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乌干达西部布森加地区五岁以下儿童及其母亲贫血症及相关因素分析

Anaemia and associated factors among under-fives and their mothers in Bushenyi district, Western Uganda.

机构信息

Department of Food Science and Technology, Makerere University, PO Box 7062, Kampala, Uganda.

出版信息

Public Health Nutr. 2009 Dec;12(12):2302-8. doi: 10.1017/S1368980009005333. Epub 2009 Apr 6.

Abstract

OBJECTIVE

To determine the prevalence of anaemia and associated factors among under-fives and their mothers in a rural area of Western Uganda.

DESIGN

A cross-sectional investigation using both qualitative and quantitative methods of data collection. Stratified multistage sampling methods were used to select the study sample. A haemoglobinometer was used to assess Hb levels in the blood.

SETTING

A rural district in Western Uganda.

SUBJECTS

Children aged 6-59 months and their mothers aged 15-49 years.

RESULTS

The overall prevalence of Fe-deficiency anaemia among children and their mothers was 26.2 % and 17.9 %, respectively. There was a significant correlation (r = 0.5, P = 0.008) between the Hb levels of the mothers and their children. Place of birth, age of the child, factors related to complementary foods, and formal education and nutrition knowledge of the mother were major factors that were significantly associated (r = 0.05, P = 0.05) with low Hb levels among the children. The most important factors that were associated with low Hb levels of the mothers were their formal education, nutrition knowledge and health status.

CONCLUSIONS

Fe-deficiency anaemia was found to be a major problem in this cohort of children and their mothers. Dietary factors and sociodemographic factors were the major factors associated with high levels of anaemia among the children and their mothers. It is therefore recommended that rural mothers should be sensitized on best practices for prevention of anaemia among both women and children.

摘要

目的

在乌干达西部的一个农村地区,确定五岁以下儿童及其母亲贫血的患病率及相关因素。

设计

采用定性和定量数据收集方法的横断面调查。采用分层多级抽样方法选择研究样本。使用血红蛋白计评估血液中的血红蛋白水平。

地点

乌干达西部的一个农村地区。

对象

6-59 月龄儿童及其 15-49 岁的母亲。

结果

儿童及其母亲缺铁性贫血的总患病率分别为 26.2%和 17.9%。母亲和孩子的血红蛋白水平之间存在显著相关性(r = 0.5,P = 0.008)。出生地点、儿童年龄、补充食品相关因素、母亲的正规教育和营养知识是与儿童低血红蛋白水平显著相关的主要因素(r = 0.05,P = 0.05)。与母亲低血红蛋白水平相关的最重要因素是她们的正规教育、营养知识和健康状况。

结论

在本队列的儿童及其母亲中,缺铁性贫血是一个主要问题。饮食因素和社会人口因素是导致儿童及其母亲贫血发生率高的主要因素。因此,建议对农村母亲进行有关预防妇女和儿童贫血的最佳实践的宣传。

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