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埃塞俄比亚 6-24 个月和 25-59 个月儿童贫血患病率及相关因素的差异。

Disparities in the prevalence and risk factors of anaemia among children aged 6-24 months and 25-59 months in Ethiopia.

机构信息

Food Science and Nutrition, Department of Health Sciences, Central Washington University, Ellensburg, WA 98926-7571, USA.

College of Pharmacy and Nutrition, University of Saskatchewan, Saskatoon, SK, Canada.

出版信息

J Nutr Sci. 2020 Aug 27;9:e36. doi: 10.1017/jns.2020.29. eCollection 2020.

Abstract

Despite global efforts made to address anaemia, the prevalence remains high in most Sub-Saharan African countries. In Ethiopia, anaemia poses a very strong public health concern. The purpose of the present study was to examine the key risk factors related to anaemia among children aged 6-24 months (younger age group) and 25-59 months (older age group). We used the 2016 Ethiopian Demographic and Health Survey data, collected from 11 023 mothers with under five children. Ordered logistic regression modelling was used for assessing risk factors of childhood anaemia. The results suggest that the prevalence of anaemia was 72 % in the younger and 49 % in the older age groups. The risk factors for anaemia in the younger age group were morbidity (odds ratio (OR) 1⋅77; CI 1⋅21, 2⋅60), having no piped water source (OR 1⋅76; CI 1⋅07, 3⋅01) and no toilet facility (OR 1⋅60; CI 1⋅07, 2⋅38). The key risk factors for anaemia in the older age group were no micronutrient intake (OR 1⋅69; CI 1⋅23, 2⋅31), having a young mother (15-24 years old) (OR 1⋅35; CI 0⋅84, 1⋅91) and a non-working mother (OR 1⋅50; CI 1⋅15, 1⋅96). Anaemia also varied by region, place of residence and economic factors. Multiple factors contributed to the high prevalence of anaemia. Given the structural problem that the country has intervention strategies should consider the unique characteristics of regions and rural residences where the prevalence of anaemia is above the national average.

摘要

尽管全球都在努力解决贫血问题,但大多数撒哈拉以南非洲国家的贫血患病率仍然很高。在埃塞俄比亚,贫血是一个非常严重的公共卫生问题。本研究旨在探讨与 6-24 个月龄(年龄较小组)和 25-59 个月龄(年龄较大组)儿童贫血相关的主要危险因素。我们使用了 2016 年埃塞俄比亚人口与健康调查数据,这些数据来自 11023 名有 5 岁以下儿童的母亲。我们使用有序逻辑回归模型评估儿童贫血的危险因素。结果表明,年龄较小组的贫血患病率为 72%,年龄较大组的贫血患病率为 49%。年龄较小组贫血的危险因素是患病(比值比(OR)1.77;95%置信区间(CI)1.21,2.60)、没有管道供水源(OR 1.76;CI 1.07,3.01)和没有卫生设施(OR 1.60;CI 1.07,2.38)。年龄较大组贫血的主要危险因素是没有微量营养素摄入(OR 1.69;CI 1.23,2.31)、母亲年龄较轻(15-24 岁)(OR 1.35;CI 0.84,1.91)和母亲不工作(OR 1.50;CI 1.15,1.96)。贫血的发生还因地区、居住地和经济因素而异。多种因素导致了贫血的高患病率。鉴于该国存在结构问题,干预策略应考虑到贫血患病率高于全国平均水平的地区和农村地区的独特特征。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d03f/7503181/b0a6c3353ed4/S2048679020000294_fig1.jpg

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