Risk factors for anemia in Vietnam.
Risk factors for anemia in Vietnam.
复制标题
越南贫血的危险因素。
DOI：
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发表时间：
2006
影响因子：
0.2
通讯作者：
R. Martorell
中科院分区：
文献类型：
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作者：
P. Nguyen;K. C. Nguyen;B. Le Mai;Tam V. Nguyen;Khoi H Ha;C. Bern;R. Flores;R. Martorell
贫血是越南的一个重大公共卫生问题，但缺乏代表性的国家数据和全面的风险因素分析。本研究的目的是：1）确定越南贫血的分布和严重程度，2）评估贫血的潜在危险因素。1995年进行的分层两阶段整群调查覆盖了53个省的9 550户家庭。选定的家庭成员进行了采访，肠道蠕虫进行了测试，在非怀孕妇女的加藤-卡茨技术，血红蛋白浓度与Hemocue测量。使用SAS 9.0通过调查程序对数据进行加权和分析。总体而言，60%的2岁以下儿童、53%的孕妇、40%的非孕妇和15.6%的男性贫血。钩虫感染是与贫血相关性最强的因素（11，999、2，000 - 3，999和≥ 4，000个钩虫卵计数的OR分别为1.7、2.9和4.5），占贫血的22%。钩虫感染强度与血红蛋白水平显著相关;每增加1,000个卵，血红蛋白减少2.4 g/l。生活在不同的生态区，每周吃不到1份肉，以及耕作与妇女和儿童的贫血症显著相关。妇女的其他风险因素包括有> 3个孩子和有一个孩子< 24个月。在男性中，没有发现与贫血显著相关的变量。
Anemia is a significant public health problem in Vietnam, but representative national data and comprehensive risk factors analysis are lacking. The objectives of this study were to: 1) determine the distribution and severity of anemia in Vietnam, and 2) to assess potential risk factors for anemia. Nine thousand five hundred fifty households in 53 provinces were covered using a stratified two-stage cluster survey carried out in 1995. Selected household members were interviewed; intestinal helminthes were tested in non-pregnant women by Kato-Katz technique; hemoglobin concentrations were measured with Hemocue. Data were weighted and analyzed by survey procedures using SAS 9.0. Overall, 60% of children under 2 years old, 53% of pregnant women, 40% of non-pregnant women and 15.6% of men were anemic. Hookworm infection was the strongest factor associated with anemia (OR = 1.7; 2.9 and 4.5 for 11,999, 2,000-3,999 and > or = 4,000 hookworm egg counts, respectively) and accounted for 22% of anemia. Hookworm intensity was significantly associated with hemoglobin level; for each 1,000 egg increase, hemoglobin was reduced by 2.4 g/l. Living in different ecological zones, eating < 1 serving of meat/ week, and farming were significantly associated with anemia in women and children. Other risk factors in women included having > 3 children and having a child < 24 months old. In men, no variables were found significantly associated with anemia.