Singh Rakesh Kumar, Patra Shraboni
International Institute for Population Sciences, Mumbai 400088, India.
Anemia. 2014;2014:868752. doi: 10.1155/2014/868752. Epub 2014 Jul 23.
Background. India is the highest contributor to child anemia. About 89 million children in India are anemic. The study determines the factors that contributed to child anemia and examines the role of the existing programs in reducing the prevalence of child anemia particularly in the EAG states. Methods. The data from the latest round of the National Family Health Survey (NFHS-3) is used. Simple bivariate and multinomial logistics regression analyses are used. Results. About 70% children are anemic in all the EAG states. The prevalence of severe anemia is the highest (6.7%) in Rajasthan followed by Uttar Pradesh (3.6%) and Madhya Pradesh (3.4%). Children aged 12 to 17 months are significantly seven times (RR = 7.99, P < 0.001) more likely to be severely anemic compared to children of 36 to 59 months. Children of severely anemic mothers are also found to be more severely anemic (RR = 15.97, P < 0.001) than the children of not anemic mothers. Conclusions. The study reveals that the existing government program fails to control anemia among preschool children in the backward states of India. Therefore, there is an urgent need for monitoring of program in regular interval, particularly for EAG states to reduce the prevalence of anemia among preschool children.
背景。印度是儿童贫血症的最大贡献国。印度约有8900万儿童贫血。该研究确定了导致儿童贫血的因素,并考察了现有项目在降低儿童贫血患病率方面的作用,特别是在人口与健康行动重点关注的邦。方法。使用了最新一轮全国家庭健康调查(NFHS - 3)的数据。采用了简单的双变量和多项逻辑回归分析。结果。在所有人口与健康行动重点关注的邦中,约70%的儿童贫血。重度贫血患病率最高的是拉贾斯坦邦(6.7%),其次是北方邦(3.6%)和中央邦(3.4%)。与36至59个月大的儿童相比,12至17个月大的儿童患重度贫血的可能性显著高出7倍(相对风险 = 7.99,P < 0.001)。还发现,母亲重度贫血的儿童比母亲不贫血的儿童患重度贫血的情况更严重(相对风险 = 15.97,P < 0.001)。结论。该研究表明,现有的政府项目未能控制印度落后邦学龄前儿童的贫血情况。因此,迫切需要定期监测项目,特别是针对人口与健康行动重点关注的邦,以降低学龄前儿童的贫血患病率。