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日托中心儿童贫血的患病率及相关因素:分层分析

PREVALENCE AND FACTORS ASSOCIATED WITH ANEMIA IN CHILDREN ENROLLED IN DAYCARE CENTERS: A HIERARCHICAL ANALYSIS.

作者信息

Novaes Taiane Gonçalves, Gomes Andressa Tavares, Silveira Karine Chagas da, Magalhães Elma Izze da Silva, Souza Cláudio Lima, Netto Michele Pereira, Lamounier Joel Alves, Rocha Daniela da Silva

机构信息

Universidade Federal de Viçosa, Viçosa, MG, Brasil.

Universidade Federal da Bahia, Vitória da Conquista, BA, Brasil.

出版信息

Rev Paul Pediatr. 2017 Jul-Sep;35(3):281-288. doi: 10.1590/1984-0462/;2017;35;3;00008. Epub 2017 Jul 31.


DOI:10.1590/1984-0462/;2017;35;3;00008
PMID:28977293
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5606176/
Abstract

OBJECTIVE: To determine the prevalence and factors associated with anemia in children younger than five years old enrolled in public daycare centers in a city in southwestern Bahia, in the northeast of Brazil. METHODS: This was a cross-sectional study that included a sample of 677 children enrolled in public daycare centers in Vitória da Conquista, Bahia, Brazil. A portable hemoglobinometer was used to measure hemoglobin. The concentration of <11 g/dL was considered the cutoff point for a diagnosis of anemia. A questionnaire was applied to parents/guardians in order to collect socioeconomic data, maternal characteristics and information on the child's health and nutrition. Height and weight were measured to assess the child's nutritional status. Poisson regression with robust variance and hierarchical selection of variables was used to identify factors associated with anemia. RESULTS: The prevalence of anemia was 10.2% and was more frequent in children whose homes had no sanitary facilities (PR 3.36; 95%CI 1.40-8.03); in those who did not exclusively breastfeed (PR 1.80; 95%CI 1.12-2.91); in children aged less than 36 months (PR 1.85; 95%CI 1.19-2.89) and those who had low height for age (PR 2.06; 95%CI 1.10-3.85). CONCLUSIONS: The prevalence of anemia is considered to be a mild public health problem in the children, who are enrolled in daycare centers. Children with inadequate sanitary conditions, and that were not exclusively breastfed, as well as younger children and children with a nutritional deficit, were more likely to present the condition.

摘要

目的:确定巴西东北部巴伊亚州西南部一个城市公立日托中心中5岁以下儿童贫血的患病率及相关因素。 方法:这是一项横断面研究,纳入了巴西巴伊亚州维多利亚达孔基斯塔市公立日托中心的677名儿童样本。使用便携式血红蛋白仪测量血红蛋白。血红蛋白浓度<11 g/dL被视为诊断贫血的临界点。向家长/监护人发放问卷,以收集社会经济数据、母亲特征以及儿童健康和营养方面的信息。测量身高和体重以评估儿童的营养状况。采用具有稳健方差和变量分层选择的泊松回归来确定与贫血相关的因素。 结果:贫血患病率为10.2%,在家庭没有卫生设施的儿童中更为常见(PR 3.36;95%CI 1.40 - 8.03);在非纯母乳喂养的儿童中(PR 1.80;95%CI 1.12 - 2.91);在年龄小于36个月的儿童中(PR 1.85;95%CI 1.19 - 2.89)以及年龄别身高较低的儿童中(PR 2.06;95%CI 1.10 - 3.85)。 结论:贫血患病率在日托中心儿童中被认为是一个轻度的公共卫生问题。卫生条件差、非纯母乳喂养的儿童,以及年龄较小和有营养缺乏的儿童更易出现这种情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2154/5606176/27a8c927147c/0103-0582-rpp-2017-35-3-00008-gf1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2154/5606176/27a8c927147c/0103-0582-rpp-2017-35-3-00008-gf1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2154/5606176/27a8c927147c/0103-0582-rpp-2017-35-3-00008-gf1.jpg

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本文引用的文献

[1]
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J Pediatr (Rio J). 2015

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Cad Saude Publica. 2014-8

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Rev Saude Publica. 2011-6

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Cad Saude Publica. 2011-1

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[Anemia in children under six: population-based study in Pelotas, Southern Brazil].

Rev Saude Publica. 2007-6

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J Pediatr (Rio J). 2002

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Rev Saude Publica. 2002-2

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