Predictors of anemia among Haitian children aged 6 to 59 months and women of childbearing age and their implications for programming
Predictors of anemia among Haitian children aged 6 to 59 months and women of childbearing age and their implications for programming
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DOI：
10.1177/156482651303400411
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发表时间：
2013-12-01
影响因子：
1.9
通讯作者：
Pierre, Joseline Marhone
中科院分区：
文献类型：
--
作者：
Heidkamp, Rebecca A.;Ngnie-Teta, Ismael;Pierre, Joseline Marhone
背景海地国家营养政策将预防和治疗母亲和幼儿贫血症列为优先事项，但支持扩大贫血症干预计划的现有数据很少。描述海地妇女（15至49岁）和儿童（6至59个月）贫血的患病率和预测因素，并得出对国家营养规划的影响。采用2005/06年全国代表性的海地人口健康调查数据进行描述性和单变量分析以及多变量logistic回归模型。在15 - 49岁的女性中，轻度（血红蛋白11.0 - 11.9 g/dL）、中度（血红蛋白8.0 - 10.9 g/dL）和重度（血红蛋白< 8.0 g/dL）贫血的患病率分别为19.2%、21.7%和4.4%，分别为22.9%和33.9%。6至59个月的儿童中为2.2%。出乎意料的是，城市妇女（54.4%）和儿童（65.1%）的贫血率高于农村妇女（43.1%，p <0.001）和儿童（55.7%，p = 0.004）。在多变量回归模型中，与城市妇女贫血相关的因素（出生间隔，p = 0.027;超重BMI，p <0.001;教育水平，p = 0.022）与农村妇女不同（财富五分位数，p <0.05;就业，p = 0.003）。城市和农村6 - 59个月儿童的贫血随着儿童年龄（p <0.05）和母亲贫血状况（p = 0.004; p <0.001）而增加。女性（p = 0.007）和母亲超重（p = 0.009）仅与农村儿童贫血风险降低相关。海地儿童和育龄妇女的贫血症是一个严重的公共卫生问题。研究结果表明，需要针对具体情况制定农村和城市战略，加强育龄妇女保健服务中的贫血预防，并针对幼儿采取有针对性的干预措施。
Background. The Haitian National Nutrition Policy prioritizes prevention and treatment of anemia among mothers and young children, but there are few available data to support planning for scale-up of anemia interventions.Objective. To describe the prevalence and predictors of anemia among Haitian women (15 to 49 years) and children (6 to 59 months) and to draw implications for national nutrition programming.Methods. Descriptive and univariate analyses and multivariate logistic regression models were performed using data from the nationally representative Haitian Demographic Health Survey 2005/06.Results. The prevalence of mild (hemoglobin 11.0 to 11.9 g/dL), moderate (hemoglobin 8.0 to 10.9 g/dL), and severe (hemoglobin < 8.0 g/dL) anemia was 19.2%, 21.7%, and 4.4%, respectively, among women aged 15 to 49 years and 22.9%, 33.9%. and 2.2% among children aged 6 to 59 months. Unexpectedly, anemia was more prevalent in urban women (54.4%) and children (65.1%) than in rural women (43.1%, p < .001) and children (55.7%, p = .004). In multivariate regression models, factors associated with anemia among urban women (birth spacing, p = .027; overweight BMI, p < .001; education level, p = .022) were different from those in rural women (wealth quintile, p < .05; employment, p = .003). Anemia in urban and rural children aged 6 to 59 months increased with child age (p < .05) and maternal anemia status (p = .004; p < .001). Female sex (p = .007) and maternal overweight (p = .009) were associated with reduced risk of anemia in rural children only.Conclusions. Anemia among Haitian young children and women of childbearing age is a severe public health problem. The findings suggest the need for context-specific rural and urban strategies, reinforcement of anemia prevention in health services reaching women of childbearing age, and targeted interventions for young children.