Cited by 159Parasites and Host InteractionsChild Nutrition and Water AccessIron Metabolism and Disorders

Association between Anaemia, Iron Deficiency Anaemia, Neglected Parasitic Infections and Socioeconomic Factors in Rural Children of West Malaysia

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Ngui, Romano, Lim, Yvonne Ai Lian, Chong Kin, Liam, Sek Chuen, Chow, Jaffar, Shukri·2012·PLoS Neglected Tropical Diseases

Abstract

BACKGROUND: Given that micronutrient deficiency, neglected intestinal parasitic infections (IPIs) and poor socioeconomic status are closely linked, we conducted a cross-sectional study to assess the relationship between IPIs and nutritional status of children living in remote and rural areas in West Malaysia. METHODS/FINDINGS: A total of 550 children participated, comprising 520 (94.5%) school children aged 7 to 12 years old, 30 (5.5%) young children aged 1 to 6 years old, 254 (46.2%) boys and 296 (53.8%) girls. Of the 550 children, 26.2% were anaemic, 54.9% iron deficient and 16.9% had iron deficiency anaemia (IDA). The overall prevalence of helminths was 76.5% comprising Trichuris trichiura (71.5%), Ascaris lumbricoides (41.6%) and hookworm infection (13.5%). It was observed that iron deficiency was significantly higher in girls (p = 0.032) compared to boys. Univariate analysis demonstrated that low level of mother's education (OR = 2.52; 95% CI = 1.38-4.60; p = 0.002), non working parents (OR = 2.18; 95% CI = 2.06-2.31; p = 0.013), low household income (OR = 2.02; 95% CI = 1.14-3.59; p = 0.015), T. trichiura (OR = 2.15; 95% CI = 1.21-3.81; p = 0.008) and A. lumbricoides infections (OR = 1.63; 95% CI = 1.04-2.55; p = 0.032) were significantly associated with the high prevalence of IDA. Multivariate analysis confirmed that low level of mother's education (OR = 1.48; 95 CI% = 1.33-2.58; p<0.001) was a significant predictor for IDA in these children. CONCLUSION: It is crucial that a comprehensive primary health care programme for these communities that includes periodic de-worming, nutrition supplement, improved household economy, education, sanitation status and personal hygiene are taken into consideration to improve the nutritional status of these children.

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Authors
Ngui, R., Lim, Y. A. L., Chong Kin, L., Sek Chuen, C., & Jaffar, S.
Affiliations
University of Malaya (MY)
Corresponding author
Lim, Yvonne Ai Lian
Venue
PLoS Neglected Tropical Diseases
Published
2012-03-06
Volume
6
Issue
3
Pages
e1550
ISSN
  • 1935-2727 (ISSN-L)
  • 1935-2735
OpenAlex
W2012424782
Cited by
159
References
47
Citations by year
2026: 9 · 2025: 10 · 2024: 11 · 2023: 18 · 2022: 13 · 2021: 27 · 2020: 11 · 2019: 5 · 2018: 11 · 2017: 5 · 2016: 16 · 2015: 9 · 2014: 10 · 2013: 4
FWCI
5.41
Type
journal article
Language
en
Open access
Locations
  • PLoS neglected tropical diseases (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • Monash University Research Portal (Monash University) (submittedVersion, cc-by)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
Funders
  • Kementerian Sains, Teknologi dan Inovasi
  • Universiti Malaya
Topics
  • Life Sciences › Immunology and Microbiology › Parasitology › Parasites and Host Interactions
  • Health Sciences › Nursing › Nutrition and Dietetics › Child Nutrition and Water Access
  • Health Sciences › Medicine › Hematology › Iron Metabolism and Disorders
Keywords
iron deficiency anemia, anemia, helminthiasis, Trichuris trichiura, Ascaris lumbricoides, hookworm, socioeconomic status, maternal education, household income, rural children, micronutrient deficiency, nutritional status, Peninsular Malaysia, elementary school students
MeSH terms
Iron Deficiencies, Anemia, Animals, Child, Child, Preschool, Cross-Sectional Studies, Female, Helminths, Humans, Infant, Malaysia, Male, Parasitic Diseases, Rural Population, Socioeconomic Factors, Prevalence, Neglected Diseases

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