上海市闵行区6～11岁在校学生血红蛋白连续监测结果分析

发布时间：2018-05-10 07:44

本文选题：贫血 + 累积发病率　；参考：《复旦学报(医学版)》2017年05期

【摘要】：目的了解上海市闵行区6~11岁在校学生贫血流行特征,为制定新形势下中小学生贫血预防措施和策略提供依据。方法 2012—2015学年连续4年对本区所有6~11岁在校学生42 872名进行血红蛋白测定。应用SPSS18.0统计软件完成所有资料分析。结果 6~11岁在校学生贫血患病率为5.05%(95%CI:4.84~5.26),女生贫血患病率为5.28%,显著高于男生4.84%(χ~2=4.24,P=0.037)。男、女生贫血易患年龄为6岁。持续就读于希望学校学生较公办学校学生更易患贫血(男生:OR=2.37,95%CI:2.03~2.76;女生:OR=2.08,95%CI:1.74~2.49)。持续超重或肥胖的学生贫血患病风险较营养正常学生低(男生:OR=0.65,95%CI:0.55~0.76;女生:OR=0.75,95%CI:0.61~0.92)。贫血3年累积发病率为12.80%(95%CI:12.49~13.12%),其中女生为14.52%,显著高于男生的11.28%(χ~2=100.26,P0.001)。6岁组男生3年累积发病风险最高,10~11岁组女生贫血3年累积发病率最高。持续就读于希望学校的学生贫血发病风险最高(男生:RR=1.93,95%CI:1.72~2.16;女生:RR=1.20,95%CI:1.04~1.39),持续超重或肥胖是贫血发病的保护因素(男生:RR=0.75,95%CI:0.67~0.84;女生:RR=0.77,95%CI:0.68~0.88)。贫血单次检出率为14.58%,复发性贫血检出率为2.54%。不同年龄、不同性质学校、不同营养状况的男、女生贫血检出次数均以1次为主(P0.05)。结论上海市闵行区6~11岁在校学生贫血处于轻度流行状态。有必要继续开展全年龄段学龄儿童贫血的普查普治工作,并根据监测结果辅以个性化干预措施,加强学龄儿童家长和青春期女生健康宣教,重点关注希望学校和复发性或持续性贫血的学生。
[Abstract]:Objective to investigate the epidemic characteristics of anemia among students aged 6 to 11 years in Minhang District, Shanghai, and to provide basis for making preventive measures and strategies for anemia among primary and middle school students under the new situation. Methods 42,872 students aged 611 years were measured for 4 consecutive years in the 2012-2015 school year. Use SPSS18.0 statistical software to complete all data analysis. Results the prevalence rate of anemia in students aged 6 to 11 years was 5.05% and 5.28% respectively. The prevalence rate of anemia in girls was 5.28, which was significantly higher than that in boys (蠂 2 = 4.24%, P < 0.037). The age of anemia for boys and girls is 6 years. Students who continue to study in hope schools are more likely to suffer from anaemia than those from public schools (male students are more likely to suffer from anaemia than students in public schools) (male students: O: 2.37 / 95 CI: 2.03 / 2.76; female students:% OR2. 082 / 95 CI: 1.74 / 2.49). The risk of anemia in the students who were overweight or obese was lower than that in the normal students (male students: 0. 65%, CI: 0. 55 + 0. 76; female students: 1: 0. 75 and 95% CI: 0. 61: 0. 92). The cumulative incidence of anemia in 3 years was 12.80% 12.49% 13.1212%, of which 14.52% for girls was significantly higher than 11.28% for boys (蠂 2 100.26 P 0.001 0. 6 years old). The highest cumulative incidence of anemia was found in girls aged 1011 years. Students who continue to attend hope schools have the highest risk of anaemia (male students: RRX 1.9395% CI1: 1.72 / 2.16; female students RRN 1.2095 CI: 1.04: 1.39). Persistent overweight or obesity is the protective factor for anemia (male student RRU 0.7595 CIW 0.670.84; female student RR0.777% 95CIW 0.688.88). The detection rate of anemia was 14.58, and that of recurrent anemia was 2.54. The frequency of anemia detection for boys and girls with different ages, different nature schools and different nutritional status was mainly once (P0.05). Conclusion anemia in school students aged 6 to 11 years old in Minhang District of Shanghai is in a mild epidemic state. There is a need to continue the general survey of anaemia among school-age children of all ages and to strengthen health education for parents of school-age children and adolescent girls, based on the results of monitoring, supplemented by individualized interventions, Focus on schools and students with recurrent or persistent anaemia.
【作者单位】：上海市闵行区疾病预防控制中心;复旦大学公共卫生学院妇幼与儿少卫生教研室;
【基金】：上海市闵行区卫生和计划生育委员会特色项目(2013MWTX02) 上海市研究生教育创新计划上海市公共卫生与预防医学Ⅰ类高峰学科建设计划~~
【分类号】：R153.2

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