Hall A, Bobrow E, Brooker S, Jukes M, Nokes K, Lambo J, Guyatt H, Bundy D, Adjei S, Wen S T, Subagio H, Rafiluddin M Z, Miguel T, Moulin S, de Graft Johnson J, Mukaka M, Roschnik N, Sacko M, Zacher A, Mahumane B, Kihamia C, Mwanri L, Tatala S, Lwambo N, Siza J, Khanh L N, Khoi H H, Toan N D
Scientific Coordinating Centre, Partnership for Child Development, Wellcome Trust Centre for the Epidemiology of Infectious Disease, Oxford University, South Parks Road, Oxford OX1 3FY, UK.
Public Health Nutr. 2001 Jun;4(3):749-56. doi: 10.1079/phn2000111.
To report on the haemoglobin concentrations and prevalence of anaemia in schoolchildren in eight countries in Africa and Asia.
Blood samples were collected during surveys of the health of schoolchildren as a part of programmes to develop school-based health services.
Rural schools in Ghana, Indonesia, Kenya, Malawi, Mali, Mozambique, Tanzania and Vietnam.
Nearly 14 000 children enrolled in basic education in three age ranges (7-11 years, 12-14 years and > or =15 years) which reflect the new UNICEF/WHO thresholds to define anaemia.
Anaemia was found to be a severe public health problem (defined as >40% anaemic) in five African countries for children aged 7-11 years and in four of the same countries for children aged 12-14 years. Anaemia was not a public health problem in the children studied in the two Asian countries. More boys than girls were anaemic, and children who enrolled late in school were more likely to be anaemic than children who enrolled closer to the correct age. The implications of the four new thresholds defining anaemia for school-age children are examined.
Anaemia is a significant problem in schoolchildren in sub-Saharan Africa. School-based health services which provide treatments for simple conditions that cause blood loss, such as worms, followed by multiple micronutrient supplements including iron, have the potential to provide relief from a large burden of anaemia.
报告非洲和亚洲八个国家学童的血红蛋白浓度及贫血患病率。
作为发展以学校为基础的卫生服务项目的一部分，在对学童健康状况进行调查期间采集血样。
加纳、印度尼西亚、肯尼亚、马拉维、马里、莫桑比克、坦桑尼亚和越南的农村学校。
近14000名接受基础教育的儿童，年龄分为三个范围（7 - 11岁、12 - 14岁和≥15岁），这反映了联合国儿童基金会/世界卫生组织定义贫血的新阈值。
在五个非洲国家，7 - 11岁儿童中贫血被发现是一个严重的公共卫生问题（定义为贫血率>40%）；在四个同样的非洲国家，12 - 14岁儿童中贫血也是严重的公共卫生问题。在两个亚洲国家所研究的儿童中，贫血并非公共卫生问题。贫血的男孩比女孩多，入学较晚的儿童比接近适龄入学的儿童更易患贫血。研究了定义学龄儿童贫血的四个新阈值的影响。
贫血在撒哈拉以南非洲的学童中是一个重大问题。以学校为基础的卫生服务，针对导致失血的简单病症（如蠕虫感染）进行治疗，随后补充包括铁在内的多种微量营养素，有可能减轻贫血带来的沉重负担。
