Ramzi M, Haghpanah S, Malekmakan L, Cohan N, Baseri A, Alamdari A, Zare N
Hematology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
Iran Red Crescent Med J. 2011 Feb;13(2):128-33. Epub 2011 Feb 1.
Anemia is one of the most common public health problems especially in developing countries. We investigated the prevalence of anemia, iron deficiency anemia and related risk factors in adolescent school girls in Kavar urban area in southern Iran.
A total of 363 adolescent school girls were evaluated by a cross sectional study. Socioeconomic, demographic and related risk factors were obtained by a questionnaire. Hematological parameters and serum iron indices were measured.
There were 21 cases of anemia (5.8%), 31 (8.5%) iron deficiency and 6 (1.7%) iron deficiency anemia. Most of anemic girls (85.7%) had mild anemia. MCV, TIBC, age, and BMI had statistically significant relationship with hemoglobin. Only parasites infestation in the last three months had a 6.83 times more risk of anemia than those without this history (95% CI, 1.66-28.11).
The prevalence of anemia and iron deficiency anemia in this study were substantially less than what reported in many other regions of Iran as well as other developing countries. It seems that related implemented strategies in the recent years have been successful. More especial attention to prevention of parasite infestation should be considered in this area.
贫血是最常见的公共卫生问题之一,尤其是在发展中国家。我们调查了伊朗南部卡瓦尔市区青春期女学生贫血、缺铁性贫血的患病率及相关危险因素。
通过横断面研究对总共363名青春期女学生进行评估。通过问卷调查获取社会经济、人口统计学及相关危险因素信息。测量血液学参数和血清铁指标。
有21例贫血(5.8%),31例(8.5%)缺铁,6例(1.7%)缺铁性贫血。大多数贫血女孩(85.7%)为轻度贫血。平均红细胞体积(MCV)、总铁结合力(TIBC)、年龄和体重指数(BMI)与血红蛋白有统计学显著关系。仅在过去三个月有寄生虫感染史的女孩患贫血的风险比无此病史者高6.83倍(95%置信区间,1.66 - 28.11)。
本研究中贫血和缺铁性贫血的患病率显著低于伊朗其他许多地区以及其他发展中国家所报告的患病率。看来近年来实施的相关策略是成功的。在该地区应更加特别关注预防寄生虫感染。