湖北省农村不同地区5岁以下儿童贫血状况分析

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目的了解湖北省农村不同地区儿童的贫血状况。方法在湖北省农村地区采用分层多阶段整群随机抽样的方法,随机抽取8个市(县)5岁以下儿童2 312名,采集末梢血20μl,测定血红蛋白值。结果湖北省农村5岁以下儿童贫血患病率为21.06%;1~岁组贫血患病率最高(29.95%),4~岁组最低(11.62%)。高收入地区儿童贫血患病率(21.88%)稍高于中、低收入地区;山区儿童贫血患病率(29.73%)远较平原(21.44%)及丘陵地区(16.61%)高。多因素分析显示,高收入地区、山区及2岁以下儿童贫血患病风险较高。结论高收入地区、山区及2岁以下儿童是湖北省农村儿童贫血的高危人群,应作为重点防治人群。 Objective To understand the anemia in children in different rural areas of Hubei Province. Methods In stratified cluster stratified random sampling in rural Hubei Province, 2 312 children under 5 years old from 8 cities (counties) were randomly selected. Twenty (20) micrograms of peripheral blood were collected to measure the hemoglobin value. Results The prevalence of anemia in rural children under 5 years old in Hubei Province was 21.06%. The prevalence of anemia in the age group of 1 to 29 years old was the highest (29.95%) and lowest in the age group of 4 to 11.62%. The prevalence rate of anemia in high-income areas was slightly higher than that in middle and low income areas (21.88%). The prevalence of anemia in children in mountain areas was higher than that in plain areas (21.44%) and hilly areas (16.61%). Multivariate analysis showed that children in high-income areas, mountainous areas and children under 2 years old had a higher risk of anemia. Conclusion High-income areas, mountainous areas and children under 2 years of age are at risk of child anemia in rural areas of Hubei Province, and should be the key prevention and treatment groups.
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