湖南省麻阳苗族自治县6～23月龄儿童贫血现状及影响因素研究

Study on anemia status and its influencing factors for the Miao nationality children aged 6-23 months in Mayang Miao Autonomous County,Hunan province

目的了解调查地区儿童贫血现状及影响因素,为制定合适的营养干预策略提供依据。方法采用随机抽样的方法,选取麻阳苗族自治县664名6~23月龄农村儿童进行血红蛋白测定,并对其看护人进行问卷调查,所得资料运用χ~2检验和Logistic回归分析。结果苗族6~23月龄儿童贫血率31.83%,回归分析发现贫血的发生与看护人职业(OR=1.625,95%CI:1.029~2.568),过去24小时喂养母乳(OR=1.873,95%CI:1.230~2.854),过去24小时添加配方奶粉(OR=0.768,95%CI:0.535~1.102),过去24小时添营养包(OR=0.519,95%CI:0.356~0.755)有关。结论调查地区儿童贫血率较高,建议加强当地营养改善项目开展,重视健康宣教,提高看护人喂养能力。

Objective To explore the anemia status and its influencing factors for the Miao nationality children aged 6-23 months and to provide the evidences for the development of appropriate nutritional interventions strategies. Methods A total of 664 rural children aged 6-23 months and their caregivers in Mayang miao autonomous county were selected by using random sampling.Hemoglobin test and questionnaires were conducted to the children and their caregivers,respectively. The chi-square test and logistic regression analysis were used to analyze the data. Result The prevalence of anemia was 31. 83% in the Miao children aged 6-23 months. The analysis of logistic regression showed the occupation of the caregivers（ OR = 1. 625,95% CI： 1. 029-2. 568）,breast feeding in the past 24 hours（ OR = 1. 873,95% CI： 1. 230-2. 854）,,and adding nutrition package in the past 24 hours（ OR = 0. 519,95% CI： 0. 356-0. 755） were the influencing factors for the anemia. Conclusions The prevalence of anemia in the Miao nationality children aged 6-23 months was higher. It would be helpful to improve the anemia status by strengthening the implement of nutrition project,carrying out health education and improving the feeding capacities of the children＇s caregivers.