Walden Heather D S, Lo Modou Moustapha, Maunsell Fiona P, Traore Khadidia Fall, Reuss Sarah M, Young Alyson, Diouf Barro, Seck Momar, Adesogan Adegbola T, Hernandez Jorge A
University of Florida (UF) College of Veterinary Medicine, Gainesville, FL, USA.
Institut Sénégalais de Recherches Agricoles, Dakar, Senegal.
One Health. 2021 Apr 29;13:100260. doi: 10.1016/j.onehlt.2021.100260. eCollection 2021 Dec.
The burden of anemia in Senegal is high, particularly in children and women in rural households. The main objectives of the study reported here were (i) to measure and compare the prevalence of anemia and intestinal parasitic infections in farmers and family members and sheep in two agro-ecological zones in Senegal and (ii) to examine the association between anemia and age or sex in farmers and family members. The study was conducted in Mpal (250 km from Dakar, the capital city) and Diawara (700 km from Dakar, a remote location near the Malian border). , the prevalence of anemia was higher in Diawara (64/86 = 74%), compared to Mpal (13/29 = 45%) ( < 0.01). Using logistic regression, the odds of anemia were 20.3, 5.7, and 3.2 times higher in children 1-4 years old, children 5-12 years-old, and teenagers 13-19 years old, respectively, compared to adults 20-60 years old, after controlling for study site and sex ( < 0.05). In Diawara, the odds of anemia were 2.9 times higher in women, compared to men, after controlling for age ( = 0.06). The prevalence of intestinal parasites ( sp.) was the same (7%) at both locations. , the prevalence of low packed cell volume (PCV) and low body condition was higher in Diawara (48/60 = 60% and 11/60 = 18%, respectively), compared to Mpal (23/46 = 50% and 0/46 = 0%, respectively) ( < 0.05). Clinical anemia was associated ( < 0.01) with low PCV and a positive diagnosis of . the prevalence of anemia was higher in farmers and family members and owned sheep in Diawara. In addition, anemia was more common in children and women, an indication that intra-household food allocation may be regulated in favor of men and older age groups. The consequences of livestock affected with anemia and undernutrition can be significant. High morbidity and mortality in livestock can lead to low household income, inadequate household access to and individual consumption of animal source foods, and subsequent risk of anemia in children and women in rural households in Senegal.
塞内加尔贫血负担沉重,农村家庭中的儿童和妇女尤其如此。本文报告的研究的主要目标是:(i)测量并比较塞内加尔两个农业生态区农民及其家庭成员和绵羊的贫血患病率与肠道寄生虫感染率;(ii)研究农民及其家庭成员贫血与年龄或性别的关联。该研究在姆帕尔(距首都达喀尔250公里)和迪亚瓦拉(距达喀尔700公里,靠近马里边境的偏远地区)开展。结果显示,与姆帕尔(13/29 = 45%)相比,迪亚瓦拉的贫血患病率更高(64/86 = 74%)(P < 0.01)。在控制研究地点和性别后,使用逻辑回归分析发现,1 - 4岁儿童、5 - 12岁儿童和13 - 19岁青少年患贫血的几率分别比20 - 60岁成年人高20.3倍、5.7倍和3.2倍(P < 0.05)。在迪亚瓦拉,在控制年龄后,女性患贫血的几率比男性高2.9倍(P = 0.06)。两个地点的肠道寄生虫(某属)感染率相同(均为7%)。此外,与姆帕尔(分别为23/46 = 50%和0/46 = 0%)相比,迪亚瓦拉低红细胞压积(PCV)和低身体状况的患病率更高(分别为48/60 = 60%和11/60 = 18%)(P < 0.05)。临床贫血与低PCV及某病阳性诊断相关(P < 0.01)。总之,迪亚瓦拉农民及其家庭成员以及所养绵羊的贫血患病率更高。此外,贫血在儿童和妇女中更为常见,这表明家庭内部食物分配可能偏向男性和年龄较大的群体。贫血和营养不良的家畜所产生的影响可能很大。家畜的高发病率和高死亡率会导致家庭收入降低、家庭获取动物源食物及个人消费不足,进而使塞内加尔农村家庭中的儿童和妇女面临贫血风险。