埃塞俄比亚西北部贡达尔大学医院住院儿童贫血患病率及相关因素

EJIFCC Pub Date : 2019-03-01
Bamlaku Enawgaw, Yaregal Workineh, Sisay Tadesse, Eyuel Mekuria, Ayenew Addisu, Meaza Genetu
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引用次数: 0

摘要

背景:在大多数发展中国家,特别是在非洲,儿童贫血仍然是一项重大的公共卫生挑战。在生命的早期阶段,它会对儿童的认知功能和生长发育造成严重的负面影响,即使在治疗后也可能持续存在。目的:本研究的主要目的是评估埃塞俄比亚西北部贡达尔大学综合专科转诊医院住院儿童贫血的患病率及其相关因素。方法:对2018年2月至6月住院儿童384例进行横断面研究。在获得适当的书面知情同意和同意后,采用问卷调查的方式收集研究个体的社会人口学特征和临床状况数据。采集血3ml进行全血细胞计数分析,并检查大便肠内寄生虫。对数据进行编码、清理并输入SPSS 20进行分析。使用双变量和多变量logistic回归模型来确定贫血的相关因素。p值≤0.05认为有统计学意义。结果:住院患儿贫血总体程度为58.6%;其中男性56.4%。在贫血儿童中,28%为轻度贫血,51.1%为中度贫血,20.9%为重度贫血。6-59月龄、5-11岁和12-14岁儿童贫血程度分别为54.1%、58.9%和67.5%。在本研究中,贫血与寄生虫感染呈正相关(AOR= 2.541;95% CI: 1.363, 4.737),不吃肉和动物产品(AOR = 1.615;95% ci: 1.014, 2.574)。结论:本研究发现住院儿童贫血是一个严重的公共卫生问题。它与肠道寄生虫感染和不吃肉和动物产品密切相关。应制定重点突出的政策和战略,以减少埃塞俄比亚住院儿童的贫血。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Prevalence of Anemia and Associated Factors Among Hospitalized Children Attending the University of Gondar Hospital, Northwest Ethiopia.

Prevalence of Anemia and Associated Factors Among Hospitalized Children Attending the University of Gondar Hospital, Northwest Ethiopia.

Background: Anemia in children continues to be a major public health challenge in most developing countries, particularly in Africa.In the early stages of life, it leads to severe negative consequences on the cognitive functions as well as growth and development of the children, which may persist even after treatment.

Objective: The main aim of this study was to assess the prevalence and associated factors of anemia among hospitalized children attending at university of Gondar comprehensive and specialized referral hospital, Northwest Ethiopia.

Method: A cross sectional study was conducted on 384 hospitalized children, between February and June, 2018. Data of socio demographic characteristics and clinical conditions of the study individuals were collected using questionnaire after taking appropriate written informed consent and assent. Then 3 mL of blood was collected for complete blood count analysis and also stool examination was done for intestinal parasites. Data were coded, cleared and entered into SPSS version 20 for analysis.Bivariate and multivariate logistic regression models were used to identify associated factors of anemia. P-value ≤ 0.05 was considered as statistically significant.

Result: The overall magnitude of anemia among hospitalized children was 58.6%; of them 56.4% were males. Of anemic children, 28% had mild, 51.1% moderate and 20.9% severe anemia. The magnitude of anemia among children aged 6-59 months, 5-11 years and 12-14 years were 54.1%, 58.9% and 67.5%, respectively.In this study, anemia was positively associated with parasitic infection (AOR= 2.541; 95% CI: 1.363, 4.737), not eating meat and animal products (AOR = 1.615; 95% CI: 1.014, 2.574).

Conclusion: Anemia among hospitalized children in this study was found to be a severe public health problem. It was strongly associated with intestinal parasitic infection and not eating meat and animal products.Focused polices and strategies should be designed to reduce anemia among hospitalized children in Ethiopia.

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