Emory University School of Medicine, Atlanta, Georgia 30322, USA.
Am J Trop Med Hyg. 2011 Nov;85(5):913-8. doi: 10.4269/ajtmh.2011.11-0101.
Anemia is a significant health concern worldwide and can be the result of nutritional, environmental, social, and infectious etiologies. We estimated the prevalence of anemia in 336 pre-school children and 132 adults in the rural Central Plateau of Haiti and assessed associations with age, sex, household size, water source, sanitation, and Helicobacter pylori seroreactivity using logistic regression analysis; 80.1% (269/336) of children and 63.6% (84/132) of adults were anemic. Among children, younger age was associated with increased prevalence of anemia (adjusted odds ratio [aOR] = 4.1, 95% confidence interval [CI] = 1.5-11.1 for children 6-11 months compared with children 48-59 months). Among adults, 50.8% were H. pylori-seropositive, and seropositivity was inversely associated with anemia (aOR = 0.4, 95% CI = 0.2-0.9). Anemia prevalence in this region of Haiti is very high and not attributable to sanitary conditions or a high prevalence of H. pylori infection.
贫血是一个全球性的重大健康问题，其病因可能是营养、环境、社会和感染等方面的原因。我们在海地中部高原的农村地区，对 336 名学龄前儿童和 132 名成年人进行了贫血患病率的评估，并使用逻辑回归分析评估了年龄、性别、家庭规模、水源、卫生条件和幽门螺杆菌血清反应性与贫血之间的关联；80.1%（269/336）的儿童和 63.6%（84/132）的成年人患有贫血。在儿童中，年龄较小与贫血患病率增加有关（调整后的优势比[aOR]为 4.1，6-11 个月儿童与 48-59 个月儿童相比）。在成年人中，有 50.8%的人幽门螺杆菌血清呈阳性，且血清阳性与贫血呈负相关（aOR=0.4，95%CI=0.2-0.9）。海地该地区的贫血患病率非常高，这与卫生条件或高幽门螺杆菌感染率无关。
