在撒哈拉以南非洲的五岁以下儿童中,正常血红蛋白度的决定因素:使用横截面研究设计的积极偏差调查
Beminate Lemma Seifu1, Getayeneh Antehunegn Tesema2, Tsion Tebeje3
1Department of Public Health, College of Medicine and Health Sciences, Samara University, Samara, Ethiopia beminetlemma1915@gmail.com.
BMJ open
|April 25, 2024
概括
在撒哈拉以南非洲地区,只有34.9%的5岁以下儿童血红蛋白水平正常,这表明贫血是一个主要的公共卫生问题. 诸如母亲教育和儿童健康等因素会影响血红蛋白度.
科学领域:
- 儿科 儿科 儿科
- 公共卫生 公共卫生
- 血液学 血液学 血液学
背景情况:
- 儿童血红蛋白水平较低与发育迟缓和其他不良结果有关.
- 在全球范围内,超过一半的5岁以下儿童血红蛋白度低.
- 关于撒哈拉以南非洲 (SSA) 儿童正常血红蛋白度决定因素的研究有限.
研究的目的:
- 评估撒哈拉以南非洲五岁以下儿童正常血红蛋白度的决定因素.
主要方法:
- 在33个SAS国家中使用正偏差方法进行横截面研究.
- 一个具有强大的方差的多层波桑回归模型应用于129,408名6-59个月龄的儿童.
- 使用调整的流行率和95%置信区间来确定统计学意义.
主要成果:
- 在5岁以下的SSA儿童中,正常血红蛋白度的综合流行率为34.9%.
- 与正常血红蛋白增加几率相关的因素包括高母亲教育,更富裕的家庭,女性性别,频繁的产前护理,非贫血的母亲,抗甲虫药物使用和良好的营养状况.
- 与较低血红蛋白正常几率相关的因素包括出生顺序较高,发烧,腹和农村居住.
结论:
- 在5岁以下的SSA儿童中,只有34.9%的血红蛋白水平正常,这表明贫血是一个重大的公共卫生问题.
- 干预措施应侧重于改善孕产妇教育,除虫,以及管理孕产妇贫血,发烧性疾病和儿童腹性疾病.
- 解决这些决定因素对于改善儿童血红蛋白水平和SSA的整体健康至关重要.
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