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[巴西贝洛奥里藏特学龄前儿童贫血——一个公共卫生问题]

[Anemia among preschool children--a public health problem in Belo Horizonte, Brazil].

作者信息

de Oliveira Thaís de Souza Chaves, da Silva Maitê Costa, Santos Juliana Nunes, Rocha Daniela da Silva, Alves Cláudia Regina Lindgren, Capanema Flávio Diniz, Lamounier Joel Alves

出版信息

Cien Saude Colet. 2014 Jan;19(1):59-66. doi: 10.1590/1413-81232014191.1927.

Abstract

This article seeks to establish the prevalence of anemia in children attending in day care centers in the South Central region of Belo Horizonte in the state of Minas Gerais, identifying associated biological, social and economic factors. A cross-sectional descriptive study was conducted in 18 nurseries and 373 children were evaluated based on stratified sampling by the participating institutions. Hemoglobin serum (Hb) levels were determined by lancing and reading on a ß-hemoglobinometer, adopting cut-offs for anemia Hb < 11.0 g/dL for children aged between 6 and 60 months and Hb < 11.5 g/dL for those aged above, as recommended by the WHO. The nutritional status was defined by measurement of weight and height for making indexes: Weight/Age (W/A), Height/Age (H/A) and BMI/Age (BMI/A). Among the participants, 54% were girls. The mean age was 38.1 (± 6.2) months. The prevalence of global anemia was 38.3%. In the group of the anemics, children = 24 months had a higher prevalence (56.1%). A significant association was found between anemia and the following factors: young age, low maternal age and low income. The study shows that anemia in children enrolled in day care centers is a relevant public health problem, signaling the need to implement specific actions to mitigate the risks highlighted by the research.

摘要

本文旨在确定米纳斯吉拉斯州贝洛奥里藏特中南部地区日托中心儿童贫血症的患病率,识别相关的生物学、社会和经济因素。在18家托儿所开展了一项横断面描述性研究,根据参与机构的分层抽样对373名儿童进行了评估。通过手指采血并用β-血红蛋白仪读取数据来测定血清血红蛋白(Hb)水平,按照世界卫生组织的建议,将6至60个月大儿童的贫血Hb临界值设定为<11.0 g/dL,60个月以上儿童的临界值设定为<11.5 g/dL。通过测量体重和身高来计算指数,以此定义营养状况:体重/年龄(W/A)、身高/年龄(H/A)和体重指数/年龄(BMI/A)。参与者中54%为女孩。平均年龄为38.1(±6.2)个月。总体贫血患病率为38.3%。在贫血儿童组中,年龄≤24个月的儿童患病率更高(56.1%)。研究发现贫血与以下因素之间存在显著关联:年龄小、母亲年龄小和低收入。该研究表明,日托中心儿童的贫血是一个相关的公共卫生问题,这表明有必要采取具体行动来降低本研究突出的风险。

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