predictors among children with SCD aged between 6 months and 14 years. Assessment of the prevalence of IDA and its predictors helps to understand ways of alleviating the magnitude of the problem so as to prevent possible complications such as shortness of breath and chest pain. METHODS This was a cross-sectional analytical hospital-based study which included 174 patients with SCD attending SCD clinics at St. Gema hospital and Dodoma regional referral hospital in Dodoma city from October 2020 to March 2021. The cut-off points for detection of IDA was serum ferritin level < 30 µg/L and low mean corpuscular volume (MCV) for age. Data were analyzed using SPSS software version 25.0. Multivariate logistic regression analysis was used to determine the predictors of IDA. P-value less than 0.05 was considered significant. RESULTS The prevalence of IDA in this study was (16.1%, n = 28). Family income of less than 70,000/= TZS/month (AOR = 2.2, 95% CI = 1.07-2.49, p = 0.023), being transfused with blood less than 3 times from the time of being diagnosed with SCD (AOR = 5.5, 95% CI = 1.03-8.91, p = 0.046), and eating red meat at least once per month (AOR = 3.60, 95% CI = 1.37-9.46, p = 0.010) remained the independent predictors of IDA in multivariate regression analysis. CONCLUSION The findings of this study have shown that, support of families with children suffering from SCD in terms of financial support for improving medical services including optimal blood transfusion and affordability of diet which is rich in iron such as red meat is imperative.
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Affiliation(s)
- Asha O Bossy
- Department of Pediatrics and Child Health, School of Medicine and Dentistry, University of Dodoma, Dodoma, Tanzania
- Department of Pediatrics and Child Health, Morogoro Regional Referral Hospital, Morogoro, Tanzania
| | - James J Yahaya
- Department of Pathology, School of Health Sciences, Soroti University, Soroti, P. O. Box 211, Uganda.
| | - Shakilu Jumanne
- Department of Pediatrics and Child Health, School of Medicine and Dentistry, University of Dodoma, Dodoma, Tanzania
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Olatunya OS, Babatola AO, Adeniyi AT, Lawal OA, Daramola AO, Agbesanwa TA, Olumuyiwa Ojo T, Ajayi PO, Ibijola AA, Komolafe AK, Adekile A. Determinants of Care-Seeking Practices for Children with Sickle Cell Disease in Ekiti, Southwest Nigeria. J Blood Med 2021; 12:123-132. [PMID: 33664607 PMCID: PMC7921626 DOI: 10.2147/jbm.s294952] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2020] [Accepted: 01/05/2021] [Indexed: 11/23/2022] Open
Abstract
Background Due to the chronic nature of sickle cell disease (SCD), affected individuals may seek help from diverse places thus raising the need to understand their health-seeking behavior (HSB) in order to design an appropriate management policy for them. Aim The aim of this study was to evaluate the HSB among pediatric SCD patients relative to their non-SCD counterparts attending a tertiary facility in Southwest Nigeria and identified predictors of poor HSB among SCD patients. Methods A total of 110 children with SCD were recruited and studied for their HSPs which were compared with 110 non-SCD patients with other chronic medical conditions. Questionnaires were used to obtain self-reported information on participants’ socio-demographic data and HSB. Logistic regression was used to determine the predictors of poor HSB among the SCD cohort. Results More SCD patients received treatments at private hospitals, patent medicine stores and faith-based centers compared to their non-SCD counterparts (p=0.0052; 0.006; and 0.007), respectively. No difference was observed in the patronage of traditional care centres 10 (9.1%) vs 6 (5.5%). More SCD patients 61 (55.5%) vs 35 (31.8%) exhibited poor HSB (p=0.0004). SCD patients who were not enrolled on health insurance scheme were 18 times more likely to have poor HSB (OR=18.38, 95% CI (4.41–76.57), p value= <0.0001) while absence of VOC within the preceding year reduces the risk of poor HSB by 91.5% (OR=0.085, 95% CI (0.028–0.258), p value= <0.0001). Conclusion SCD patients in the study locality had poor HSB. This raises the need for their education on proper HSB. More enrollment into health insurance scheme and the prevention of VOC will lessen the burden of poor HSB. The high patronage of non-hospital care facilities in this study raises the need for stakeholders to monitor activities and train the operators at these informal care centres.
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Affiliation(s)
- Oladele Simeon Olatunya
- Department of Paediatrics, College of Medicine, Ekiti State University, Ado Ekiti, Nigeria.,Department of Paediatrics, Ekiti State University Teaching Hospital, Ado Ekiti, Nigeria
| | - Adefunke Olarinre Babatola
- Department of Paediatrics, College of Medicine, Ekiti State University, Ado Ekiti, Nigeria.,Department of Paediatrics, Ekiti State University Teaching Hospital, Ado Ekiti, Nigeria
| | - Adewuyi Temidayo Adeniyi
- Department of Paediatrics, College of Medicine, Ekiti State University, Ado Ekiti, Nigeria.,Department of Paediatrics, Ekiti State University Teaching Hospital, Ado Ekiti, Nigeria
| | - Olubunmi Adeola Lawal
- Department of Paediatrics, Federal Teaching Hospital, Ido Ekiti, Ekiti State, Nigeria
| | - Alaba Olanrewaju Daramola
- Department of Hematology and Blood Transfusion, Ekiti State University, Ado Ekiti, Ekiti State, Nigeria
| | - Tosin Anthony Agbesanwa
- Department of Family Medicine, College of Medicine, Ekiti State University, Ado Ekiti, Ekiti State, Nigeria
| | - Temitope Olumuyiwa Ojo
- Department of Community Health, Obafemi Awolowo University Ile-Ife, Ile-Ife, Osun State, Nigeria
| | - Paul Oladapo Ajayi
- Department of Community Medicine, College of Medicine, Ekiti State University, Ado Ekiti, Ekiti State, Nigeria
| | - Adeleke Ajayi Ibijola
- Department of Hematology, Federal Teaching Hospital, Ido Ekiti/Afe Babaloa University, Ado Ekiti, Ekiti State, Nigeria
| | | | - Adekunle Adekile
- Department of Pediatrics, Faculty of Medicine, Kuwait University, Kuwait City, Kuwait
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