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Risk Factors of Anaemia among Children under Five Years in the Hohoe Municipality, Ghana: A Case Control Study

机译:Hohoe Municipality 5岁以下儿童贫血危险因素,加纳:案例控制研究

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Background. Anaemia is one of the major causes of death among children under five years in Ghana. We examined the risk factors of anaemia among children under five years in the Hohoe Municipality, Ghana. Methods. This facility-based matched case control study recruited 210 children (70 cases and 140 controls) aged 6 to 59 months. Stratified and simple random sampling techniques were used to select mothers attending Child Welfare Clinic (CWC) for the screening of their children. Data were collected using a semistructured questionnaire. Finger prick blood was collected to estimate the haemoglobin (Hb) level and thick film was prepared to determine malaria parasitaemia. Axillary temperature was measured using an +electronic thermometer and anthropometric measurements were done using a weighing scale and inelastic tape measure. Continuous variables were presented as means and standard deviations and categorical variables as frequencies and proportions. Conditional logistic regression was used to determine the strength of association between the dependent and the independent variables. Statistical significance was considered at p value of 0.05. Results. The prevalence of anaemia was high (53.8%), while children whose mothers received iron supplementation during pregnancy were 7.64 times more likely to be anaemic compared with those who did not [AOR=7.64 (95% CI:1.41-41.20.93); p=0.018]. Children with poor dietary diversity were 9.15 times more likely to have anaemia [AOR=9.15 (95% CI: 3.13-26.82); p 0.001]; and children whose mothers were farmers and traders were 83% [AOR = 0.17 (95% CI: 0.05-0.60); p=0.006] and 79% [AOR=0.21 (95% CI: 0.06-0.74); p=0.014], respectively, less likely to have anaemia. Conclusion. The biologic, intermediate, and underlying factors that were significantly associated with anaemia comprised maternal iron supplementation, poor dietary diversity, farmers, and traders. Given that iron supplementation during pregnancy did not protect children against anaemia, we recommend the child’s nutritional dietary diversity is encouraged.
机译:背景。贫血是加纳五年后儿童死亡的主要原因之一。我们在加纳呼霍伊市五年内贫血症的危险因素检测了贫血症的危险因素。方法。该基于设施的匹配案例对照研究招募了6至59个月的210名儿童(70例和140例)。利用分层和简单的随机抽样技术选择参加儿童福利诊所(CWC)的母亲进行筛查。使用半系统问卷收集数据。收集手指刺血以估计血红蛋白(HB)水平和厚膜准备确定疟疾寄生虫。使用+电子温度计测量腋生温度,使用称重秤和无弹性卷尺进行人体测量测量。将连续变量作为频率和比例作为频率和标准偏差和分类变量呈现。条件逻辑回归用于确定依赖关系和独立变量之间的关联强度。在P值<0.05时考虑统计显着性。结果。贫血的患病率很高(53.8%),而母亲在怀孕期间接受过铁补充的儿童比没有[AOR = 7.64(95%CI:1.41-41.20.93)相比,患有贫血的血糖的可能性更高7.64倍。 p = 0.018]。饮食多样性差的儿童患有贫血患者的9.15倍[AOR = 9.15(95%CI:3.13-26.82); P <0.001];和母亲为农民和贸易商的儿童为83%[AOR = 0.17(95%CI:0.05-0.60); P = 0.006]和79%[AOR = 0.21(95%CI:0.06-0.74); P = 0.014]分别不太可能具有贫血。结论。与贫血显着相关的生物学,中间和潜在因素包括孕产妇辅助,粮食多样性差,农民和贸易商。鉴于怀孕期间的铁补充没有保护儿童免受贫血,我们建议鼓励孩子的营养饮食多样性。

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