Osman Hiba M, Osman Almarwa A, Al-Nafeesah Abdullah, AlEed Ashwaq, Adam Ishag
Department of Medical Laboratory Sciences, College of Applied Medical Sciences, University of Bisha, Bisha 67714, Saudi Arabia.
Department of Biochemistry and Nutrition, Faculty of Medicine, University of Gezira, PO Box 20, Wad Medani, Sudan.
J Trop Pediatr. 2024 Dec 5;71(1). doi: 10.1093/tropej/fmae047.
Anaemia among adolescents is a worldwide health problem; however, data on anaemia among adolescents in Sudan are scarce. A cross-sectional study was conducted to investigate the prevalence and associated factors of anaemia and iron-deficiency anaemia among adolescent schoolchildren in northern Sudan. Socio-demographic information was collected using a questionnaire. A total of 309 adolescents (52.4% female and 47.6% male) were enrolled in the study. Seventy-five (24.3%) adolescents had anaemia, and none had severe anaemia. In the multivariate analysis, history of pica [adjusted odds ratio (AOR) = 2.30, 95% confidence interval (CI) = 1.31-4.02] was associated with increased odds of anaemia, and an increased level of serum ferritin (AOR = 0.97, 95% CI = 0.95-0.99) was associated with decreased odds of anaemia. Of the adolescents, 189 (61.2%) and 55 (17.8%) had iron deficiency and iron-deficiency anaemia, respectively. In the multivariate analysis, being female (AOR = 3.13, 95% CI = 1.88-5.23) and having a history of pica (AOR = 1.85, 95% CI = 1.03-3.31) were associated with increased odds of iron deficiency. This study showed a high prevalence of anaemia and iron-deficiency anaemia among adolescents in this part of Sudan, which was associated with a history of pica.
青少年贫血是一个全球性的健康问题；然而，苏丹青少年贫血的数据却很匮乏。开展了一项横断面研究，以调查苏丹北部青少年学龄儿童贫血及缺铁性贫血的患病率和相关因素。使用问卷收集社会人口统计学信息。共有309名青少年（52.4%为女性，47.6%为男性）参与了该研究。75名（24.3%）青少年患有贫血，且无人患有严重贫血。在多变量分析中，异食癖史（调整优势比[AOR]=2.30，95%置信区间[CI]=1.31 - 4.02）与贫血几率增加相关，而血清铁蛋白水平升高（AOR=0.97，95%CI=0.95 - 0.99）与贫血几率降低相关。在这些青少年中，分别有189名（61.2%）和55名（17.8%）患有缺铁和缺铁性贫血。在多变量分析中，女性（AOR=3.13，95%CI=1.88 - 5.23）和有异食癖史（AOR=1.85，95%CI=1.03 - 3.31）与缺铁几率增加相关。该研究表明，苏丹这一地区青少年贫血和缺铁性贫血的患病率很高，这与异食癖史有关。
