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NIGER DELTA JOURNAL OF MEDICINE & MEDICAL RESEARCH

A Publication Of Nigeria Medical Association Bayelsa State Branch

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Archive | ISSUE: 153, Volume: Apr-Jun-2026

AN OVERVIEW OF THE SOCIODEMOGRAPHIC CHARACTERISTICS OF CHILDREN WITH SICKLE CELL DISEASE AND ITS RELATIONSHIP WITH DISEASE SEVERITY: A SINGLE CENTRE STUDY


Author:Ikejiaku UP, Ezeuko LC, Chimah CT

published date:2026-Jun-07

FULL TEXT in - | page 39–47

Abstract

Background: Sickle cell anemia (SCA) is a major public health problem in Nigeria and other parts of sub-Saharan Africa, with wide variability in clinical severity among affected children. Socio-demographic factors have been suggested to influence disease outcomes but evidence remains inconsistent.

Objective: This study assessed the socio-demographic characteristics of children with SCA and examined their association with disease severity.

Methods: A cross-sectional study was conducted among 101 children with SCA attending clinic at Federal Teaching hospital Owerri, Imo state. Data on socio-demographic characteristics were collected using a structured proforma. Disease severity was assessed using standardized severity scoring system by Adegoke and Kuti. Data were analyzed using IBM SPSS version 26.0. descriptive statistics were used to summarize variables while Chi-square test were employed to assess associations. Statistical significance was set at p < 0.05.

Results: The mean age of participants were 9.31 ± 4.56 years. Males constituted 52.5% of the study population. The majority of participants belonged to the middle socio- economic class (67.3%) and most were diagnosed before the age of five years (75.2%). Overall, 71.3% of the children had mild disease while 28.7% had moderate disease severity. No statistically significant associations were found between disease severity and socio-demographic variables (p >0.05).

Conclusion: Most children with SCA in this study had mild disease severity. Socio- demographic factors were not significantly associated with disease severity suggesting that other biological and clinical factors may play a more important role in determining disease outcomes.

Keywords: Disease severity, Ibadin and Akpede socio-economic classification, Sickle cell anaemia, Socio-demographic characteristics.

Cite this article: Ikejiaku UP, Ezeuko LC, Chimah CT. An overview of the sociodemographic characteristics of children with sickle cell disease and its relationship with disease severity: a single centre study. Niger Delta J Med Med Res. 2026;5(2):39–47.

Keywords: Disease severity, Ibadin and Akpede socio-economic classification, Sickle cell anaemia, Socio-demographic characteristics,

References

1. Piel FB, Patil AP, Howes RE, Nyangiri OA, Gething PW, Williams TN, et al. Global epidemiology of sickle hemoglobin in neonates: a contemporary geostatistical model-based map and population estimates. Lancet. 2013;381(9861):142-51.

2. Grosse SD, Odame I, Atrash HK, Amendah DD, Piel FB, Williams TM. Sickle disease in Africa: a neglected cause of early childhood mortality. Am J Prev Med. 2011;41(6 Suppl 4):S398-405.

3. Adegoke SA, Kuti BP. Quality of life in children and adolescents with sickle cell disease in a Nigerian hospital. Iran J Pediatr Hematol Oncol. 2013;3(2):73-80. 4. Platt OS, Brambilla DJ, Rosse WF, Milner PF, Castro O, Steinberg MH, et al. Mortality in sickle cell disease: life expectancy and risk factors for early death. N Engl J Med. 1994;330(23):1639-44.

5. Serjeant GR. The natural history of sickle cell disease. Cold Spring Harb Perspect Med. 2013;3(10):a011783.

6. Nnodu OE, Sopekan A, Nnebe-Agumadu U, Ohiaeri CI, Esan GJ, Adediran A, et al. Implementing newborn screening for sickle cell disease as part of immunization programmes in Nigeria: a feasibility study. Lancet Haematol. 2020;7(8):e534-40.

7. Anie KA, Egunjobi FE, Akinyanju OO. Psychosocial impact of sickle cell disorder: perspectives from Nigerian setting. Glob Health. 2010;6:2.

8. Brown BJ, Okereke JO, Lagunju IA, Orimadegun AE, Ohaeri JU, Akinyinka OO. Burden of health care of carers of children with sickle cell disease in Nigeria. Health Soc Care Community. 2010;18(3):289-95.

9. King L, Reid M, Harrison A, Holder-Nevins D, Burnett N, Trench M. Sociodemographic and clinical characteristics of sickle cell disease patients in Jamaica. West Indian Med J. 2014;63(1):24-8.

