泰国曼谷 9 个月大足月婴儿贫血筛查的依从性。

Adherence to Screening for Anemia in 9-Month-Old Full-Term Infants in Bangkok, Thailand.

机构信息

Department of Pediatrics, Faculty of Medicine, Chulalongkorn University, Bangkok 10330, Thailand.

Division of Ambulatory Pediatrics, Department of Pediatrics, Faculty of Medicine, Chulalongkorn University, Bangkok 10330, Thailand.

出版信息

J Trop Pediatr. 2021 Jul 2;67(3). doi: 10.1093/tropej/fmaa054.

DOI:10.1093/tropej/fmaa054

PMID:33057692

Abstract

OBJECTIVES

To determine adherence to the screening for anemia in 9-month-old full-term infants and factors associated with non-adherence to the screening for anemia.

METHODS

A descriptive cross-sectional study was conducted in 9-month-old full-term healthy infants who visited the General Pediatric and Well Child Care Clinic, King Chulalongkorn Memorial Hospital, Bangkok, Thailand. Demographic data, adherence to the screening, and factors associated with non-adherence to the screening were analyzed using percentage, χ2 test, and bivariate logistic regression.

RESULTS

A total of 234 full-term infants, aged 9 months, were included in the study between January and December 2019. The prevalence of adherence to the screening for anemia was 76.1% (95% CI 0.70-0.81). The most common cause of non-adherence to the screening was the waiting time for laboratory results (39.3%). Factors associated with non-adherence to the screening were low education of caregiver (AOR 2.684; 95% CI 1.451-4.966), low socio-economic status (AOR 2.26; 95% CI 1.568-3.258), and inadequate complementary food (AOR 1.961; 95% CI 1.107-3.473).

CONCLUSION

The most common cause of non-adherence to the screening for anemia is the waiting time for laboratory results. Pediatricians and general practitioners should ensure the importance of anemia screening in infants and plan on anemia screening with parents.

摘要

目的

确定 9 月龄足月婴儿是否遵循贫血筛查，以及与不遵循贫血筛查相关的因素。

方法

在泰国曼谷朱拉隆功国王纪念医院普通儿科和健康儿童护理诊所，对 9 月龄足月健康婴儿进行了一项描述性横断面研究。使用百分比、χ2 检验和双变量逻辑回归分析人口统计学数据、筛查的依从性以及与筛查不依从相关的因素。

结果

共有 234 名 9 月龄足月婴儿于 2019 年 1 月至 12 月期间纳入本研究。贫血筛查的依从率为 76.1%（95%CI 0.70-0.81）。不遵循贫血筛查最常见的原因是等待实验室结果的时间（39.3%）。与不遵循贫血筛查相关的因素是照顾者教育程度低（OR 2.684；95%CI 1.451-4.966）、社会经济地位低（OR 2.26；95%CI 1.568-3.258）和补充食物不足（OR 1.961；95%CI 1.107-3.473）。