Beukeboom Carolyn, Arya Neil
School of Nursing, Western University, London, ON, Canada.
School of Nursing, McMaster University, Hamilton, ON, Canada.
J Immigr Minor Health. 2018 Dec;20(6):1317-1323. doi: 10.1007/s10903-018-0730-9.
This study examined the variation among ethnic populations in prevalence of anemia, vitamin D and B12 deficiencies among refugee children. A retrospective chart review of 388 government assisted refugee children ≤ 16 years of age, seen at the Refugee Health Clinic in Kitchener, Canada from January 2009 to December 2014 was conducted. Vitamin D levels were only collected until December 1st 2010 (116 children). 15.7% were anemic (25% < 5 years, 8.7% 5-11 years, and 18.3% 12-16 years old) with Somali children having the lowest hemoglobin levels compared to those from Iraq, Afghanistan and Myanmar. 53.5% were vitamin D deficient (25(OH)D < 50 nmol/L), seen most commonly in Iraqis and Afghans. 11.2% had vitamin B12 levels < 150 pmol/L. Providers' knowledge of prevalence of nutritional deficiencies related to region of origin, can guide appropriate screening and treatment options to promote longer term cognitive, physical and developmental health.
本研究调查了难民儿童中不同种族人群贫血、维生素D和维生素B12缺乏症患病率的差异。对2009年1月至2014年12月期间在加拿大基奇纳难民健康诊所就诊的388名16岁及以下政府救助难民儿童进行了回顾性病历审查。维生素D水平仅收集至2010年12月1日（116名儿童）。15.7%的儿童贫血（5岁以下儿童中25%贫血，5至11岁儿童中8.7%贫血，12至16岁儿童中18.3%贫血），与来自伊拉克、阿富汗和缅甸的儿童相比，索马里儿童的血红蛋白水平最低。53.5%的儿童维生素D缺乏（25(OH)D＜50nmol/L），最常见于伊拉克人和阿富汗人。11.2%的儿童维生素B12水平＜150pmol/L。医疗服务提供者对与原籍地区相关的营养缺乏症患病率有所了解，有助于指导适当的筛查和治疗方案，以促进儿童长期的认知、身体和发育健康。
