贫困农村地区6～23月龄婴幼儿贫血现况及影响因素

发布时间：2019-02-15 09:07

【摘要】：目的了解贫困农村地区6~23月龄婴幼儿贫血现状及其影响因素,为制定针对性的干预措施提供依据。方法于2015年8月在湖南省武陵山区和罗霄山区25个贫困县采用乡级概率比例规模抽样方法,随机抽取7221名农村6~23月龄婴幼儿作为研究对象,进行问卷调查并测定血红蛋白,采用多因素非条件logistic回归模型分析其贫血影响因素。结果 25.2%的婴幼儿贫血,其中95.9%为轻度贫血,4.0%为中度贫血,0.1%为重度贫血;多因素分析结果显示,12~17月龄(OR=0.812,95%CI=0.709~0.931)、18~23月龄(OR=0.552,95%CI=0.475~0.640)、侗族(OR=0.717,95%CI=0.558~0.922)、父亲职业为商业服务人员(OR=0.864,95%CI=0.756~0.986)、母乳喂养(OR=1.459,95%CI=1.281~1.660)和有效服用营养包(OR=0.742,95%CI=0.663~0.830)是贫困农村地区6~23月龄婴幼儿贫血的影响因素。结论贫困农村地区6~23月龄婴幼儿贫血患病率仍处于较高水平,且受多种因素影响。
[Abstract]:Objective to investigate the status of anemia in children aged 6 ~ 23 months and its influencing factors in poor rural areas, and to provide evidence for the establishment of targeted intervention measures. Methods in August 2015, 25 poor counties in Wuling Mountain and Luoxiao Mountain, Hunan Province, were randomly selected from 7221 infants aged 623 months in rural areas by using the method of probability proportional scale sampling at the township level, and the hemoglobin was measured by questionnaire survey. Multivariate non-conditional logistic regression model was used to analyze the influencing factors of anemia. Results among them, 95.9% were mild anemia, 4.0% were moderate anemia and 0.1% were severe anemia. The results of multivariate analysis showed that the age of 12 to 17 months (OR=0.812,95%CI=0.709~0.931), 1823 months of age (OR=0.552,95%CI=0.475~0.640), Dong nationality (OR=0.717,95%CI=0.558~0.922), father occupation for business service personnel (OR=0.864,95%CI=0.756~0.986), Breast feeding (OR=1.459,95%CI=1.281~1.660) and effective nutrition package (OR=0.742,95%CI=0.663~0.830) were the influential factors of anemia in children aged 6 to 23 months in poor rural areas. Conclusion the prevalence rate of anemia in children aged 6 to 23 months in rural areas is still high and affected by many factors.
【作者单位】：中南大学公共卫生学院儿少卫生与妇幼保健学系;湖南省妇幼保健院;
【基金】：2014年贫困地区儿童营养改善项目(2014-1076)
【分类号】：R725.5

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