Current Status and Influencing Factors of Infant Anemia in Poor Rural Areas of Western China

doi:10.16382/j.cnki.1000-5560.2019.03.005

Abstract

Abstract:

This study analyzed the occurrence and influencing factors of iron deficiency anemia among 4,722 infants aged 6-37 months from poor rural areas of Western China. The data show that infant anemia is still a high incidence problem in poor rural areas of Western China, with an average of 44.4% of infants suffering from anemia. For infants aged 6-12 months, the anemia rate is even as high as 49.7%, but mainly mild anemia. The anemia status of infants and young children did not improve with the age of month, yet showed a slight upward trend in different years. Research suggests that anemia at 6-12 months of age is significantly correlated with their subsequent development. All of these facts indicate that interventions are needed to improve anemia of infants and young children in poor rural areas of Western China. The analysis of influencing factors shows that the most important factor is the feeding behavior of the caregivers. We should actively seek and establish effective channels to provide nutritional and health knowledge to infant and child's caregivers, provide social support for infant and child feeding environment, and improve the feeding behavior of caregivers, so as to promote the healthy growth of infants and children.

Key words: infants, anemia, nutrition, poor rural areas, feeding behavior

Nie Jingchun Yang Jie Zhang Lifang Li Ying Yang Jiuyou. Current Status and Influencing Factors of Infant Anemia in Poor Rural Areas of Western China[J]. Journal of East China Normal University(Educationa, 2019, 37(3): 58-69.

