摘要
目的了解福建省泉州市5岁以下儿童贫血状况,为制定泉州市5岁以下儿童营养干预措施提供数据支持。方法采取整群分层方法选取2023年泉州市8个县(区)的乡镇(街道)卫生院(社区卫生服务中心),收集整理儿童保健门诊109504名5岁以下儿童的血红蛋白检测和健康随访资料数据,运用SPSS 22.0软件对数据进行统计分析,使用单因素和logistic回归分析对其贫血影响因素进行分析。结果2023年,泉州市中心城区5岁以下儿童贫血患病率(6.34%)较农村地区(7.76%)低,差异有统计学意义(χ^(2)=51.03,P<0.005)。多因素分析结果显示,1~岁组(OR=0.246)、2~岁组(OR=0.261)、3~岁组(OR=0.407)、4~5岁组(OR=0.610)相对0~岁组儿童是5岁以下儿童贫血的保护因素,相对于主要养护人为父母的5岁以下儿童,主要养护人为祖父母或其他人是5岁以下儿童贫血的危险因素(分别为OR=4.008和OR=1.516)。结论2023年泉州市中心城区与农村地区5岁以下儿童贫血患病率未达到《福建省儿童发展纲要(2021—2030年)》目标要求,5岁以下儿童贫血与儿童年龄、主要养护人有重要关联,下一步要加强对儿童主要养护人的健康宣教,并做好婴儿期儿童的贫血干预工作。
Objective To understand the anemia status of children under 5 years old in Quanzhou city of Fujian province and provide a data basis for the development of nutritional interventions for children under 5 years old in Quanzhou city.Methods A cluster stratification method was used to select the township hospitals(community health service centers)in 8 counties(districts)of Quanzhou City,Fujian province,in 2023.The hemoglobin testing and health follow-up data of 109504 children under 5 years old from the child health clinics of the above institutions were collected.SPSS 22.0 software was used for statistical analysis,and single factor and logistic regression analysis were used to compare and analyze the influencing factors of anemia in children under 5 years old in Quanzhou City.Results In 2023,the prevalence of anemia among children under 5 years old in the central urban area of Quanzhou City(6.34%)was lower than that in rural areas(7.76%),with statistically significant difference(χ^(2)=51.03,P<0.005).Multivariate analysis showed that children in the 1-year age group(OR=0.246),2-year age group(OR=0.261),3-year age group(OR=0.407),and 4−5 year age group(OR=0.610)were protective factors for anemia in children under 5 years old compared to those 0-year age group.Moreover,children under 5 years old whose main caregivers were grandparents or others were at a higher risk of anemia compared to those whose main caregivers were parents(OR=4.008,OR=1.516).Conclusion In 2023,the anemia rate of children under 5 years old in the central urban area and rural areas of Quanzhou city did not meet the target requirements of the“Fujian Provincial Children’s Development Plan(2021-2030)”.Anemia in children under 5 years old is associated with their age and their main caregivers.Effort should be made to enhance health education for the main caregivers of children and to carry out effective interventions for anemia in infants.
作者
庄莉阳
庄镇漳
吴宝红
潘清文
ZHUANG Liyang;ZHUANG Zhenzhang;WU Baohong;PAN Qingwen(QuanZhou Wowen’s and Children’s Hospital,Quanzhou,362000,Fujian Province,China;Jinjiang Third Hospital,Quanzhou,362000,Fujian Province,China)
出处
《中国妇幼卫生杂志》
2025年第3期211-215,共5页
Chinese Journal of Women and Children Health
关键词
5岁以下儿童
贫血
中心城区
农村
影响因素
children under 5 years old
anemia
central urban area
rural area
influencing factor
作者简介
通信作者:庄莉阳,Email:260187351@qq.com。