10. Miller ST, Sleeper LA, Pegelow CH. Prediction of adverse outcomes in children with sickle cell disease. N Engl J Med. 2000;342(2):83-9.

11. Day SW. Development and evaluation of a sickle cell disease assessment instrument. Paediatr Nurs. 2004;30(6).

12. Sebastini P, Nolan VG, Baldwin CT. A network model to predict the risk of death in sickle cell disease. Blood. 2007;110(7):2727-35.

13. Van den Tweel XW, van der Lee JH, Heijboer H, Peters M. Development and validation of a paediatric severity index for sickle cell patients. Am J Hematol. 2010;85(10):746-51.

14. Adegoke SA, Kuti BP. Evaluation of clinical severity of sickle cell anemia in Nigerian children. J Appl Haematol. 2013;4(2):58-64.

15. Ibadin MO, Akepede GO. A revised scoring scheme for the classification of socio-economicstatus in Nigeria. Nig J Paediatr. 2021;48(1):26 33.

16. Adegoke SA, Adeodu OO, Adekile AD. Sickle cell disease clinical phenotypes in children from South-Western Nigeria. Niger J Clin Pract. 2015;18(1):95-101.

17. Osifo OD, Ovueni ME, Asuaigwu N. Pattern of sickle cell anaemia among children in Benin City, Nigeria. Ann Afr Med. 2015;14(3):145-50.

18. Tshilolo L, Aissi LM, Lukusa D, Kinsiama C, Wembonyama S, Gulbis B, et al. Neonatal screening for sickle cell anemia in Democratic Republic of the Congo: experience from a pioneer project on 31,204 newborns. J Clin Pathol. 2009;62(1):35-8.

19. Nwogoh B, Omoti CE, Ofuebe SI. Frequency of priapism in adult male patients with sickle cell anaemia. Afr Health Sci. 2010;10(3):281-6.

20. Olatunya OS, Adekanmbi AF, Brown BJ. Sickle cell disease: caregivers’ knowledge and home based practices in a tertiary facility in Nigeria. Niger Postgrad Med J. 2014;21(2):124-31.

21. Brown BJ, Osunkwo I, Kline S, Akinola NO, Adewoyin AS, Fadeyi EA. Childhood sickle cell disease: health care delivery in Africa. Curr Opin Hematol. 2011;18(3):111-16.

22. Ndeezi G, Kiyaga C, Hernandez AG, Munube D, Howard TA, Ssewanyana I, et al. Burden of sickle cell trait and disease in the Uganda newborn screening cohort study (2011-2015). Lancet Glob Health. 2016;4(3):e195-e200.

23. Makani J, Ofori-Acquah SF, Nnodu O, Wonkam A, Ohene-Frempong K. Sickle cell disease: new opportunities and challenges in Africa. Sci World J. 2013;2013:193252. doi:10.1155/2013/193252.

24. Boadu O, Hamdollah Z, Nkrumah KN. Age at diagnosis and presentation of children with sickle cell disease in Kumasi, Ghana. Pan Afr Med J. 2019;34:49-52.

25. World Health Organization. Sickle cell disease: a strategy for the WHO African Region. Brazzaville: WHO Regional Office for Africa; 2010.

26. Olasinde YT, Ibrahim RO, Abolarin A, Odeyemi AO, Olasinde A, Kofoworade OO, et al. Disease severity of children attending a pediatric clinic in Southwest Nigeria. Niger J Basic Clin Sci. 2024;21(1):52-57.

27. Akinyanju O. A profile of sickle cell disease in Nigeria. Ann N Y Acad Sci. 1989;565:126-36.

28. Olaniyi JA, Nwogoh B, Ogeleka P. Genotypic and phenotypic variations among children with sickle cell in Benin City, Nigeria. Niger J Clin Pract. 2013;16(4):480-84.

29. Agbolade GO, Olaniyi JA, Ezeaka VC. Knowledge and attitude of caregivers to malnutrition among children with sickle cell disease in Lagos, Nigeria. Niger J Pediatr. 2020;47(1):62-69.

30. Asnani MR, Serjeant GR. Relationship of clinical severity to hemoglobin phenotype and other variables in homozygous sickle cell disease in Jamaica. BMC Hematol. 2013;13:5-8.

31. Ademuyiwa AO, Tayo BO, Ogedengbe OK, Olaleye O, Adekile AD. Sociodemographic factors and the severity of sickle cell anemia in children in Ibadan, Nigeria. Niger J Pediatr. 2012;39(4):190-95.

FULL TEXT in - | page 39–47

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