论文部分内容阅读
目的 了解广东省不同人群贫血流行特征及其相关影响因素 ,为采取有针对性的干预措施提供科学依据。方法 运用四阶段随机整群抽样方法抽取广东省 13个县 (区 ) 2 4 0 5 1人 ,用面对面询问调查获得居民个人基本信息 ,用氰化高铁法测量血红蛋白 ;采用Logistic回归分析方法筛选贫血相关影响因素。结果 广东省居民贫血总患病率为 13 6 % ,标化患病率为 14 2 %。男、女性粗患病率分别为 10 8%、15 7% ,标化率分别为 10 0 %、16 7% ,差异均有显著性 (P <0 0 1) ;城乡粗患病率分别为 11 3%、15 7% ,标化率分别为 12 3%、16 1% ,差异均有显著性 (P <0 0 1)。不论城市和农村 ,均是 2岁以下的婴幼儿、6 0岁及以上的老年人、2 0～ 5 9岁的女性贫血患病率较高。 2岁以下婴幼儿贫血的相关影响因素是低出生体重、性别、父亲文化程度和母亲贫血状况 ,OR值分别为 0 16、0 4 8、0 5 9和 2 87;2岁及以上人群贫血的相关影响因素是年龄、性别、地区、家庭人口数和经济收入 ,OR值分别为 1 2 1、1 6 3、1 4 6、0 91和 0 88。结论 广东省居民贫血患病率较高 ,婴幼儿、老年人和生育期妇女是高危人群 ,应加强对高危人群贫血防治工作 ,改善贫血状况 ,提高居民健康水平。
Objective To understand the prevalence of anemia in different populations in Guangdong Province and its related influencing factors so as to provide a scientific basis for taking targeted interventions. Methods A total of 24051 people in 13 counties (districts) of Guangdong Province were sampled by four-stage random cluster sampling method. Basic personal information of residents was obtained by face-to-face interrogation survey, and hemoglobin was measured by cyanidation and high speed railway. Logistic regression analysis was used to screen for anemia Related factors. Results The total prevalence of anemia in Guangdong was 136%, and the standardized prevalence was 142%. The crude prevalence rates of male and female were 108% and 157%, respectively. The standardization rates were 100% and 167% respectively, with significant differences (P <0.01). The crude prevalence rates in urban and rural areas were 11 3% and 15 7% respectively. The standardization rates were 12 3% and 16 1%, respectively, with significant differences (P <0.01). Both urban and rural areas were infants under 2 years of age, elderly people aged 60 and over, and women aged 20-59 with a higher prevalence of anemia. The relative risk factors for anemia in infants and children under 2 years of age were low birth weight, sex, educational level of father and mother’s anemia, with OR values of 0 16,048, 59 and 2 87, respectively; anemia of 2 years old and above The relevant influencing factors are age, gender, region, family size and economic income, with OR values of 12,1 6,3,1 4 6,0 91 and 0 88, respectively. Conclusion The prevalence of anemia is high in Guangdong residents. Infants, the elderly and women of childbearing age are at high risk. The prevention and treatment of anemia in high-risk population should be strengthened to improve the anemia and improve residents’ health.