约旦贫血症的患病率及其决定因素。

The prevalence and determinants of anaemia in Jordan.

机构信息

Department of Public Health, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan.

Department of Pathology and Microbiology, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan.

出版信息

East Mediterr Health J. 2019 Jul 24;25(5):341-349. doi: 10.26719/emhj.18.047.

DOI:10.26719/emhj.18.047

PMID:31364759

Abstract

BACKGROUND

Anaemia is a global public health problem particularly in low- and middle-income countries and may be associated with serious health consequences. Limited studies, if any, have examined the prevalence and risk factors of anaemia in Jordan at the national level.

AIMS

This study aimed to assess the prevalence of anaemia in Jordan for both sexes at the national level and to identify high-risk population subgroups.

METHODS

A national population-based household sample was selected from the 12 governorates of Jordan in 2017. A total of 1125 males and 2797 females aged between 18 and 90 years were included. The prevalence of anaemia, overall and among subgroups of the population was estimated using Hb level as per WHO definition.

RESULTS

Results showed prevalence of anaemia to be 4.9% in males, 19.3% in non-pregnant females, and 27.4% in pregnant females. The age standardized prevalence rates were 4.9% in males and 19.3% in females. The age standardized prevalence rates were 4.9% in males and 19.3% in females. Anaemia was predominantly mild (males: 81%, non-pregnant females: 57%, and pregnant females: 65.2%). Sex, age, region, marital status, and education were significantly associated with anaemia. Iron deficiency anaemia (IDA) accounted for 68% of anaemic females and 38% of anaemic males.

CONCLUSIONS

The prevalence of anaemia in Jordan is lower than previously reported by WHO and the majority of anaemia was mild. Iron deficiency anaemia was the the most common type of anaemia, particularly in females. Flour fortification with iron and folic acid could have accounted for the decline of anaemia in Jordan.

摘要

背景

贫血是一个全球性的公共卫生问题，尤其是在中低收入国家，可能会导致严重的健康后果。在约旦，很少有研究（如果有的话）在国家层面上调查贫血的患病率和危险因素。

目的

本研究旨在评估约旦全国男性和女性贫血的患病率，并确定高危人群亚组。

方法

2017 年，从约旦 12 个省中抽取了一个全国性的基于家庭的样本。共纳入 1125 名男性和 2797 名 18 至 90 岁的女性。根据世界卫生组织的定义，使用 Hb 水平来估计贫血的患病率，包括总体患病率和人群亚组中的患病率。

结果

结果显示，男性贫血患病率为 4.9%，非孕妇女性为 19.3%，孕妇女性为 27.4%。年龄标准化患病率在男性和女性中分别为 4.9%和 19.3%。贫血主要为轻度（男性：81%，非孕妇女性：57%，孕妇女性：65.2%）。性别、年龄、地区、婚姻状况和教育程度与贫血显著相关。缺铁性贫血（IDA）占贫血女性的 68%，贫血男性的 38%。