Original Articles
16 July 2025
Early Access
https://doi.org/10.4081/itjm.2025.1946

The parental challenge: knowledge, attitudes, and practices on iron deficiency anemia in Tabuk

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Awareness, iron deficiency anemia, knowledge, parents, Saudi Arabia, survey
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Authors

Sawsan Mohammed Alblewi
swalbalawi@ut.edu.sa
Department of Pediatrics, Faculty of Medicine, University of Tabuk, Saudi Arabia.
Amerah M Alatawi
Department of Family and Community Medicine, Faculty of Medicine, University of Tabuk, Saudi Arabia.
Faisal Mayudh Althobaiti
Faculty of Medicine, University of Tabuk, Saudi Arabia.
Adel Ali Alharfi
Faculty of Medicine, University of Tabuk, Saudi Arabia.
Faisal Mohammed Alamrani
Faculty of Medicine, University of Tabuk, Saudi Arabia.
Yazeed Mahmoud Ajwah
Faculty of Medicine, University of Tabuk, Saudi Arabia.
Omar Muslih Albalawi
Faculty of Medicine, University of Tabuk, Saudi Arabia.
Mohammed Majed Alquayr
Faculty of Medicine, University of Tabuk, Saudi Arabia.
Ariam Ebraheem Alshammari
Faculty of Medicine, University of Tabuk, Saudi Arabia.

Iron deficiency anemia (IDA) is common in children worldwide and has been recognized as a major challenge to the health of children and society. Adequate knowledge of IDA is necessary for effective prevention and treatment. This study aimed to assess parental awareness of IDA and to identify factors that influence their level of knowledge. This cross-sectional survey study was carried out in Tabuk City, Saudi Arabia. The study enrolled 403 parents aged 18 years or older. A link to the electronic survey was sent via social media platforms to collect data. Descriptive and inferential statistics were performed. Most participants were female and aged 36 years or older (72.5% and 75.2%, respectively). The level of parental knowledge regarding IDA varied between good (60.0%), moderate (29.0%), and poor (11.0%). Multivariable binary logistic regression revealed that young parents aged 18-25 had more than threefold increased odds [adjusted odds ratio (AOR): 3.475] of having a low to moderate level of knowledge. In addition, males were more significantly associated with an increased risk of low knowledge compared to females (AOR: 1.945). Parents with less than a university education were more than twice as likely to have poor to moderate knowledge (AOR: 2.157). According to the study's findings, 60% of parents in Tabuk City, Saudi Arabia, were well-informed about all aspects of IDA. The two main areas with the least amount of knowledge were signs and symptoms and understanding the meaning of anemia. Young parents (18-25 years old), men, and parents with less than a university degree are risk factors associated with a higher likelihood of low knowledge.

