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乌干达东部5岁以下儿童贫血的决定因素:基于社区的横截面研究

Joel J Komakech¹, Edirisa J Nsubuga¹, Jessica M Graves²

¹Department of Biochemistry, Nutrition and Health Promotion, Mississippi State University, Starkville, MS, United States.

Frontiers in public health

|August 29, 2025

概括

儿童贫血在乌干达很普遍, 超过一半的幼儿受到了影响. 疟疾史和老年护理人员增加了贫血风险,而老年儿童降低了贫血风险,

科学领域:

儿童医学
公共卫生
流行病学

背景情况:

贫血对撒哈拉以南非洲的儿童发病率和死亡率有很大影响.
超过一半的乌干达五岁以下儿童患有贫血,
这项研究重点关注乌干达的Busoga地区,以了解幼儿贫血的患病率和相关因素.

研究的目的:

确定乌干达Busoga地区6-59个月龄的儿童贫血的社区流行情况.
确定与贫血相关的人口和健康因素.
提供有针对性的干预措施来减少儿童贫血的负担.

主要方法:

一项以社区为基础的横截面研究,
多阶段随机抽样选择家庭;通过采访者管理的问卷和使用HemoCues测量血红蛋白度收集的数据.
修改Poisson回归用于分析人口变量与贫血之间的关联,共变量p < 0.05被认为是危险因素.

主要成果:

贫血的患病率为67.4% (296名儿童),严重贫血为5. 0%,中度贫血为36. 7%.
患有疟疾史的儿童 (APR=1. 2) 和年龄在45-59岁之间的照顾者 (APR=1. 5) 患贫血的风险更高.
在36至59个月的儿童中,贫血风险降低 (APR=0. 6).

结论:

儿童贫血是Busoga地区的一个重要公共卫生问题,与疟疾史和护理人员年龄有关.
较大的儿童年龄 (36-59个月) 与贫血风险较低有关.
建议采取包括预防疟疾和护理人员营养教育在内的干预措施,以减轻贫血负担.

关键词:

布索加地区修改后的Poisson回归乌干达没有血相关因素儿童 6至59个月横截面研究

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