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中国南方10个县级市学龄前儿童贫血流行状况 被引量:30

Prevalence of anemia among preschool children in southern China
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摘要 目的描述学龄前儿童贫血状况与分布特征。方法资料来源于“中美预防神经管畸形合作项目”围生保健监测的常规报告及儿童随访研究项目。采用WHO推荐的儿童贫血诊断标准。研究对象为2000年浙江、江苏两省10市64 466名3.5—6.5岁儿童,计算患病率并描述其分布特征。结果贫血患病率为21.39%(13 789/64466,95%CI:21.07—21.71),以轻度贫血为主(占99%以上)。贫血患病率,女童高于男童,5岁后显著高于5岁前,母亲文化程度低、职业为农民及新生儿期为人工喂养儿童贫血患病率较高,单胎与多胎、低出生体重与正常出生体重者的贫血患病率比较,差异无显著性(P >0.05)。结论我国南方学龄前儿童贫血患病率仍处于较高水平,与母亲文化程度、喂养方式等可干预的因素密切关联。 Objective To describe the epidemiological characteristics of anemia among preschool children in southern China. Methods We reviewed hemoglobin levels of children in 10 cities in Zhe-jiang and Jiangsu provinces whose mothers had participated in a community folic acid intervention program from 1993-1996, who were followed up in 2000 at 3.5-6.5 years of age. We selected children whose mothers had not taken folic acid. We defined anemia according to the WHO (2001) criterion. Results There were 64 466 children in the study, among whom 13 789 (21.39 %)were anemic. 99 % of the children with anemia whose hemoglobin concentration were between 90-110 g/L. Anemia was more prevalent among girls (P 〈 0.01) children five years of age and older (P 〈 0.01), those whose mothers can't reading (P 〈 0.01) those who were not being breast fed at the 6-week post-partum visit (P 〈 0.01), and those whose mother were farmers (P 〈 0.01). Anemia was not associated with birth weight or multiple births. Conclusion There was a high level of anemia among preschool children in Southern China. and anemia was associate with factors that can be prevented such as parents education level and breast feeding in early life.
出处 《中国生育健康杂志》 2006年第2期76-80,共5页 Chinese Journal of Reproductive Health
关键词 儿童 贫血 患病率 分布特征 Children Anemia Prevalence rate Distribution
作者简介 通讯作者:100083北京,北京大学生育健康研究所
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