The association between the severity of anemia and socio-demographic factors among children under five years of age in Kut City


  • Sadiq Zidane Al Kaabi Department of Community Health Techniques, College of Health and Medical Technology, South Technical University, Basrah
  • Dheya Shinyar Al-Saad College of Health and Medical Technology, Southern Technical University, Basra
  • Ali Kadhim Al-Rubaye Training and Human Development Center, Basra Health Directorate, Ministry of Health
  • Abbas Ali Abdulhasan Alkinani Community Medicine Department, School of Medical Sciences, University Science of Malaysia and Ministry of Health, Wasit Health Directorate, Higher Health Institute



Anemia, children under five years, sociodemographic factors, associated factors


Background. Anemia is a public health issue that affects both industrialized and developing nations. Childhood anemia has severe consequences, including reduced growth, poor motor and cognitive development, and increased death and morbidity. Objective. This study aims to determine sociodemographic factors associated with the severity of anemia among under-five children in Kut City. Methods. A cross-sectional study with a convenience sample (non-probability) was conducted among 264 children admitted to hospitals in Kut City, from September 1st, 2022, to March 1st, 2023. Data were collected via questionnaires, and descriptive and inferential statistics were used to evaluate the data. Results. The total number of children participating in the study was 264, with 39.0% having mild anemia and 60.0% having moderate anemia, according to the World Health Organization classification of anemia. The results showed that the children most at risk of developing anemia were within 4 years of age and had a lower mean hemoglobin level than the rest of the age groups of the children participating in the study, compared to the mean+standard deviation (SD) (9.46+0.99). Boys are more affected than girls, and those who reside in rural areas have lower hemoglobin (HB) percentages with a mean+SD of (9.21+0.93). Unemployed mothers who read and write had the lowest HB percentage. In contrast, parents with primary education and government jobs have the lowest percentage of HB. Children of married mothers are more affected by anemia. Families with high overcrowding showed the lowest rate of HB. They experienced low socioeconomic status as a result. The degree of anemia was significantly correlated with the child’s age, residence, mother’s educational level, father’s job, and socioeconomic position. Conclusion. This study concludes a significant association between the severity of anemia and sociodemographic factors, both unmodifiable (age) and modifiable (residence, mothers’ education, fathers’ jobs, and economic and social status). Children with modifiable risk factors need to have their anemia risk constantly evaluated.

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Id AA, Jibril A. Assessment of anemia and associated risk factors among children under-five years old in the West Guji Zone , southern Ethiopia : 2022;(6):1–11. Available from: DOI:

Ibrahim ZH, Shallal AF, Hussein SH. Prevalence of anemia among children of Ranya District : Kurdistan Region , Prevalence of anemia among children of Ranya District : Kurdistan Region , Northern Iraq. EurAsian J Biosci. 2020;14(December):7659–65.

WHO. Anaemia [Internet]. 2022 [cited 2022 Oct 15]. Available from:

Aldeen Hameed H, Abbood Khalil O, Wissam E, I Alezzi J. Epidemiological Study of Anemia in Diyala Province / Iraq. Diyala J Med. 2021;20(1):11–6. DOI:

WHO. Prevalence of anaemia in children aged 6–59 months (%) [Internet]. [cited 2022 Oct 15]. Available from:

Mbabazi E, Kanyamuhunga A. Prevalence of anemia and associated socio-economic determinants amongst malnourished children aged 6-59 months, centre hospitalier universitaire de Kigali (CHUK) -a retrospective observational study. Rwanda Med J. 2021;78(3):29–36.

Sampa LM. Prevalence of Anaemia and its Known Associated Risk Factors among Under Five Children at Mukinge Missions Hospital in Kasempa District. 2021;9.

