基于种族/种姓的差异是否会影响印度儿童贫血症?
Sakshi Pandey1,2, Tetsuya Araki3, Dil B Rahut4
1Lab. International Agro-Informatics, Dept. Global Agricultural Sciences, Graduate School of Agricultural and Life Sciences, The University of Tokyo, 1-1-1Bunkyo Ward, YayoiTokyo, 113-8657, Japan. pandey-sakshi@g.ecc.u-tokyo.ac.jp.
印度的儿童贫血正在上升,母亲贫血是关键因素. 边缘化群体,特别是定制部落,面临不成比例的更高风险,需要有针对性的干预措施.
科学领域:
- 公共卫生 公共卫生
- 儿科 儿科 儿科
- 营养流行病学 营养流行病学
背景情况:
- 儿童贫血仍然是印度的重大公共卫生挑战.
- 最近的趋势表明,6-59个月的儿童中贫血患病率增加.
- 了解病因因素对于有效的干预策略至关重要.
研究的目的:
- 调查社会,环境,孕产妇和传染病因素在印度儿童贫血中的作用.
- 分析2015-2016年至2019-2021年间儿童贫血患病率的趋势.
- 评估基于种姓的种族对儿童贫血的因果影响.
主要方法:
- 利用来自2015-2016年和2019-2021年国家家庭健康调查 (NFHS) 的单位级数据.
- 使用后勤回归分析来检查社会经济指标和儿童贫血之间的关联.
- 应用了外源切换治疗效应回归 (ESTER) 模型来评估种族的影响.
主要成果:
- 儿童贫血患病率从2015-2016年的64%增加到2019-2021年的68%.
- 母亲贫血被确定为最重要的决定因素,其次是母亲的体重指数 (BMI).
- 改善的社会经济指标与贫血风险的降低有关,但边缘化群体,特别是定向部落,风险高1.5倍.
结论:
- 母亲的健康和社会经济地位对于治疗儿童贫血至关重要.
- 需要有针对性的政策来减少贫血患病率,特别是在弱势群体中.
- 进一步研究边缘化社区贫血的根本原因是必不可少的.
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