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Prevalence of anemia among primary school students from Kazakh ethnic groups in agricultural and pastoral areas of Altay Prefecture, Xinjiang Uygur Autonomous Region |
LIU Jingzhi1, HU Yanyan1, ZHANG Xuewei1, Ayinuer2
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1. Department of Physical Education and Research, Xinjiang Engineering College, Urumqi, Xinjiang 830000, China; 2. Ili Kazakh Autonomous Prefecture Maternal and Child Health Hospital, Yining, Xinjiang 835008, China |
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Abstract Objective To investigate the prevalence of anemia and its influencing factors among primary school students from Kazakh ethnic groups in agricultural and pastoral areas of Altay Prefecture, Xinjiang Uygur Autonomous Region, so as to provide insights into improvements of nutrition and prevention of anemia among students. Methods Grade 1 to 3 Kazakh ethnic students were sampled using a cluster sampling method from 7 primary schools in agricultural and pastoral areas of Altay Prefecture, Xinjiang Uygur Autonomous Region from April to June, 2022. Demographics and dietary behaviors were collected using questionnaire surveys, and the height and body weight were measured, while peripheral blood hemoglobin was detected. Factors affecting anemia were identified using a multivariable logistic regression model. Results A total of 2 378 questionnaires were allocated, and 2 214 valid questionnaires were recovered, with an effective rate of 93.10%. The respondents included 1 123 men (50.72%) and 1 091 women (49.28%), and had a mean age of (8.12±1.41) years. The prevalence of anemia was 22.49%, and the detection rates of mild and moderate anemia were 15.31% and 7.18%, with no severe anemia detected. Multivariable logistic regression analysis identified frequency of eating eggs (0, OR=2.532, 95%CI: 2.114-3.015; 1 to 3 times/week, OR=1.926, 95%CI: 1.648-2.216), frequency of eating meat (1 to 3 times/week, OR=1.468, 95%CI: 1.256-1.689; 4 to 7 times/week, OR=2.212, 95%CI: 1.823-2.641), frequency of healthy check-up (0, OR=2.872, 95%CI: 2.523-3.231; 1 time/year, OR=1.826, 95%CI: 1.546-2.108), monthly mean household income (1 500 Yuan and lower per month, OR=1.324, 95%CI: 1.071-1.582; 1 501 to 3 000 Yuan per month, OR=1.124, 95%CI: 1.029-1.221) and caregiver (grandparents, OR=1.175, 95%CI: 1.038-1.324; others, OR=1.241, 95%CI: 1.032-1.466) as factors affecting anemia. Conclusions The prevalence of anemia is 22.49% among primary school students from Kazakh ethnic groups in agricultural and pastoral areas of Altay Prefecture, Xinjiang Uygur Autonomous Region, with mild anemia as the predominant type. Dietary behaviors, frequency of healthy check-up, economic status and caregiver may affect the development of anemia.
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Received: 18 April 2023
Revised: 16 July 2023
Published: 06 September 2023
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[1] 刘芳丽,张芯,吴键.中国青少年贫血检出率与体能因素的相关性分析[J].中国学校卫生,2017,38(5):739-741. [2] 高婷婷,曹薇,杨媞媞,等.2019年“农村义务教育学生营养改善计划”覆盖地区中小学生生长迟缓状况及影响因素分析[J].中华流行病学杂志,2022,43(4):488-495. [3] 徐媛媛,曾新颖,邱琇,等.中国儿童青少年缺铁性贫血疾病负担及健康公平性分析[J].中国妇幼健康研究,2021,32(6):830-837. [4] 陈淑芹,邢华,布荣华.新疆塔城市中小学生贫血与营养状况调查[J].中国自然医学杂志,2008,10(4):309-310. [5] 凌晓菲,张明涛.新疆阿勒泰地区哈萨克族学生贫血状况调查分析[J].新疆医学,2007,37(4):3-4. [6] 尹小蜂,秦祖国,蓝晓芳,等.广东省经济欠发达地区农村3~ 6岁儿童贫血及饮食行为调查[J].中国健康教育,2015,31(9):827-829. [7] 中华人民共和国教育部体育卫生与艺术教育司,全国学生体质与健康调研组.2014 年全国学生体质与健康调研工作手册[M].北京:全国学生体质与健康调研组,2014:17-24. [8] 中华人民共和国国家卫生和计划生育委员会.儿童青少年发育水平的综合评价:GB/T 31178—2014[S].2014. [9] 中华人民共和国国家卫生和计划生育委员会.人群贫血筛查方法:WS/T 441—2013[S].2015. [10] 余华峰. 阿勒泰地区汉族与哈萨克族中小学生贫血调查[J].中国社区医师,2020,36(22):184-185. [11] 孜克娅·乃吉木,木日扎提·买买提,麦尔哈巴·如则,等.基于全民健康体检探讨新疆地区基本公共卫生服务中0~6岁儿童贫血预警现况分析[J].现代预防医学,2021,48(1):94-96. [12] MITTAL S,BOAN A D,PEREIRA-SMITH S,et al.Screening for anemia in children with down syndrome[J].J Dev Behav Pediatr,2019,41(2):141-144. [13] PASRICHA S R,TYE-DIN J,MUCKENTHALER M U,et al.Iron deficiency[J].Lancet,2021,397(10270):233-248. [14] 罗冬梅,闫晓晋,胡佩瑾,等.中国2014年7~14 岁汉族学生贫血流行现状[J].中国学校卫生,2019,40(6):878-881. [15] 董彩霞,格鹏飞,张丑吉,等.不同喂养方式和经济收入对婴幼儿贫血发生率的影响[J].卫生研究,2013,42(4):69-72. [16] 黄蕾,岳莉,何莉,等.高原地区家长喂养认知行为对儿童贫血的影响[J].中国学校卫生,2021,42(1):116-119. |
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