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莱索托五岁以下儿童贫血的家庭和个体危险因素。

Household and individual risk factors of anaemia among under-5 children in Lesotho.

机构信息

Faculty of Humanities, Demography and Population Studies, Schools of Social Sciences and Public Health, University of the Witwatersrand, Private bag 3 Wits, 2050, Johannesburg, South Africa.

出版信息

Afr Health Sci. 2020 Sep;20(3):1478-1486. doi: 10.4314/ahs.v20i3.54.

Abstract

BACKGROUND

Anaemia among under-5 children is a major public health issue worldwide. Some countries with a high prevalence of anaemia also have high prevalence of malaria. Even though Lesotho does not have a high prevalence of malaria, its prevalence rate of anaemia is as high. According to the 2014 Lesotho Demographic and Health Survey (DHS), the prevalence of anaemia among children under-5 was 51%. Other factors could be influencing the prevalence of anaemia in Lesotho.

OBJECTIVES

This study examined the household and individual risk factors of anaemia among children under-5 in Lesotho.

METHODS

Data from the 2014 Lesotho DHS which included 924 children under-5 years were analysed. Descriptive statistics, chi-square cross-tabulations and ordered logistic regression models were run using Stata v15.

RESULTS

Twenty-one percent (21%) of children under-5 had mild anaemia while 7% had severe-moderate anaemia. Children residing in households cooking with biogas (aOR=4.88, CI: 1.28-18.58) and those living in households that cook with biomass (aOR=4.22, CI: 1.40-12.67) had higher odds of severe-moderate anaemia.

CONCLUSION

Using solid fuels for cooking increases the vulnerability of children under-5 developing anaemia. Therefore, knowledge of renewable energy resources should be increased. This will help reduce levels of anaemia among under-5 children in Lesotho.

摘要

背景

5 岁以下儿童贫血是全球范围内一个重大的公共卫生问题。一些贫血高发的国家同时也存在疟疾高发的问题。尽管莱索托的疟疾发病率不高,但它的贫血发病率却很高。根据 2014 年莱索托人口与健康调查(DHS),5 岁以下儿童贫血的患病率为 51%。其他因素也可能影响莱索托的贫血患病率。

目的

本研究旨在探讨莱索托 5 岁以下儿童贫血的家庭和个体风险因素。

方法

对 2014 年莱索托 DHS 中包含的 924 名 5 岁以下儿童的数据进行了分析。采用 Stata v15 进行描述性统计、卡方交叉表和有序逻辑回归模型分析。

结果

21%的 5 岁以下儿童患有轻度贫血,7%的儿童患有中重度贫血。使用沼气(aOR=4.88,CI:1.28-18.58)和生物质(aOR=4.22,CI:1.40-12.67)做饭的家庭中的儿童患中重度贫血的几率更高。

结论

使用固体燃料做饭会增加 5 岁以下儿童患贫血的脆弱性。因此,应该增加对可再生能源资源的了解。这将有助于降低莱索托 5 岁以下儿童的贫血发病率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f331/7751557/849f97ea1613/AFHS2003-1478Fig1.jpg

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