晋黔贫困地区6～23月龄儿童贫血现状及影响因素研究

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摘要目的了解晋黔贫困农村地区6～23月龄儿童的贫血现况,探究贫血相关的可能危险因素。方法采用横断面研究设计,调查山西和贵州两省6个贫困县的1 475名6～23月龄的儿童及其看护人。采集儿童末梢血,用HeMocue血红蛋白仪进行测定。采用非条件Logistic回归分析贫血的影响因素。结果 55.4%的儿童患有贫血,轻度、中度和重度贫血率分别为26.4%、27.9%和1.2%。多因素分析结果显示,与6～11月龄儿童相比,18～23月龄组儿童的贫血风险较低(OR=0.44,95% CI:0.30～0.64)。母乳喂养与儿童贫血风险增加有关(OR=1.61,95% CI:1.19～2.18)。此外,维生素和矿物质摄入与儿童贫血风险降低有关(OR=0.70,95% CI:0.54～0.92)。结论晋黔贫困农村地区6～23月龄儿童的贫血率较高,需要采取综合措施进行干预。

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	赵春霞
	杜雨峰
	罗树生
	魏乾伟
	张翠红
	张敬旭
	郭素芳

关键词 ：贫血, 儿童, 中国农村地区

Abstract：Objective The study aims to determine the prevalence of anemia and explore risk factors of anemia among children aged 6～23 months in poor rural areas in China.Methods A cross-sectional study was conducted in six poverty-stricken counties in Shanxi and Guizhou provinces. Household interviews were completed on 1 475 children aged 6-23 months and their caregivers. Capillary blood samples were collected and hemoglobin concentration were determined using automated blood analyzer. Multivariate unconditional logistic regression model was used to explore the risk factors of anemia.Results Overall, 55.4% of children suffered from anemia. The prevalence of mild anemia, moderate anemia, and severe anemia were 26.4%, 27.9% and 1.2%, respectively. Compared with children aged 6～11 months, children aged 18～23 months showed sharply reduced risk of anemia (odds ratios, OR=0.44, 95% confidence interval, 95% CI:0.30～0.64). Children who were breastfed showed increased risk of anemia (OR=1.61, 95% CI:1.19～2.18). Supplementation of vitamins and minerals showed protective effect of anemia (OR=0.70, 95%CI:0.54～0.92).Conclusion High prevalence of anemia among children aged 6～23 months highlighting the need for scaling up a more comprehensive interventions package to combat anemia in rural China.

Key words： Anemia Children Rural China

收稿日期: 2017-02-20

基金资助:联合国儿童基金会“Health and Nutrition”(0315-China/YH702)

通讯作者: 张敬旭(jxzhang@bjmu.edu.cn);郭素芳(sguo@unicef.org)

引用本文:

赵春霞,杜雨峰,罗树生,魏乾伟,张翠红,张敬旭,郭素芳. 晋黔贫困地区6～23月龄儿童贫血现状及影响因素研究[J]. 中国生育健康杂志, 2017, 28(5): 416-420.
ZHAO Chunxia, DU Yufeng, LUO Shusheng, WEI Qianwei, ZHANG Cuihong, ZHANG Jingxu, GUO Sufang. Prevalence and risk factors of anemia among children aged 6～23 months in poor rural areas in China. Chinese Journal of Reproductive Health, 2017, 28(5): 416-420.

链接本文:

http://cjrh.bjmu.edu.cn/CN/ 或 http://cjrh.bjmu.edu.cn/CN/Y2017/V28/I5/416

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