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Does education offset the effect of maternal disadvantage on childhood anaemia in Tanzania?: Evidence from a nationally representative cross-sectional study

Does education offset the effect of maternal disadvantage on childhood anaemia in Tanzania?: Evidence from a nationally representative cross-sectional study
Does education offset the effect of maternal disadvantage on childhood anaemia in Tanzania?: Evidence from a nationally representative cross-sectional study
Background
Despite being preventable, anaemia is a major public health problem that affects a sizable number of children under-five years globally and in Tanzania. This study examined the maternal factors associated with the risk of anaemia among under-five children in Tanzania. We also assessed whether higher maternal education could reduce the risks of anaemia among children of women with poor socio-economic status.

Methods
Data was drawn from the 2015–16 Tanzania demographic and health survey and malaria indicator survey for 7916 children under five years. Adjusted odds ratios were estimated by fitting a proportional odds model to examine the maternal risk factors of anaemia. Stratified analysis was done to examine how the relationship differed across maternal educational levels.

Results
The findings revealed that maternal disadvantage evident in young motherhood [AOR:1.43, 95%CI:1.16–1.75], no formal education [AOR:1.53, 95%CI:1.25–1.89], unemployment [AOR:1.31, 95%CI:1.15–1.49], poorest household wealth [AOR:1.50, 95%CI:1.17–1.91], and non-access to health insurance [AOR:1.26, 95%CI: 1.03–1.53] were risk factors of anaemia among children in the sample. Sub-group analysis by maternal education showed that the risks were not evident when the mother has secondary or higher education. However, having an unmarried mother was associated with about four-times higher risk of anaemia if the mother is uneducated [AOR:4.04, 95%CI:1.98–8.24] compared with if the mother is currently in union.

Conclusion
Findings from this study show that a secondary or higher maternal education may help reduce the socio-economic risk factors of anaemia among children under-5 years in Tanzania.
Anaemia, Under-five children, Maternal characteristics, TDHS-MIS, Tanzania
1471-2431
Ojoniyi, Olaide O.
03cd9e87-3333-454e-8f0a-3fbb9235c450
Odimegwu, Clifford O.
aafcb135-db98-4531-b310-6fd89c085077
Olamijuwon, Emmanuel O.
e5692fe5-2a86-409d-90b2-7e6001d20fba
Akinyemi, Joshua O.
68c70e08-72de-4c23-a6d6-a0c37be0598d
Ojoniyi, Olaide O.
03cd9e87-3333-454e-8f0a-3fbb9235c450
Odimegwu, Clifford O.
aafcb135-db98-4531-b310-6fd89c085077
Olamijuwon, Emmanuel O.
e5692fe5-2a86-409d-90b2-7e6001d20fba
Akinyemi, Joshua O.
68c70e08-72de-4c23-a6d6-a0c37be0598d

Ojoniyi, Olaide O., Odimegwu, Clifford O., Olamijuwon, Emmanuel O. and Akinyemi, Joshua O. (2019) Does education offset the effect of maternal disadvantage on childhood anaemia in Tanzania?: Evidence from a nationally representative cross-sectional study. BMC Pediatrics, 19, [89]. (doi:10.1186/s12887-019-1465-z).

Record type: Article

Abstract

Background
Despite being preventable, anaemia is a major public health problem that affects a sizable number of children under-five years globally and in Tanzania. This study examined the maternal factors associated with the risk of anaemia among under-five children in Tanzania. We also assessed whether higher maternal education could reduce the risks of anaemia among children of women with poor socio-economic status.

Methods
Data was drawn from the 2015–16 Tanzania demographic and health survey and malaria indicator survey for 7916 children under five years. Adjusted odds ratios were estimated by fitting a proportional odds model to examine the maternal risk factors of anaemia. Stratified analysis was done to examine how the relationship differed across maternal educational levels.

Results
The findings revealed that maternal disadvantage evident in young motherhood [AOR:1.43, 95%CI:1.16–1.75], no formal education [AOR:1.53, 95%CI:1.25–1.89], unemployment [AOR:1.31, 95%CI:1.15–1.49], poorest household wealth [AOR:1.50, 95%CI:1.17–1.91], and non-access to health insurance [AOR:1.26, 95%CI: 1.03–1.53] were risk factors of anaemia among children in the sample. Sub-group analysis by maternal education showed that the risks were not evident when the mother has secondary or higher education. However, having an unmarried mother was associated with about four-times higher risk of anaemia if the mother is uneducated [AOR:4.04, 95%CI:1.98–8.24] compared with if the mother is currently in union.

Conclusion
Findings from this study show that a secondary or higher maternal education may help reduce the socio-economic risk factors of anaemia among children under-5 years in Tanzania.

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More information

Accepted/In Press date: 22 March 2019
Published date: 3 April 2019
Additional Information: Copyright © 2019, The Author(s).
Keywords: Anaemia, Under-five children, Maternal characteristics, TDHS-MIS, Tanzania

Identifiers

Local EPrints ID: 470636
URI: http://eprints.soton.ac.uk/id/eprint/470636
ISSN: 1471-2431
PURE UUID: 5c281f2f-828d-4a11-b947-050b62eb9c23
ORCID for Emmanuel O. Olamijuwon: ORCID iD orcid.org/0000-0002-6109-8131

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Date deposited: 17 Oct 2022 16:35
Last modified: 17 Mar 2024 04:12

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Contributors

Author: Olaide O. Ojoniyi
Author: Clifford O. Odimegwu
Author: Emmanuel O. Olamijuwon ORCID iD
Author: Joshua O. Akinyemi

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