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于春燕, 班文芬, 谢丽, 魏萍, 兰树琴, 沈丽, 杨远菊, 王朝兵. 贵州黔南地区农村少数民族6～23月龄儿童缺铁性贫血患病现状及其危险因素分析[J]. 中国公共卫生, 2018, 34(6): 1-1. DOI: 10.11847/zgggws1118736
引用本文: 于春燕, 班文芬, 谢丽, 魏萍, 兰树琴, 沈丽, 杨远菊, 王朝兵. 贵州黔南地区农村少数民族6～23月龄儿童缺铁性贫血患病现状及其危险因素分析[J]. 中国公共卫生, 2018, 34(6): 1-1. DOI: 10.11847/zgggws1118736
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Chun-yan YU, Wen-fen BAN, Li XIE, . Prevalence and influence factors of iron deficiency anemia among 6 – 23 months old children in Qiannan area of Guizhou province[J]. Chinese Journal of Public Health, 2018, 34(6): 1-1. DOI: 10.11847/zgggws1118736
Citation: Chun-yan YU, Wen-fen BAN, Li XIE, . Prevalence and influence factors of iron deficiency anemia among 6 – 23 months old children in Qiannan area of Guizhou province[J]. Chinese Journal of Public Health, 2018, 34(6): 1-1. DOI: 10.11847/zgggws1118736
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贵州黔南地区农村少数民族6～23月龄儿童缺铁性贫血患病现状及其危险因素分析

Prevalence and influence factors of iron deficiency anemia among 6 – 23 months old children in Qiannan area of Guizhou province

    摘要
  • 摘要:
      目的  了解贵州黔南地区农村少数民族6～23月龄儿童缺铁性贫血患病现状及其危险因素，为采取相应的干预措施提供参考依据。
      方法  于2017年2月 — 2018年1月，采用多阶段分层、随机、整群抽样方法在贵州黔南地区农村少数民族抽取19 498名6～23月龄儿童进行问卷调查、体格检查和实验室检查。
      结果  贵州黔南地区农村少数民族19 498名常住6～23月龄儿童中，患缺铁性贫血者9 279例，患病率为47.59 %，标化患病率为47.13 %；多因素非条件logistic回归分析结果显示，6月龄～组（OR = 3.765，95 % CI = 1.215～4.315）、毛南族（OR = 3.411，95 % CI = 1.635～4.095）、苗族（OR = 4.937，95 % CI = 1.867～6.123）、出生时体重 < 3 kg（OR = 3.407，95 % CI = 1.125～3.883）、饮食结构以谷物或玉米为主（OR = 3.803，95 % CI = 1.356～4.935）、辅食转换时间 > 6个月（OR = 5.546，95 % CI = 1.867～6.978）、未补充营养包（OR = 3.903, 95 % CI = 1.341～3.916）、母亲职业为农民（OR = 2.887，95 % CI = 1.224～3.987）、母亲孕期患贫血（OR = 3.232，95 % CI = 1.139～4.084）、看护人为祖父母及其他（OR = 3.179，95 % CI = 1.214～4.657）、家庭人均年收入 < 5 000元（OR = 5.796，95 % CI = 1.857～6.353）、依山而居（OR = 3.271，95 % CI = 1.215～3.792）是贵州黔南地区农村少数民族6～23月龄儿童缺铁性贫血患病的危险因素。
      结论  贵州黔南地区农村少数民族6～23月龄儿童缺铁性贫血患病率较高，应针对该地区6～23月龄儿童缺铁性贫血患病的危险因素进行干预。

     

    Abstract:
      Objective  To examine the prevalence and risk factors of iron deficiency anemia (IDA) among 6 – 23 months old children in southern area of Guizhou province and to provide references for implementing corresponding interventions.
      Methods  A total of 19 498 children aged 6 – 23 months were selected using stratified multistage random cluster sampling in Qiannan prefecture of Guizhou province; then physical examination and laboratory tests were carried out among the children and a face-to-face questionnaire survey was conducted among major caregivers of the children simultaneously between February 2017 and January 2018．
      Results  Among all the children surveyed, totally 9 279 IDA cases were identified and the IDA prevalence rate was 47.59% and the standardized rate was 47.13%. Unconditional multivariate logistic regression analysis indicated following risk factors of IDA among the small children: aged 6 – 11 months (odds ratio OR = 3.765, 95% confidence interval 95% CI: 1.215 – 4.315), Maonan nationality (OR = 3.411, 95% CI: 1.635 – 4.095), Miao nationality(OR = 4.937, 95% CI : 1.867 – 6.123), birth weight < 3 Kg (OR = 3.407, 95% CI : 1.125 – 3.883), having a corn or maize-based dietary pattern (OR = 3.803, 95% CI : 1.356 – 4.935), supplemental feeding at the age of > 6 months (OR = 5.546, 95% CI : 1.867 – 6.978), never taking supplemental nutritional package (OR = 3.903, 95% CI : 1.341 – 3.916), with a mother engaged in farming (OR = 2.887, 95% CI : 1.224 – 3.987), maternal anemia (OR = 3.232, 95% CI : 1.139 – 4.084), with a major caregiver other than mother or father (OR = 3.179, 95% CI : 1.214 – 4.657), in a family with the annual income of < 5 000 RMB yuan per capita (OR = 5.796, 95% CI: 1.857 – 6.353), and residing in an area near a mountain (OR = 3.271, 95% CI: 1.215 – 3.792).
      Conclusion  The prevalence rate of iron deficiency anemia is relatively high among 6 – 23 months old children in southern area of Guizhou province and interventions on risk factors of iron deficiency anemia should be promoted among the children.

     

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