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埃塞俄比亚吉马阿廷戈镇学龄前儿童(36 - 59个月)贫血的严重程度及预测因素

Magnitude and predictors of anemia among preschool children (36-59 months) in Atingo town, Jimma, Ethiopia.

作者信息

Sodde Fuad M, Liga Abebe D, Jabir Yasin N, Tamiru Dessalegn, Kidane Rediet

机构信息

Department Medical Laboratory Limmu Seka Health Office Jimma Ethiopia.

Department of Statistics, College of Natural and Computational Sciences Wolkite University Wolkite Ethiopia.

出版信息

Health Sci Rep. 2023 Jun 16;6(6):e1358. doi: 10.1002/hsr2.1358. eCollection 2023 Jun.

Abstract

INTRODUCTION

Anemia is a serious public health concern that affects more than 25% of the world's population. It is still widespread and at its most severe in Ethiopia. This study pointed to identify the magnitude and predictors of anemia in preschool children in Atinago.

METHOD

A structured interview and anthropometric metrics had been used in a cross-sectional study to collect data from 309 preschool children using a systematic sampling strategy from May 10 to June 25, 2022. Frequencies, percentages, means, and a bar chart were created as descriptive statistics. Factors that were significant at the 25% level in univariate analysis were run through multiple logistic models. Odds ratios with respective 95% confidence intervals were developed to determine the relevant predictors.

RESULT

The majority (51.7%) of preschool children in Atinago town had anemia. The finding reveals that poor dietary diversity (adjusted odds ratio [AOR] = 1.77, 95% confidence interval [CI] = 1.02-3.07), children from families with food insecurity (AOR = 2.28, 95% CI = 1.31-3.9), child-mothers used iron folate for less than 3 months during pregnancy (AOR = 1.93, 95% CI = 1.07-3.48), households with more than five children (AOR = 1.880, 95% CI = 1.12-3.18), and stunted children (AOR = 1.78, 95% CI = 1.05-3.01) were highly susceptible to anemia.

CONCLUSION

The findings indicate that anemia was a serious issue among preschool children in Atinago. Therefore, stakeholders should provide community-based nutrition training on consuming diverse diets, dietary improvements in the home, consuming iron-rich meals, and the like; encourage mothers to participate in early ANC follow-up; and strengthen activities aimed at identifying households with food insecurity status.

摘要

引言

贫血是一个严重的公共卫生问题,影响着全球超过25%的人口。它仍然广泛存在,在埃塞俄比亚最为严重。本研究旨在确定阿蒂纳戈学龄前儿童贫血的严重程度及其预测因素。

方法

在一项横断面研究中,采用结构化访谈和人体测量指标,于2022年5月10日至6月25日使用系统抽样策略从309名学龄前儿童中收集数据。创建频率、百分比、均值和柱状图作为描述性统计。在单变量分析中,在25%水平上具有显著性的因素通过多个逻辑模型进行分析。计算具有各自95%置信区间的比值比,以确定相关预测因素。

结果

阿蒂纳戈镇大多数(51.7%)学龄前儿童患有贫血。研究结果表明,饮食多样性差(调整后的比值比[AOR]=1.77,95%置信区间[CI]=1.02-3.07)、来自粮食不安全家庭的儿童(AOR=2.28,95%CI=1.31-3.9)、儿童母亲在孕期使用铁叶酸少于3个月(AOR=1.93,95%CI=1.07-3.48)、有五个以上孩子的家庭(AOR=1.880,95%CI=1.12-3.18)以及发育迟缓的儿童(AOR=1.78,95%CI=1.05-3.01)极易患贫血。

结论

研究结果表明,贫血是阿蒂纳戈学龄前儿童中的一个严重问题。因此,利益相关者应提供基于社区的营养培训,内容包括食用多样化饮食、改善家庭饮食、食用富含铁的食物等;鼓励母亲参与早期产前保健随访;并加强旨在识别粮食不安全家庭状况的活动。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4bcd/10273347/019ec225388d/HSR2-6-e1358-g002.jpg

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