湖南省农村贫困地区14082名6~24月龄婴幼儿贫血状况分析

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目的了解湖南省农村贫困地区婴幼儿营养性贫血情况,为制定农村贫困地区婴幼儿贫血综合防控措施提供依据。方法采用概率比例规模抽样(PPS)、系统抽样相结合的方法,调查2012-2015年湖南省贫困地区6~24月龄婴幼儿家庭基本情况,并测量其血红蛋白含量、体重和身长。结果 14 082名6~24月龄婴幼儿总贫血患病率32.7%,2012-2015年6~24月龄婴幼儿贫血患病率分别为39.6%、31.4%、36.4%、30.8%,随时间推移逐渐下降(P<0.05)。男童贫血患病率高于女童(P<0.05)。6~、12~、18~24月龄婴幼儿贫血患病率分别为42.7%、33.6%、24.5%,患病率随年龄增大逐渐下降(P<0.05)。低体重婴幼儿贫血患病率高于非低体重婴幼儿,低体质指数婴幼儿贫血患病率高于非低体质指数婴幼儿(P<0.05);消瘦婴幼儿贫血患病率高于非消瘦婴幼儿,生长迟缓婴幼儿贫血患病率高于非生长迟缓婴幼儿,但差异均无统计学意义(P>0.05)。父亲学历高低对婴幼儿贫血患病率无影响(P>0.05),母亲学历高者贫血患病率低于母亲学历低者(P<0.05)。结论湖南省农村贫困地区6~24月龄婴幼儿贫血患病率较高,有必要采取综合性措施改善婴幼儿营养状况,降低婴幼儿贫血患病率。 Objective To understand the status of nutritional anemia in infants and young children in rural poverty-stricken areas in Hunan Province, and to provide evidence for the comprehensive prevention and control measures of infant anemia in impoverished rural areas. Methods The methods of probabilistic scale sampling (PPS) and systematic sampling were used to investigate the infants’ family history of infants and young children aged 6-24 months from 2012 to 2015 in poverty-stricken areas in Hunan Province. The hemoglobin content, body weight and body length were measured. Results The prevalence of total anemia in 14 082 infants and young children aged 6-24 months was 32.7%. The prevalence rates of anemia in infants and children aged 6-24 months from 2012 to 2015 were 39.6%, 31.4%, 36.4% and 30.8%, respectively. Over time The progression gradually declined (P <0.05). The prevalence of anemia in boys was higher than that in girls (P <0.05). The prevalence of anemia at 6 ~, 12 ~, 18 ~ 24 months old was 42.7%, 33.6%, 24.5% respectively. The prevalence decreased gradually with age (P <0.05). The prevalence of anemia in low birth weight infants and young children was higher than that in non-low birth weight infants. The prevalence of anemia in infants with low body mass index was higher than that of infants with non-low body mass index (P <0.05) The prevalence of anemia in infants and young children with adolescent growth retardation was higher than that in infants with non-growth retardation, but the difference was not statistically significant (P> 0.05). The level of father’s education had no effect on the prevalence of anemia in infants and young children (P> 0.05). The prevalence of anemia in mothers with high education level was lower than that of mothers with low education level (P <0.05). Conclusion The prevalence of anemia in infants and young children aged 6 ~ 24 months in rural poverty-stricken areas of Hunan Province is relatively high. It is necessary to take comprehensive measures to improve the nutritional status of infants and young children and reduce the prevalence of anemia in infants and young children.
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