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坦桑尼亚6至59个月儿童缺铁性贫血的预测因素:来自2015 - 16年坦桑尼亚人口与健康调查-多指标类集调查横断面家庭调查的证据。

Predictors of iron deficiency anaemia among children aged 6-59 months in Tanzania: Evidence from the 2015-16 TDHS-MIS cross-sectional household survey.

作者信息

Msaki Rose V, Lyimo Elizabeth, Masumo Ray M, Mwana Eliasaph, Katana Doris, Julius Nyamizi, Munuo Adeline, Leyna Germana, Issaka Abukari I, Dhami Mansi V, Agho Kingsley E

机构信息

Tanzania Food and Nutrition Centre, Dar es Salaam, Tanzania.

School of Sciences, Western Sydney University, Penrith, NSW, Australia.

出版信息

PLOS Glob Public Health. 2022 Nov 10;2(11):e0001258. doi: 10.1371/journal.pgph.0001258. eCollection 2022.


DOI:10.1371/journal.pgph.0001258
PMID:36962688
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10022048/
Abstract

Iron deficiency anaemia remains a public health problem, particularly in children aged 6-59 months. This study assessed factors associated with iron deficiency anaemia among children aged 6-23 months, 24-59 months and 6-59 months in Tanzania. Data for this cross-sectional study were extracted from the 2015-16 Tanzania Demographic and Health Survey and Malaria Indicator Survey (2015-16 TDHS-MIS). The study covered 8014 children aged 6-59 months and their mothers. Iron deficiency anaemia was defined (haemoglobin < 11g/dL). Univariable and multivariable logistic regression analyses that adjust for clustering and sampling weights were conducted to describe the associations between anaemia and potential confounding variables. The prevalence of iron deficiency anaemia among children aged 6-23 months, 24-59 months and 6-59 months were 76%, 49% and 59%, respectively. Factors associated with increased odds of iron deficiency anaemia among children aged 6-23 months included a mother being employed, being a male child, child perceived to small size at birth by mothers, a mother being anaemic and children belonging to the poorest socio-economic quintile. In addition, being a mother with no schooling, children not being dewormed, a mother being anaemic, delivering a baby at home, child fever and stunting, were factors associated with increased odds of iron deficiency anaemia among children aged 24-59 months. Factors associated with increased odds of iron deficiency anaemia among children aged 6-59 months were: a mother being employed, being a mother with no schooling, being a male child, belonging to the 6-59 months age bracket, a mother having a BMI of between 19 and 25 kg/m2, a mother being anaemic, having a baby at home, children belonging to bigger households, child fever and stunting. Interventions to minimise the burden of iron deficiency anaemia in children should target employed and/or anaemic mothers, poor and rich households, as well as male children.

摘要

缺铁性贫血仍然是一个公共卫生问题,尤其是在6至59个月大的儿童中。本研究评估了坦桑尼亚6至23个月、24至59个月以及6至59个月大儿童中与缺铁性贫血相关的因素。这项横断面研究的数据摘自2015 - 16年坦桑尼亚人口与健康调查以及疟疾指标调查(2015 - 16 TDHS - MIS)。该研究涵盖了8014名6至59个月大的儿童及其母亲。缺铁性贫血的定义为(血红蛋白<11g/dL)。进行了单变量和多变量逻辑回归分析,并对聚类和抽样权重进行了调整,以描述贫血与潜在混杂变量之间的关联。6至23个月、24至59个月以及6至59个月大儿童的缺铁性贫血患病率分别为76%、49%和59%。6至23个月大儿童中与缺铁性贫血几率增加相关的因素包括母亲就业、为男童、母亲认为孩子出生时体型小、母亲贫血以及孩子属于最贫困社会经济五分位数。此外,母亲未受过教育、孩子未驱虫、母亲贫血、在家分娩、孩子发烧和发育迟缓,是24至59个月大儿童中铁缺铁性贫血几率增加的相关因素。6至59个月大儿童中与缺铁性贫血几率增加相关的因素有:母亲就业、母亲未受过教育、为男童、属于6至59个月年龄组、母亲BMI在19至25 kg/m²之间、母亲贫血、在家分娩、孩子属于大家庭、孩子发烧和发育迟缓。减轻儿童缺铁性贫血负担的干预措施应针对就业和/或贫血的母亲、贫困和富裕家庭以及男童。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd7d/10022048/1da4cb66d22a/pgph.0001258.g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd7d/10022048/df1d09af0d1e/pgph.0001258.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd7d/10022048/1da4cb66d22a/pgph.0001258.g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd7d/10022048/df1d09af0d1e/pgph.0001258.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd7d/10022048/1da4cb66d22a/pgph.0001258.g002.jpg

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Factors Influencing Iron Levels Among Women of Reproductive Age and Children 6-48 Months in Livestock-Keeping Communities in Narok County, Kenya.

Food Sci Nutr. 2025-1-22

[2]
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Relationship Between Iron Deficiency Anemia and Stunting in Pediatric Populations in Developing Countries: A Systematic Review and Meta-Analysis.

Children (Basel). 2024-10-19

[4]
Prevalence and Determinants of Stunting-Anemia and Wasting-Anemia Comorbidities and Micronutrient Deficiencies in Children Under 5 in the Least-Developed Countries: A Systematic Review and Meta-analysis.

Nutr Rev. 2025-2-1

[5]
Prevalence and Factors Associated with Iron Deficiency Anaemia among Children Aged 6-23 Months in Southwestern Uganda.

Int J Pediatr. 2024-3-4

本文引用的文献

[1]
Implications of Updating the Minimum Dietary Diversity for Children Indicator for Tracking Progress in the Eastern and Southern Africa Region.

Curr Dev Nutr. 2020-8-21

[2]
Early or delayed umbilical cord clamping? Experiences and perceptions of nurse-midwives and obstetricians at a regional referral hospital in Tanzania.

PLoS One. 2020-6-22

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PLoS One. 2018-9-25

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Pediatric Health Med Ther. 2018-2-5

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The Prevalence of Iron Deficiency Anemia and its Associated Risk Factors Among a Sample of Female University Students in Tabuk, Saudi Arabia.

Clin Med Insights Womens Health. 2017-12-1

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BMC Pediatr. 2017-1-18

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BMC Hematol. 2015-10-12

[10]
Determinants of Iron Deficiency Anemia in a Cohort of Children Aged 6-71 Months Living in the Northeast of Minas Gerais, Brazil.

PLoS One. 2015-10-7

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