Salah Rania Wasef, Hasab Ali Abdel Halim, El-Nimr Nessrin Ahmed, Tayel Dalia Ibrahim
Public Health Department, Faculty of Medicine and Health Sciences, An-Najah National
Department of Epidemiology, High Institute of Public Health, Alexandria University, Egypt.
J Res Health Sci. 2018 Jun 13;18(3):e00417.
Iron deficiency anemia (IDA) in infants and young children remains a significant public health problem in most developing countries. IDA had short and long-term adverse impacts on infants' health and development. We aimed to assess the frequency of IDA and associated risk factors among infants aged between 9-12 months in rural areas of Nablus Governorate.
A cross-sectional study.
The study was conducted between Jan and Mar 2015. A random sample of 654 infants aged 9-12 months were selected from thirty villages in Nablus Governorate, Central Highlands of the West Bank, north of Jerusalem. Data were collected using pre-designed structured interviewing questionnaire, complete blood count analysis and anthropometric measurements were done.
The prevalence of anemia and IDA among infants was 34.6%, and 32.6%, respectively. Predictors of IDA were increased in infants' age OR=1.19 (95% CI: 1.02, 1.40), maternal anemia during the third trimester OR=2.39 (95% CI: 1.55, 3.71), birth spacing less than three years OR=2.86 (95%CI: 1.58, 5.18), exclusive breastfeeding during the first six months OR=2.40 (95% CI: 1.46, 3.95), early OR=1.64 (95%CI: 1.03, 2.613) and late introduction of complementary feeding OR=2.26 (95% CI: 1.27, 4.05), and non-compliance to iron supplement in the correct frequency and duration during pregnancy OR=1.81 (95% CI: 1.19, 2.75).
Different dietary and non-dietary risk factors for IDA should be considered for any intervention aimed to reduce the prevalence of IDA among infants.
在大多数发展中国家，婴幼儿缺铁性贫血（IDA）仍然是一个重大的公共卫生问题。IDA对婴幼儿的健康和发育有着短期和长期的不利影响。我们旨在评估纳布卢斯省农村地区9至12个月大婴儿中IDA的发生率及相关危险因素。
一项横断面研究。
该研究于2015年1月至3月进行。从约旦河西岸中部高地、耶路撒冷以北纳布卢斯省的30个村庄中随机抽取了654名9至12个月大的婴儿。使用预先设计的结构化访谈问卷收集数据，并进行全血细胞计数分析和人体测量。
婴儿贫血和IDA的患病率分别为34.6%和32.6%。IDA的预测因素包括：婴儿年龄增加（OR=1.19，95%可信区间：1.02，1.40）、孕晚期母亲贫血（OR=2.39，95%可信区间：1.55，3.71）、生育间隔小于三年（OR=2.86，95%可信区间：1.58，5.18）、前六个月纯母乳喂养（OR=2.40，95%可信区间：1.46，3.95）、辅食添加过早（OR=1.64，95%可信区间：1.03，2.613）和辅食添加过晚（OR=2.26，95%可信区间：1.27，4.05），以及孕期未按正确频率和时长补充铁剂（OR=1.81，95%可信区间：1.19，2.75）。
对于任何旨在降低婴儿中IDA患病率的干预措施，都应考虑不同的饮食和非饮食危险因素。
