甘肃省贫困地区6～24月龄婴幼儿贫血状况及其影响因素  

Anemia prevalence and its influencing factors for the infants aged 6-23 months in poor areas in Gansu Province

作　　者：李甫云 郭金仙[2] 王称[2] 黄奎奎[2] 刘旭栋 王蒙 方响 杨兰[1,2] LI Fu-yun;GUO Jin-xian;WANG Cheng;HUANG Kui-kui;LIU Xu-dong;WANG Meng;FANG Xiang;YANG Lan(School of Public Health, Lanzhou University, Lanzhou 730000, China;Gansu Maternal and Child Health Hospital, Lanzhou 730050, China)

机构地区：[1]兰州大学公共卫生学院,兰州730000 [2]甘肃省妇幼保健院,兰州730050

出　　处：《中华疾病控制杂志》2019年第10期1219-1223,共5页Chinese Journal of Disease Control & Prevention

摘　　要：目的了解甘肃省贫困地区6~24月龄婴幼儿贫血患病状况及其影响因素,为改善当地儿童贫血患病状况提供参考依据。方法采用多阶段抽样的方法,在甘肃省12个儿童营养改善项目县对6~24月龄婴幼儿及看护人进行调查,用t检验、方差分析进行血红蛋白含量的比较、用/检验进行患病率之间的比较、用Logistic回归分析模型进行影响因素的分析。结果3188例有效数据中,贫血检出率为25. 69%(819人),男童、女童中贫血检出率分别为24. 54%、26.90%,不同性别间贫血检出率的差异无统计学意义(x^2=2. 326, P=0. 127),不同年龄组间贫血检出率的差异具有统计学意义(/=42. 339, P<0.001);多因素分析结果表明:儿童月龄、儿童民族、家长对喂养知识的知晓率、儿童出生6个月后喂养方式、营养包的服用方式与贫血均存在相关性(均有P<0.05)。结论甘肃省贫困地区6~24月龄婴幼儿贫血患病率较高,加强对看护人喂养知识及科学育儿的宣教,进一步落实营养包的有效服用,有助于改善儿童贫血患病状况。Objective To understand the prevalence of anemia and its influencing factors in infants aged 6 to 24 months in poor areas of Gansu Province, and to provide reference for improving the prevalence of anemia in local children. Methods A multi-stage sampling method was used to conduct a survey on infant and caregivers, in the 12 children nutrition improvement project counties in Gansu Province. T-test and analysis of variance were used to compare the hemoglobin content, the chi-square test was used to compare the prevalence of anemia, and the Logistic regression model was used to analyze the influencing factors. Results Among the 3 188 effective data, the detection rate of anemia was 25. 69%(819). The detection rate of anemia among boys and girls was 24. 54% and 26. 90%, respectively. There was no significant difference in the detection rate of anemia among different sexes ( x^2 =2. 326, P =0. 127). The detection rate of anemia between different age groups were statistically significant (x^2 = 42. 339, P <0. 001 );The results of multivariate analysis showed that children s age, children's ethnic groups, parents' awareness of feeding knowledge, the feeding method of 6 months after birth and the way of taking nutritional packs were associated with anemia ( all P < 0. 05 ). Conclusions The prevalence of anemia in infants aged 6 to 24 months in poor areas in Gansu Province was relatively high. Strengthening the education of caretakers1 knowledge of guardian feeding and scientific child-rearing, and ensuring the nutrition packages intake can significantly reduce the prevalence of anemia prevalence in poor areas in Gansu Province.

关 键 词：贫困地区 6~24月龄婴幼儿 贫血 影响因素 

分 类 号：R181.22[医药卫生—流行病学]