Channgam P, Thumpenjit S, Koowatanasiri P
Division of Pediatrics, Sakon Nakhon Hospital, Thailand.
J Med Assoc Thai. 1999 Jun;82(6):545-51.
The study of anemia in Sakon Nakhon province during the period of 1996-1997 was conducted by a multistage random sampling in a population aged 1-90 years in ten villages. The prevalence of anemia was 15.29 per cent (14.5 per cent in children under 15 years, 14.4 per cent between 15-60 years and 34.3 per cent in those over 60 years). The prevalence of anemia in males and females was not statistically different. The mean level of hematocrit and hemoglobin was 39.9 +/- 4.6 per cent and 13.2 +/- 1.4 g. per cent. About 28.3 per cent of the studied population had undernutrition. This finding showed that the nutritional status could be statistically linked to anemia, while parasitic infestation had no effect on the rate of anemia, most probably the worm load in the cases infected was rather low. Nutritional anemia and thalassemia are also common causes of anemia in Sakon Nakhon. Thus, we proposed that the public health programme should focus on preventive activities to reduce thalassemia hemoglobinopathy and the rate of undernutrition to solve the problem of anemia in Thailand.
1996 - 1997年期间，在呵叻府的10个村庄对1至90岁人群进行了多阶段随机抽样，以研究贫血情况。贫血患病率为15.29%（15岁以下儿童为14.5%，15至60岁人群为14.4%，60岁以上人群为34.3%）。男性和女性的贫血患病率在统计学上无差异。血细胞比容和血红蛋白的平均水平分别为39.9 +/- 4.6%和13.2 +/- 1.4克/百分比。约28.3%的研究人群存在营养不良。这一发现表明，营养状况在统计学上可能与贫血有关，而寄生虫感染对贫血率没有影响，很可能是感染病例中的虫负荷相当低。营养性贫血和地中海贫血也是呵叻府贫血的常见原因。因此，我们建议公共卫生项目应侧重于预防活动，以减少地中海贫血血红蛋白病和营养不良率，从而解决泰国的贫血问题。