References

常素英, 何武, 贾凤梅, 陈春明. (2007). 中国儿童营养状况15年变化分析——5岁以下儿童贫血状况. 卫生研究,(02), 210-212.
陈秀, 许立伦. (2014). 婴幼儿缺铁性贫血的现状及其影响因素分析. 中国儿童保健杂志,(02), 178-180.
崔珍珍, 于盼, 赵艾, 张玉梅. (2016). 孕期贫血对出生结局及婴幼儿贫血、生长发育的影响. 中国儿童保健杂志,(11), 1132-1134.
郭鑫, 张玲, 张洪远, 贾丽红. (2014). 2岁以下儿童贫血状况及危险因素研究. 中国妇幼保健,(05), 752-754
国家统计局. (2016-11-03). 《中国儿童发展纲要(2011-2020年)》中期统计监测报告.2018-11. 取自:http://www.stats.gov.cn/tjsj/zxfb/201611/t20161103_1423705.html.
国务院扶贫办. (2012-06-30). 关于公布全国连片特困地区分县名单的说明 2018-11. 取自:http://www.cpad.gov.cn/art/2012/6/14/art_50_23717.html.
候秀青, 王爱娟. (2015). 缺铁性贫血对婴幼儿生长发育及睡眠质量的影响. 中国妇幼保健,(02), 230-232.
黄中炎, 陈勇, 孙佳, 张汉敏. (2015). 1658例婴幼儿缺铁性贫血调查分析. 中国妇幼保健,(02), 266-269.
李文芳. (2016). 泰安市3岁以下儿童贫血状况调查研究. 泰山医学院学报,(05), 514-516.
林良明, 宋小芳, 刘玉琳, 马官福, 谈藏文, 蒋竟雄, 王力. (2003). 中国儿童维生素A缺乏与贫血关系分析. 中国儿童保健杂志, 11(4), 242-244.
马乐欣, 曾果, 赵丽云, 贾凤梅, 于文涛, 苏畅, 张强. (2010). 2008年广西少数民族贫困农村0~2岁婴幼儿生长发育和贫血调查. 卫生研究,(01), 65-67.
孙率, 吴玉菊, 陈跃辉, 郝刚, 周欢. (2015). 陕南贫困农村地区婴幼儿贫血现状及其影响因素分析. 中华疾病控制杂志,(11),1138-1141.
王启现, 孙君茂, 刘自杰. (2007). 我国城乡婴幼儿营养健康状况及差异分析. 中国公共卫生,(02), 153-154.
余孔贵, 梅启雯. (2014). 婴幼儿营养性缺铁性贫血情况分析. 中国妇幼保健,(18), 2896-2898.
张瑞萍. (2012). 北京市部分流动人口婴幼儿喂养干预效果评价. 中国健康教育,(09), 787-788.
赵丽云, 刘爱东, 于文涛, 翟凤英. (2006). 八省城乡0~5岁婴幼儿生长发育与家长喂养行为的调查分析. 卫生研究,(01), 82-84.
郑建梅, 杨道科. (2009). 婴、幼儿营养性缺铁性贫血249例相关因素分析. 中华妇幼临床医学杂志(03),60-63.
中华人民共和国. (2014). 中国统计年鉴2014. 北京:中国统计出版社.
钟日英, 陈叶静, 曾援, 卢志文. (2012). 婴幼儿营养性缺铁性贫血影响因素分析. 中国妇幼保健,(13), 2002-2003.
周岚, 李鸣, 庞学红, 芮溧, 孙晓红, 黄璐娇, 曾果. (2014). 中国西南城乡6~24月龄婴幼儿辅食添加频率与生长发育相关性研究. 卫生研究,(04), 541-545.
周旭, 方俊群, 罗家有, 王华, 杜其云, 黄广文,冯彬彬. (2017). 贫困农村地区6~23月龄婴幼儿贫血现况及影响因素. 中国公共卫生,(09), 1302-1305.
Balarajan, Y., Ramakrishnan, U., Oezaltin, E., Shankar, A. H., & Subramanian, S. V. (2011). Anaemia in low-income and middle-income countries. The Lancet, 378(9809), 2123-2135.
Black, R. E., Victora, C. G., Walker, S. P., Bhutta, Z. A., Parul, C., Mercedes, D. O.,... Reynaldo, M. (2013). Maternal and child undernutrition and overweight in low-income and middle-income countries. The Lancet, 382(9890), 427-451.
Bloem, M., Enel, C., Pinchinat, S., Pison, G., Simondon, K. B., Kunder, J.,... Scherpbier, R. W. (2006). The 2006 WHO child growth standards.World Health Organization.
Cohen, R. J., & Swerdlik, M. E. (2005). Psychological testing and assessment:An introduction to tests and measurement. Psyccritiques, 42(5), 568.
Li, L., Huang, L., Shi, Y., Luo, R., Yang, M.,... Rozelle, S. (2017). Anemia and student's educational performance in rural central China:Prevalence, correlates and impacts. China Economic Review, 51, 283-293
Luo, R., Kleiman-Weiner, M., Rozelle, S., Zhang, L., Liu, C., Sharbono, B.,... Lee, M. (2010). Anemia in rural China's elementary schools:Prevalence and correlates in Shaanxi province's poor counties. Ecology of Food & Nutrition, 49(5), 357-372.
Luo, R., Shi, Y., Zhang, L., Liu, C., Rozelle, S., Sharbono, B.,... Martorell, R. (2012). Nutrition and educational performance in rural China's elementary schools:Results of a randomized control trial in Shaanxi province. Economic Development & Cultural Change, 60(4), 735-772.
Luo, R., Shi, Y., Zhou, H., Yue, A., Zhang, L., Sylvia, S.,... Rozelle, S. (2014). Anemia and feeding practices among infants in rural Shaanxi province in China. Nutrients, 6(12), 5975-5991. doi:10.3390/nu6125975.
Luo, R., Yue, A., Zhou, H., Shi, Y., Zhang, L., Martorell, R.,... Sylvia, S. (2017). The effect of a micronutrient powder home fortification program on anemia and cognitive outcomes among young children in rural China:A cluster randomized trial. BMC Public Health, 17(1). doi:10.1186/s12889-017-4755-0.
WHO. (2001). Iron deficiency anaemia:Assessment, prevention and control:A guide for programme managers. World Health Organization, 35(6), 864-865.
WHO. (2010). EN Nutrition-Publications-Infant feeding-Indicators for assessing infant and young child feeding practices:Part Ⅱ Measurement

[1]	Shi Yaojiang, Zhang Linxiu, Chang Fang, Liu Han, Tang Bin, Gao Qiufeng, Guan Hongyu, Nie Jingchun, Yang Jie, Bai Yu, Li Ying, Tang Lei, Yue Ai, Ru Tong. Practices and Experiences of Randomized Controlled Trials in China’s Targeted Poverty Alleviations in Education [J]. Journal of East China Normal University(Educational Sciences), 2020, 38(8): 1-67.
[2]	Tang Lei Luo Xia Li Ying Nie Jingchun Yang Jiyou Liu Han. An Empirical Study on the Status and Determinants of Infant and Toddler Feeding Practices in Poor Rural Areas of China [J]. Journal of East China Normal University(Educationa, 2019, 37(3): 84-96.
[3]	Li Ying Jia Miqi Zheng Wenting Tang Lei Bai Yu. Status and Determinants of Early Childhood CognitiveDevelopment in Poor Rural China [J]. Journal of East China Normal University(Educationa, 2019, 37(3): 17-32.