Assessment of sociodemographic predictors of iron deficiency among secondary school students in Misau LGA, Bauchi State, Northeastern Nigeria

R. Dachi, S. Awwalu, F. Mustapha, S. Yuguda, H. Abdulaziz, H. Odebiyi
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Abstract

Background: Iron is an essential micronutrient found in red meat, vegetables, and dairy products. Iron deficiency (ID) is associated with poor growth and impaired cognitive development, lowered immunity with increased risk to infectious diseases, and reduced productivity. Objective: We determined some sociodemographic predictors of ID among secondary school students in Bauchi State, Northeastern Nigeria. Materials and Methods: This was a cross-sectional study of secondary school students in Bauchi State, Northeastern Nigeria. Four hundred and twenty (420) secondary school students were enrolled using stratified sampling with proportional allocation. Data on age, gender, and sociodemographic parameters were collated. Body mass indices (BMIs) were computed while blood was taken for hemoglobin concentration and iron status determination. Collated data were analyzed using JASP 0.11.1.0. Multiple logistic regression analyses were used to adjust for possible confounders in the observed significant relationships. Level of significance was set at P ≤ 0.05. Results: The mean age of the students was 16.5 ± 1.9 years with females constituting 210 (50.0%). Median (interquartile range) monthly incomes for fathers and mothers were 150 (100, 200) USD and 50 (30, 70) USD, respectively. Median BMI and hemoglobin concentration (Hb) were 17.9 (16.4, 19.6) kg/m2 and 13.7 (12.7, 14.7) g/dL, respectively. Anemia was present in 62 (14.8%) participants, whereas ID was present in 213 (50.71%) participants. There was a statistically significant relationship between reduced intake of meat together with gender and iron status with females having a higher risk of having ID compared with males (P < 0.05). Conclusion: Female gender and decreased daily intake of meat are important predictors of ID among secondary school students in Bauchi State, Nigeria.
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尼日利亚东北部包奇州Misau LGA中学生缺铁的社会人口学预测因素评估
背景:铁是一种必需的微量营养素,存在于红肉、蔬菜和乳制品中。缺铁与生长不良和认知发育受损、免疫力下降、传染病风险增加以及生产力下降有关。目的:确定尼日利亚东北部包奇州中学生ID的一些社会人口学预测因素。材料和方法:本研究是对尼日利亚东北部包奇州中学生的横断面研究。采用分层抽样、比例分配的方法对420名中学生进行了调查。对年龄、性别和社会人口学参数的数据进行整理。计算身体质量指数(bmi),同时取血测定血红蛋白浓度和铁状态。整理后的数据采用JASP 0.11.1.0进行分析。多重逻辑回归分析用于调整观察到的显著关系中可能存在的混杂因素。P≤0.05为显著性水平。结果:学生平均年龄16.5±1.9岁,其中女生210人(50.0%)。父亲和母亲的月收入中位数(四分位数范围)分别为150(100,200)美元和50(30,70)美元。中位BMI和血红蛋白浓度(Hb)分别为17.9 (16.4,19.6)kg/m2和13.7 (12.7,14.7)g/dL。62名(14.8%)参与者存在贫血,而213名(50.71%)参与者存在ID。减少肉类摄取量与性别、铁含量之间存在显著相关,女性患ID的风险高于男性(P < 0.05)。结论:女性和每日肉类摄入量减少是尼日利亚包奇州中学生ID的重要预测因素。
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