广西、内蒙农村婴幼儿贫血患病影响因素分析  

An analysis of influential factors of anemia of infants aged 6-24 months in rural areas of Guangxi and Inner Mongolia

作　　者：赵晶[1] 王惠珊[1] 徐轶群[1] 宫丽敏[1] 韦萍 红梅 黄小娜[1] 王燕[1] 张丽晋[1] 潘利萍[1] 许慧琼[1] 

机构地区：[1]中国疾病预防控制中心妇幼保健中心,北京100050 [2]广西省妇幼保健院,广西南宁530003 [3]呼伦贝尔市妇幼保健院,内蒙古海拉尔021008

出　　处：《中国妇幼健康研究》2010年第5期572-575,共4页Chinese Journal of Woman and Child Health Research

摘　　要：目的 了解广西、内蒙自治区农村6～24月龄婴幼儿的贫血患病率及影响因素.方法 采用多阶段分层整群随机抽样方法 对广西、内蒙自治区的7个县（旗）2 677名6～24月龄婴幼儿进行体格测量和血红蛋白测定,并对其看护人进行问卷调查.结果 广西、内蒙农村6～24月龄婴幼儿贫血患病率为51.3%,6～12月龄婴幼儿贫血患病率最高,为65.0%,之后随月龄增加而下降.不同月龄组间婴幼儿贫血患病率经比较差异有统计学意义（χ2=147.353,P＆lt;0.05）.多因素Logistic回归分析显示,谷类食品添加时间＆lt;4月龄（OR=1.797,P=0.001）是婴幼儿贫血的危险因素.母亲文化程度高（OR=0.827,P=0.013）、村医健康教育频数多（OR=0.889,P=0.017）是婴幼儿贫血的保护因素.结论 广西、内蒙农村6～24月龄婴幼儿贫血患病率高,应根据影响婴幼儿贫血的相关因素采取干预措施.Objective To investigate prevalence of anemia and its influential factors among infants aged 6-24 months in rural areas of Guangxi and Inner Mongolia. Methods In multisteps stratified random cluster sampling method, 2 677 infants aged 6-24 months in 7 counties of Guangxi and Inner Mongolia rural areas were investigated for physical examination and detection of hemoglobin （Hb） and their caregivers were investigated with a questionnaire at the same time. Results The prevalence of anemia among infants aged 6-24 months in rural areas of Guangxi and Inner Mogolia was 51.3%, the prevalence rate of anemia among infants aged 6-12 months was the highest and it decreased with increase in month age of the infants. There was a significant difference in prevalence rate of anemia among different age groups （X2 = 147. 353, P 〈 0.05）. Multifactorial logistic regression analysis showed that adding grains before 4 months of age for the infants（ OR = 1. 797 ,P = 0. 001 ） was a risk factor of infant＇ s anemia, while mother＇ s higher educational background（ OR = 0. 827 ,P = 0.013 ） and higher frequency of health education by village doctors （ OR = 0. 889, P = 0. 017 ） were protective factors. Conclusion The prevalence of anemia among infants aged 6-24 months in Guangxi and Inner Mongolia rural areas is high and corresponding measures should be taken to lower prevalence rate of infant＇ s anemia in these rural areas.

关 键 词：贫血 影响因素 6~24月龄 婴幼儿 

分 类 号：R179[医药卫生—妇幼卫生保健]