• Renfu Luo, Max Kleiman-Weiner, Scott Rozelle, Linxiu Zhang, Chengfang Liu, Brian Sharbono, Yaojiang Shi, Ai Yue, Reynaldo Martorell, and Michelle Lee.
• Center for Chinese Agricultural Policy, and Institute of Geographic Sciences and Natural Resources Research, Chinese Academy of Sciences (CAS), Beijing, China. luorf.ccap@igsnrr.ac.cn
• Ecol Food Nutr. 2010 Sep 1;49(5):357-72.

AbstractDespite growing wealth in China, a significant share of children across rural China still have no access to iron-rich foods, vitamins, and other micronutrients. Such poor diets may result in high incidences of nutritional problems, including anemia. The objective of the study was to increase understanding of the extent of anemia, and identify structural correlates of anemia in poor Shaanxi province's primary schools. The article shows that the overall anemia rate is 21.5 percent when using a blood hemoglobin cutoff of 115 g/L (39 percent with a cutoff of 120 g/L). We find that those students that are boarding at school and eat lunch away from home are more likely to be anemic. Children with anemia are found to have lower height for age (HAZ) scores. If this part of Shaanxi province is representative of all poor counties in China, these findings mean millions of children in poor rural China may be anemic.

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