康北高原6~36月龄婴幼儿贫血现状及影响因素
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四川省卫生计生委科研项目(18PJ227)


Analysis of current situation and influence factors of anemia among 6-36-month-old infants and young children in north of Kangzang Plateau
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    摘要:

    目的 探讨康北高原6~36月龄婴幼儿的贫血现状及影响因素,为高原藏区婴幼儿贫血的防治提供循证医学依据。方法 收集2019年1月~12月在康北区域医疗中心甘孜县人民医院门诊首次就诊的6~36月龄婴幼儿的人口特征、出生信息、贫血相关指标、喂养方式、辅食添加,妊娠晚期母亲贫血,抚养人文化水平及宗教信仰信息,采用单因素和多因素统计,分析其与婴幼儿贫血的相关性。结果 共收集婴幼儿1012例,其中仅634例纳入统计学分析。康北高原贫困藏区婴幼儿的贫血患病率为60.9%,缺铁性贫血占贫血总人数的54.4%。6~12月龄为婴幼儿贫血的高危人群。年龄、性别、民族、喂养方式及抚养人文化水平是婴幼儿贫血的独立影响因素 (P<0.05)。辅食添加时间、种类、数量,婴幼儿出生体重,妊娠晚期母亲贫血、家庭儿童数目及抚养人宗教信仰与婴幼儿贫血相关性差异无统计学意义(P>0.05)。结论 康北高原藏区婴幼儿贫血患病率较高。年龄、性别、民族、喂养方式和抚养人文化水平为该地区婴幼儿贫血的主要预测因素。需要采取更多防控措施改善高原藏区婴幼儿的贫血现状。

    Abstract:

    Objective This study aimed to assess the prevalence and associated factors of anemia among infants and young children under three (6-36months) in north of Kangzang Plateau and provide evidence-based medicine basis for the prevention and treatment of anemia in infants and young children in Tibetan Plateau Areas. Methods A cross-sectional study was conducted with infants and young children aged 6 to 36 months who visited the outpatient clinic in Kangbei Regional Medical Center (The People's Hospital of Ganzi) between January and December 2019. The demographic characteristics, birth information, anemia-related indicators, feeding style, complementary foods, anemia in late pregnancy, as well as the educational level and religious beliefs of caregivers were assessed. Univariate and multivariable analyses were used to describe the associations between anemia and independent variables. Results A total of 1,012 infants and young children were collected. Among these, 634 were eligible. The prevalence of anemia among infants and young children in north of Kangzang Plateau was 60.9%, with iron deficiency anemia accounts for 54.4% of the total anemia population. Infants aged 6-12 months old were high risk of anemia. Age, sex, race, feeding style, and the educational level of caregivers were independently associated with anemia among infants and young children (P<0.05). Whereas, there were no significant differences between the anemia among infants and young children and the added time, type, and quantity of supplementary food, birthweight, anemia in late pregnancy, number of children in family, and religious beliefs of caregivers (P>0.05). Conclusion The prevalence of anemia among infants and young children in north of Kangzang Plateau was relatively high. Age, sex, race, feeding style, and the educational level of caregivers were the main predictors for anemia in early childhood in this population. More prevention and control measures are needed to improve anemia among infants and young children in the region.

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  • 在线发布日期: 2022-03-23
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