title: Anemia among Primary School Children in Eastern Ethiopia.
abstract: BACKGROUND
  Anemia during childhood impairs physical growth, cognitive development and school performance. Identifying the causes of anemia in specific contexts can help efforts to prevent negative consequences of anemia among children. The objective of this study was to assess prevalence and identify correlates of anemia among school children in Eastern Ethiopia.
  
  
  METHODS
  A cross sectional study was conducted from January 2012 to February 2012 in Kersa, Eastern Ethiopia. The study included randomly selected primary school students. Hemoglobin concentration was measured using a Hemocue haemoglobinometer. A child was identified as anemic if the hemoglobin concentration was <11.5 g/dl for children (5-11 yrs) and < 12 g/dl for child older than 12 years age. Poisson regression model with robust variance was used to calculate prevalence ratios.
  
  
  RESULTS
  The overall prevalence of anemia was 27.1% (95% CI: 24.98, 29.14): 13.8% had mild, 10.8% moderate, and 2.3% severe anemia. Children with in the age group of 5-9 years (APR, 1.083; 95% CI, 1.044-1.124) were at higher risk for anemia. Paternal education (Illiterate, 1.109; 1.044-1.178) was positively associated with anemia. Children who had irregular legume consumption (APR, 1.069; 95% CI, 1.022-1.118) were at higher risk for anemia.
  
  
  CONCLUSIONS
  About a quarter of school children suffer from anemia and their educational potential is likely to be affected especially for those with moderate and severe anemia. Child age, irregular legume consumption, and low paternal schooling were associated with anemia. Intervention programmes aimed to reduce anemia among school children are crucial to ensure proper growth and development of children.
authors.affiliation: College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.
authors.forename: Firehiwot
authors.initials: F
authors.lastname: Mesfin
authors.affiliation: Addis Continental Institute of Public Health, Addis Ababa, Ethiopia.
authors.forename: Yemane
authors.initials: Y
authors.lastname: Berhane
authors.affiliation: Addis Continental Institute of Public Health, Addis Ababa, Ethiopia; School of Public Health, Addis Ababa University, Addis Ababa, Ethiopia.
authors.forename: Alemayehu
authors.initials: A
authors.lastname: Worku
mesh_terms: D000293:Adolescent; D000740:Anemia / Q000453:epidemiology*; D002648:Child; D002675:Child, Preschool; D003430:Cross-Sectional Studies; D005002:Ethiopia / Q000453:epidemiology; D005260:Female; D006801:Humans; D008297:Male; D015995:Prevalence; D012574:Schools / Q000706:statistics & numerical data*