低收入和中等收入国家的贫血
Yarlini Balarajan1, Usha Ramakrishnan, Emre Ozaltin
1Department of Global Health and Population, Harvard School of Public Health, Boston, MA 02115-6096, USA.
Lancet (London, England)
|August 5, 2011
概括
贫血影响全球数百万人,特别是儿童和妇女,造成重大经济损失. 通过研究和改进策略来解决其复杂的原因,对于低资源环境至关重要.
科学领域:
- 公共卫生 公共卫生
- 全球健康 全球健康
- 流行病学 流行病学
背景情况:
- 贫血影响全球四分之一的人口,儿童和非孕妇患病率很高.
- 贫血对人力资本的经济影响导致每年数十亿美元的损失.
- 贫血不成比例地影响着社会经济地位较低的群体,突出了健康差异.
研究的目的:
- 审查低收入和中等收入国家的流行病学,临床评估,病理生理学和贫血的后果.
- 分析与贫血相关的社会经济决定因素和风险因素.
- 确定挑战,并提出减轻贫血负担在资源有限的环境中的策略.
主要方法:
- 关于贫血流行病学和后果的文献综述.
- 对贫血患病率和风险因素的人口级数据的分析.
- 综合有关多因素原因和社会经济影响的信息.
主要成果:
- 贫血在低收入和中等收入国家非常普遍,特别是在幼儿和非孕妇中.
- 孕产妇贫血与儿童贫血密切相关,这表明了代际影响.
- 贫血的原因是多因素的,涉及营养,传染病和社会经济地位之间的复杂相互作用.
结论:
- 解决贫血负担需要了解其复杂,多因素的病因及其社会经济决定因素.
- 改善人口层面战略的实施和减少研究和政策中的知识差距至关重要.
- 需要有针对性的干预措施来缓解贫血症,特别是在资源较低的环境中的脆弱人群中.
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