Goyal A, Zheng Y, Albenberg LG, Stoner NL, Hart L, Alkhouri R, et al. Anemia in Children With Inflammatory Bowel Disease: A Position Paper by the IBD Committee of the North American Society of Pediatric Gastroenterology, Hepatology and Nutrition. J Pediatr Gastroenterol Nutr. 2020;71(4):563–82. DOI:

Lemoine A, Tounian P. Childhood anemia and iron deficiency in sub-Saharan Africa — risk factors and prevention: a review Short title: Childhood anemia and iron deficiency in sub-Saharan Africa A. Lemoine. Sci Direct. 2020; DOI:

Amir AWM, Samaudin N, Munirah A, Husein A. Sample Size Calculations (Study Design Based) Using PS Software and Sampling Selection. penerpbit USM; 2019. 1–120 p.

Omer W, Al-Hadithi T. Developing a socioeconomic index for health research in Iraq. East Mediterr Heal J. 2017;23(10):670–7. DOI:

El-Gilany A, El-Wehady A, El-Wasify M. Updating and validation of the socioeconomic status scale for health research in Egypt. East Mediterr Heal J. 2012;18(9):962–8. DOI:

Murata Y, Yamamoto K, Yamaguchi Y, Morishita H. The expression method of the spacecraft operations procedure. In: SpaceOps 2010 Conference [Internet]. 2015 [cited 2022 Oct 26]. p. 1–48. Available from:

Dutta M, Bhise M, Prashad L, Chaurasia H, Debnath P. Prevalence and risk factors of anemia among children 6–59 months in India: A multilevel analysis. Clin Epidemiol Glob Heal [Internet]. 2020;8(3):868–78. Available from: DOI:

Chowdhury MRK, Khan MMH, Khan HTA, Rahman MS, Islam MR, Islam MM, et al. Prevalence and risk factors of childhood anemia in Nepal: A multilevel analysis. PLoS One [Internet]. 2020;15(10 October). Available from: DOI:

Gebreweld A, Ali N, Ali R, Fisha T. Prevalence of anemia and its associated factors among children under five years of age attending at Guguftu health center, South Wollo, Northeast Ethiopia. PLoS ONE [revista en Internet] 2019 [acceso 10 de septiembre de 2021]; 14(7): 1-13. PLoS One [Internet]. 2019;1–13. Available from: DOI:

Abdulhameed SA, Abdulmajeed KH, Muslim MI. Prevalence of Anemia in Children below 5 Years in Al-Mansoor Family Medicine Primary Health Center in Baghdad. 2016;62(2):2–7.

Okoroiwu GIA. Determination of The Prevalence and Risk Factors of Anaemia Among Children Aged 0-5 Years in Gwagwalada Area Council, Federal Capital Territory(Fct), Abuja, Nigeria. J Heal Sci Surveill Syst. 2021;9(4):265–71.

Parbey PA, Tarkang E, Manu E, Amu H, Ayanore MA, Aku FY, et al. Risk Factors of Anaemia among Children under Five Years in the Hohoe Municipality, Ghana: A Case Control Study. Anemia. 2019;2019. DOI:

Xin QQ, Chen BW, Yin DL, Xiao F, Li RL, Yin T, et al. Prevalence of anemia and its risk factors among children under 36 months old in China. J Trop Pediatr. 2017;63(1):36–42. DOI:

investigator’s point of view children are, Socio-economic significantly affected by, Is dynamics in the family. T it, Of argued that employment is a source, empowerment for mothers this is only true, Her if the mother has some control of, et al. Iron Deficiency Anemia among Children during Weaning. Egypt J Heal Care. 2020;11(2):255–72. DOI:

Abou-Rizk J, Jeremias T, Nasreddine L, Jomaa L, Hwalla N, Tamim H, et al. Anemia and nutritional status of syrian refugee mothers and their children under five years in greater Beirut, Lebanon. Int J Environ Res Public Health. 2021;18(13). DOI:

Abdulhussein HM, Ahmed JT. Comparative Study of Children with/without Iron Deficiency Anemia Based on Parents’ Knowledge, Attitude and Practice in Basra/Al-Madinah City. Medico-Legal Updat. 2021;21(1):321–7.




How to Cite

Al Kaabi, S. Z., Al-Saad, D. S., Al-Rubaye, A. K., & Alkinani, A. A. A. (2023). The association between the severity of anemia and socio-demographic factors among children under five years of age in Kut City. Journal of Public Health in Africa, 14(8).



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