Abstract:Objective To investigate the prevalence of nutritional anemia and its risk factors among infants aged 6 months in Shiyan City, Hubei Province so as to provide a basis for preventing infant anemia and formulating health care strategies. Methods Multi-stage cluster random sampling was used to select normal 6-month-old infants who had physical examination in a child health care center from January 2015 to December 2016 to serve as the surveyed subjects. The hemoglobin content and the erythrocyte count were measured, and the relative information, including the status of maternal diseases and anemia during pregnancy, physical growth indexes at birth and the feeding status during the first 6 months of life, was surveyed retrospectively with questionnaires. A binary Logistic regression model was established to analyze the risk factors of nutritional anemia for infants aged 6 months. Results The detection rate of nutritional anemia in 913 infants aged 6 months was 33.41%. There were statistically significant differences in the detection rate of nutritional anemia among infants with different feeding patterns (χ2=45.152,P<0.001). Chi-square partition test showed that no statistically significant difference was found in the prevalence rate of nutritional anemia between mixed feeding and artificial feeding groups (P>0.012,5), but the prevalence rate was significantly lower in the above-mentioned two groups than in breastfeeding group (P<0.012,5). Low family-income (OR=6.05, 95%CI:2.70-13.55), low birth-weight (OR=3.59, 95%CI:1.90-6.76), maternal anemia during pregnancy (OR=2.62, 95%CI:1.16-5.94), gestational weeks less than 37 weeks (OR=2.60, 95%CI:1.51-4.47), no addition of complementary food (OR=7.64, 95%CI:1.83-31.85) and few kinds of complementary food (OR=8.16, 95%CI:3.52-18.91) were the risk factors for the occurrence of anemia. Conclusions The prevalence rate of nutritional anemia in infants aged 6 months in Shiyan City, Hubei Province during 2015-2016was relatively high. Child health care departments should strengthen the propaganda about maternal and child nutrition so as to improve the parents’knowledge regarding child health care, pay attention to feeding patterns and adequate complementary food addition in infancy and effectively prevent nutritional anemia in infants.
张芳, 李应翠, 刘殿旋, 黄雅兰, 陈娇. 2015-2016年湖北省十堰市6月龄儿童营养性贫血现状调查及相关因素分析[J]. 实用预防医学, 2018, 25(8): 942-945.
ZHANG Fang, LI Ying-cui, LIU Dian-xuan, HUANG Ya-lan, CHEN Jiao. Current status of nutritional anemia and its related factorsamong 6-month-oldinfants in Shiyan City, Hubei Province, 2015-2016. , 2018, 25(8): 942-945.
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