海南省贫困地区2016—2017学年汉族黎族学生贫血及营养状况

发布时间：2018-05-27 04:43

本文选题：贫困区 + 贫血　；参考：《中国学校卫生》2017年11期

【摘要】：目的了解海南省贫困地区2016—2017年汉族黎族学生的贫血现况及其与营养状况的关联,为进一步制定中小学生贫血防治措施提供理论依据。方法分层抽取2016年海南省实施"学生营养改善计划"贫困地区的初中和小学各4所,汉族黎族学生1 324人,收集基本信息,并采集空腹静脉血5 mL,分别采用氰化高铁法、高效液相色谱法、液相色谱-串联质谱法检测血清血红蛋白含量、维生素A(视黄醇)水平和血清25-(OH)D水平。结果贫血检出率为6.6%(87人),黎族(9.6%)高于汉族(3.1%)(χ~2=22.810,P0.01),性别差异无统计学意义(χ~2=0.603,P=0.438)。汉族男生、汉族女生、黎族男生、黎族女生4类学生贫血检出率分别为3.7%,2.5%,8.0%,11.3%。小学生与初中生贫血检出率差异无统计学意义(χ~2=3.81,P0.05)。Logistic回归分析显示,消瘦组和维生素A缺乏组与正常组相比均具有更高的罹患贫血的风险(OR值分别为1.847,1.701)。结论海南省贫困地区汉族黎族中小学生的贫血检出率较低,BMI营养状况与贫血的发生存在关联性,未来贫血防治重点应向黎族学生倾斜。
[Abstract]:Objective to investigate the anemia status of Li nationality students of Han nationality and its relationship with nutritional status in poor areas of Hainan Province from 2016 to 2017, and to provide theoretical basis for the prevention and treatment of anemia among primary and middle school students. Methods A total of 1 324 students of Li nationality of Han nationality were collected from 4 junior middle schools and 4 primary schools in the poverty-stricken areas of Hainan Province in 2016. The basic information was collected, and the fasting venous blood was collected by 5 mL, and the method of high iron cyanide was used respectively. High performance liquid chromatography (HPLC), liquid chromatography-tandem mass spectrometry (LC-MS) were used to detect the levels of serum hemoglobin, vitamin A (retinol) and serum 25-(OH)D. Results the prevalence rate of anemia was 6.6 / 87 (P = 9.6) higher than that of Han nationality (蠂 ~ 2 = 22.810 / P 0.01), and there was no significant difference in sex (蠂 ~ 2 / 0.603 / P ~ (0.438). The prevalence rate of anemia among male students of Han nationality, female students of Han nationality, boys of Li nationality and girls of Li nationality was 3.710% and 2.5% respectively. There was no significant difference in the prevalence rate of anemia between primary and junior high school students (蠂 ~ (2 / 2) 3.81) P 0.05. Logistic regression analysis showed that there was a higher risk of anemia in the emaciated group and vitamin A deficiency group than in the normal group (OR = 1.847 卤1.701, respectively). Conclusion the prevalence of anemia in Li nationality students in poor areas of Hainan Province is related to the incidence of anemia. The prevention and treatment of anemia should be focused on Li nationality students in the future.
【作者单位】：海南医学院公共卫生学院;
【基金】：海南省教育厅项目(Hnky2017-36,HNKY2014-56)
【分类号】：R153.2

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