Prevalence and Risk Factors for Anemia in Non-pregnant Childbearing Women from the Chinese Fifth National Health and Nutrition Survey
Prevalence and Risk Factors for Anemia in Non-pregnant Childbearing Women from the Chinese Fifth National Health and Nutrition Survey
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DOI：
10.3390/ijerph16071290
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发表时间：
2019-04-01
影响因子：
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通讯作者：
Yang, Xiaoguang
中科院分区：
文献类型：
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作者：
Hu, Yichun;Li, Min;Yang, Xiaoguang
贫血是发展中国家的一个公共卫生问题，尤其是育龄妇女。本研究的目的是评估中国18-49岁育龄妇女的贫血状况，并分析贫血的危险因素。2010-2012年中国第五次国民营养与健康调查（CNNHS）采用HiCN法测定血红蛋白浓度。采用统一的调查表记录年龄、地区类型、民族、体重、身高、文化程度、季节、吸烟习惯等。中国的纬度是以秦岭和淮河为界的。本研究纳入了来自CNNHS 2010-2012年的育龄妇女（28，289）。血红蛋白浓度中位数为136.2（126.6-145.0）g/L，显著高于CNNHS 2002（132.5（122.3-141.6）g/L）。贫血患病率为15.0%，较10年前明显下降。Logistic回归分析显示，中国育龄妇女贫血与30-39岁年龄组（P = 0.004）、春季（P < 0.0001）或冬季（P = 0.006）、中小城市（P = 0.044）和中学文化程度（P = 0.027）有关。结果表明，自2002年以来的10年中，育龄妇女的贫血状况有了很大改善，但仍比其他人群严重。建议对育龄妇女进行营养宣传教育，帮助她们自行改善营养状况。
Anemia is a public health issue for developing countries, especially for women of childbearing age. The aim of this study was to assess the anemia status and analyze the risk factors for anemia in Chinese childbearing women aged 18-49 years. Hemoglobin concentration was measured by the HiCN method in the Fifth Chinese National Nutrition and Health Survey (CNNHS) in 2010-2012. Age, region type, ethnicity, bodyweight, height, education, season and smoke habit were recorded in unified questionnaires. Latitude was divided by China's Qinling Mountains and Huaihe River. Childbearing women (28,289) from the CNNHS 2010-2012 were included in this study. The median hemoglobin concentration was 136.2(126.6-145.0) g/L, and it was significantly higher than in CNNHS 2002 (132.5 (122.3-141.6) g/L). The prevalence of anemia was 15.0%, and it was significantly lower than 10 years ago. The logistic regression analysis showed anemia in Chinese childbearing women was specifically related to 30-39 age group (P = 0.004), in spring (P < 0.0001) or in winter (P = 0.006), small and medium-sized cities (P = 0.044) and middle school education level (P = 0.027). The results showed that anemia status among childbearing women was greatly improved over 10 years since 2002, but it was still more severe than the rest of the populations. The nutrition propaganda and education is recommended for childbearing women to help them to improve the nutritional status on their own.