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上海市某社区婴幼儿缺铁性贫血情况调查及影响因素分析

Investigation and analysis of influencing factors of iron deficiency anemia among infants in an urban community in Shanghai

  • 摘要: 目的:调查上海市浦东新区塘桥社区婴幼儿缺铁性贫血(iron deficiency anemia, IDA)的流行病学特征,为婴幼儿IDA的防治工作提供依据。方法:回顾性调查2010年1月至2015年12月出生于上海市浦东新区塘桥街道,且在塘桥社区卫生服务中心儿保门诊进行系统健康检查的户籍儿童的健康档案,分析IDA患病情况及相关危险因素。结果:共调查婴幼儿 1 026例。婴幼儿IDA患病率为14.62%(150例),男女性IDA患病率差异无统计学意义;0~6个月龄、6~12个月龄及12~24个月龄IDA患儿分别占IDA患儿总数的7.33%、74.00%和18.67%。IDA婴幼儿断母乳时间晚于非IDA婴幼儿(P<0.01),开始添加辅食时间晚于非IDA婴幼儿(P<0.01)。早产、4个月龄内母乳喂养、断母乳时间≥4个月龄以及开始添加辅食时间大于6个月龄的婴幼儿IDA患病率较高 (P<0.01)。Logistic多因素回归分析发现,头胎(OR=0.414)、4个月龄内混合喂养(OR=0.209)是预防儿童发生IDA的保护因素;早产(OR=3.781)、断母乳时间晚(OR=1.102)是儿童发生IDA的危险因素(P<0.05)。结论:上海市塘桥社区婴幼儿IDA患病率较高,建议加强社区孕产妇围生期保健宣教,减少早产发生;强调对特定群体(早产儿、二胎或二胎以上、6~12个月龄)婴幼儿进行合理喂养,及时断奶并添加辅食,作为预防IDA发生的措施。

     

    Abstract: Objective:To investigate the epidemiological characteristics and risk factors of iron deficiency anemia (IDA) in Tangqiao community in Pudong New Area in Shanghai, so as to provide evidence for the prevention and treatment of infants IDA. Methods:A retrospective survey was conducted on the records of systematic health checkups of all infants born during the period from January 2010 to December 2015 in Tangqiao Community, Pudong New District, Shanghai. Results:A total of 1 026 infants were investigated. The prevalence of infants IDA in Tangqiao Community was 14.62%, and there was no difference between the prevalences in boys and girls. IDA infants aged 0-6 months, 6-12 months, and 12-24 months accounted for 7.33%, 74.00%, and 18.67% of the total number of IDA infants, respectively. Anemia infants had a later weaning time and a later complementary feeding time than the non anemia ones (all P<0.01). The prevalence was higher in preterm infants, those weaned over 4 months and starting complementary feeding after 6 months (P<0.01). Logistic regression analysis revealed that premature birth (OR=3.781) and a longer exclusive breast feeding time (OR=1.102) were risk factors of IDA, whereas first birth (OR=0.414) and mixed feeding within 4 months (OR=0.209) were protective factors of IDA. Conclusions:The prevalence of infants IDA in Tangqiao Community is relatively high. It is suggested to strengthen health education for pregnant women in the perinatal period in the community so as to reduce the occurrence of premature birth. As measures to prevent IDA, emphasis should be placed on the rational feeding of infants and young children of specific groups (premature infants, second children, and those aged 6-12 months), timely weaning and addition of supplementary food.

     

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