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Addo OY, Yu EX, Williams AM, et al. Evaluation of hemoglobin cutoff levels to define anemia among healthy individuals. JAMA Netw Open 2021;4:e2119123. DOI: https://doi.org/10.1001/jamanetworkopen.2021.19123
Hempel EV, Bollard ER. The evidence-based evaluation of iron deficiency anemia. Med Clin North Am 2016;100:1065-75. DOI: https://doi.org/10.1016/j.mcna.2016.04.015
Animasahun BA, Itiola AY. Iron deficiency and iron deficiency anaemia in children: physiology, epidemiology, aetiology, clinical effects, laboratory diagnosis and treatment: literature review. J Xiangya Med 2021;6:1-14. DOI: https://doi.org/10.21037/jxym-21-6
Kumar SB, Arnipalli SR, Mehta P, et al. Iron deficiency anemia: efficacy and limitations of nutritional and comprehensive mitigation strategies. Nutrients 2022;14:2976. DOI: https://doi.org/10.3390/nu14142976
Camaschella C. Iron-deficiency anemia. N Engl J Med 2015;372:1832-43. DOI: https://doi.org/10.1056/NEJMra1401038
Kumar A, Sharma E, Marley A, et al. Iron deficiency anaemia: pathophysiology, assessment, practical management. BMJ Open Gastroenterol 2022;9:e000759. DOI: https://doi.org/10.1136/bmjgast-2021-000759
Iolascon A, Andolfo I, Russo R, et al. Recommendations for diagnosis, treatment, and prevention of iron deficiency and iron deficiency anemia. Hemasphere 2024;8:e108. DOI: https://doi.org/10.1002/hem3.108
Moscheo C, Licciardello M, Samperi P, et al. New insights into iron deficiency anemia in children: a practical review. Metabolites 2022;12:289. DOI: https://doi.org/10.3390/metabo12040289
Randi ML, Bertozzi I, Santarossa C, et al. Prevalence and causes of anemia in hospitalized patients: impact on diseases outcome. J Clin Med 2020;9:950. DOI: https://doi.org/10.3390/jcm9040950
Nwaba A, Su M, Rajamanickam V, et al. Community preventive health education intervention for pediatric iron-deficiency anemia in rural southeast Nigeria. Ann Glob Health 2022;88:105. DOI: https://doi.org/10.5334/aogh.3625
Abu-Baker NN, Eyadat AM, Khamaiseh AM. The impact of nutrition education on knowledge, attitude, and practice regarding iron deficiency anemia among female adolescent students in Jordan. Heliyon 2021;7:e06348. DOI: https://doi.org/10.1016/j.heliyon.2021.e06348
Shehata SF, Alahmari FS, Alahmari SA, et al. General population awareness regarding iron deficiency anaemia and its relation with nutrition and dietary habits. Int J Community Med Public Health 2020;7:3803-9. DOI: https://doi.org/10.18203/2394-6040.ijcmph20204342
Ibrahim SR, Abd El-Moniem II, El-Sayed ZF. Mothers’ awareness regarding iron deficiency anemia among school age children: an assessment study. Egypt J Health Care. 2022;13:749-59. DOI: https://doi.org/10.21608/ejhc.2022.254819
Samararathna R, Gunaratne AVC, Mettananda S. Knowledge and practices on childhood anaemia, thalassaemia and iron deficiency among mothers of children aged between 6 and 59 months in a suburban area of Sri Lanka. J Health Popul Nutr 2022;41:59. DOI: https://doi.org/10.1186/s41043-022-00341-7
Sharma J, Devanathan S, Sengupta A, Rajeshwari PN. Assessing the prevalence of iron deficiency anemia and risk factors among children and women: a case study of rural Uttar Pradesh. Clin Epidemiol Glob Health 2024;26:101545. DOI: https://doi.org/10.1016/j.cegh.2024.101545
Algarni AGS, Alalo AB, Bukhari HA, et al. Parents' awareness on iron deficiency anemia in children in western region, Saudi Arabia. IJMDC 2020;4:43-8. DOI: https://doi.org/10.24911/IJMDC.51-1569178877
Waggiallah HA. Awareness of anemia causes among saudi population in Qassim Region, Saudi Arabia. NJIRM 2013;4:35-40.
Shahzad S, Islam K, Azhar S, Fiza S. Impact of knowledge, attitude andpractice on iron deficiency anaemia status among females of reproductive age group (20-21-year-old) studying in government home economics college Lahore, Pakistan. Int Arch BioMed Clin Res 2017;3:31-6.
Jalambo MO, Ihab AN, Sharif R, Norimah A. Knowledge, attitude and practice of iron deficient and iron deficient anemic adolescents in the gaza strip, Palestine. Asian J Clin Nutr 2017;9:51-6. DOI: https://doi.org/10.3923/ajcn.2017.51.56
El Hioui M, Ahami AO, Aboussaleh Y, et al. Risk factors of anaemia among rural school children in Kenitra, Morocco. East Afr J Public Health 2008;5:62-6.
Al-Zain BF. Impact of socioeconomic conditions and parasitic infection on hemoglobin level among children in Um-Unnasser village, Gaza Strip. Turk J Med Sci 2009;39:53-8. DOI: https://doi.org/10.3906/sag-0703-11
Haidar JA, Pobocik RS. Iron deficiency anemia is not a rare problem among women of reproductive ages in Ethiopia: a community based cross sectional study. BMC Blood Disord 2009;9:7. DOI: https://doi.org/10.1186/1471-2326-9-7
Osazuwa F, Ehigie F Prevalence of anemia in preschool and school aged children in Nigeria. J N Y Sci J 2010;2:212-3.
Bello-Manga H, Awwalu S, Ijei IP, Hassan A. Prevalence of anemia and iron status among nomadic Fulani children in a grazing reserve in Northwestern Nigeria. Arch Med Surg 2018;3:43. DOI: https://doi.org/10.4103/archms.archms_18_18
Patel H, Solanki H, Gosalia V, et al. A study of awareness of nutrition and anemia among college going students of mahila college of Bhavnagar. Natl J Community Med 2013;4:300-3.

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The parental challenge: knowledge, attitudes, and practices on iron deficiency anemia in Tabuk. (2025). Italian Journal of Medicine. https://doi.org/10.4081/itjm.2025.1946
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