安大略省西北部原住民儿童的贫血患病率。
Prevalence of anemia in First Nations children of northwestern Ontario.
作者信息
Whalen E A, Caulfield L E, Harris S B
机构信息
University of Toronto Sioux Lookout Program.
出版信息
Can Fam Physician. 1997 Apr;43:659-64.
OBJECTIVE
To estimate the prevalence of anemia among First Nations children of northwestern Ontario.
DESIGN
Retrospective review of all hemoglobin determinations between 1990 and 1992 in the Sioux Lookout Zone.
SETTING
The Sioux Lookout Zone Hospital, a secondary care referral hospital for 28 remote First Nations communities in northwestern Ontario, affiliated with the University of Toronto's Sioux Lookout Program.
PARTICIPANTS
All First Nations children age 3 to 60 months who had produced venipuncture or fingerprick blood samples between 1990 and 1992 (614 children had a total of 1223 hemoglobin determinations).
MAIN OUTCOME MEASURES
Prevalence of anemia by age, sex, geographical location, and diagnosis. Anemia was defined as a hemoglobin value less than 110g/L.
RESULTS
Prevalence of anemia peaked in the age range of 6 to 24 months with prevalence rates of 51.7% to 79.3%. Conditions most commonly associated with anemia were respiratory tract infections. Children living in communities in the western part of the Sioux Lookout Zone were 1.64 times more likely to have anemia (95% confidence interval 1.15, 2.35) than children in the other communities.
CONCLUSIONS
Anemia appears to be a serious public health problem among preschool children in the Sioux Lookout Zone.
目的
评估安大略省西北部原住民儿童贫血症的患病率。
设计
对1990年至1992年苏圣洛朗地区所有血红蛋白检测结果进行回顾性分析。
地点
苏圣洛朗地区医院，这是一家二级护理转诊医院，服务于安大略省西北部28个偏远原住民社区，隶属于多伦多大学的苏圣洛朗项目。
参与者
所有年龄在3至60个月之间、于1990年至1992年间采集过静脉穿刺或指尖血样的原住民儿童（614名儿童共进行了1223次血红蛋白检测）。
主要观察指标
按年龄、性别、地理位置和诊断结果统计贫血症患病率。贫血定义为血红蛋白值低于110g/L。
结果
贫血症患病率在6至24个月龄范围内达到峰值，患病率为51.7%至79.3%。与贫血症最常相关的病症是呼吸道感染。居住在苏圣洛朗地区西部社区的儿童患贫血症的可能性比其他社区的儿童高1.64倍（95%置信区间1.15, 2.35）。
结论
贫血症似乎是苏圣洛朗地区学龄前儿童中一个严重的公共卫生问题。
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