本文選題：貧血 + 累積發(fā)病率�。� 參考：《復(fù)旦學(xué)報(bào)(醫(yī)學(xué)版)》2017年05期

【摘要】：目的了解上海市閔行區(qū)6~11歲在校學(xué)生貧血流行特征,為制定新形勢(shì)下中小學(xué)生貧血預(yù)防措施和策略提供依據(jù)。方法 2012—2015學(xué)年連續(xù)4年對(duì)本區(qū)所有6~11歲在校學(xué)生42 872名進(jìn)行血紅蛋白測(cè)定。應(yīng)用SPSS18.0統(tǒng)計(jì)軟件完成所有資料分析。結(jié)果 6~11歲在校學(xué)生貧血患病率為5.05%(95%CI:4.84~5.26),女生貧血患病率為5.28%,顯著高于男生4.84%(χ~2=4.24,P=0.037)。男、女生貧血易患年齡為6歲。持續(xù)就讀于希望學(xué)校學(xué)生較公辦學(xué)校學(xué)生更易患貧血(男生:OR=2.37,95%CI:2.03~2.76;女生:OR=2.08,95%CI:1.74~2.49)。持續(xù)超重或肥胖的學(xué)生貧血患病風(fēng)險(xiǎn)較營養(yǎng)正常學(xué)生低(男生:OR=0.65,95%CI:0.55~0.76;女生:OR=0.75,95%CI:0.61~0.92)。貧血3年累積發(fā)病率為12.80%(95%CI:12.49~13.12%),其中女生為14.52%,顯著高于男生的11.28%(χ~2=100.26,P0.001)。6歲組男生3年累積發(fā)病風(fēng)險(xiǎn)最高,10~11歲組女生貧血3年累積發(fā)病率最高。持續(xù)就讀于希望學(xué)校的學(xué)生貧血發(fā)病風(fēng)險(xiǎn)最高(男生:RR=1.93,95%CI:1.72~2.16;女生:RR=1.20,95%CI:1.04~1.39),持續(xù)超重或肥胖是貧血發(fā)病的保護(hù)因素(男生:RR=0.75,95%CI:0.67~0.84;女生:RR=0.77,95%CI:0.68~0.88)。貧血單次檢出率為14.58%,復(fù)發(fā)性貧血檢出率為2.54%。不同年齡、不同性質(zhì)學(xué)校、不同營養(yǎng)狀況的男、女生貧血檢出次數(shù)均以1次為主(P0.05)。結(jié)論上海市閔行區(qū)6~11歲在校學(xué)生貧血處于輕度流行狀態(tài)。有必要繼續(xù)開展全年齡段學(xué)齡兒童貧血的普查普治工作,并根據(jù)監(jiān)測(cè)結(jié)果輔以個(gè)性化干預(yù)措施,加強(qiáng)學(xué)齡兒童家長和青春期女生健康宣教,重點(diǎn)關(guān)注希望學(xué)校和復(fù)發(fā)性或持續(xù)性貧血的學(xué)生。
[Abstract]:Objective to investigate the epidemic characteristics of anemia among students aged 6 to 11 years in Minhang District, Shanghai, and to provide basis for making preventive measures and strategies for anemia among primary and middle school students under the new situation. Methods 42,872 students aged 611 years were measured for 4 consecutive years in the 2012-2015 school year. Use SPSS18.0 statistical software to complete all data analysis. Results the prevalence rate of anemia in students aged 6 to 11 years was 5.05% and 5.28% respectively. The prevalence rate of anemia in girls was 5.28, which was significantly higher than that in boys (蠂 2 = 4.24%, P < 0.037). The age of anemia for boys and girls is 6 years. Students who continue to study in hope schools are more likely to suffer from anaemia than those from public schools (male students are more likely to suffer from anaemia than students in public schools) (male students: O: 2.37 / 95 CI: 2.03 / 2.76; female students:% OR2. 082 / 95 CI: 1.74 / 2.49). The risk of anemia in the students who were overweight or obese was lower than that in the normal students (male students: 0. 65%, CI: 0. 55 + 0. 76; female students: 1: 0. 75 and 95% CI: 0. 61: 0. 92). The cumulative incidence of anemia in 3 years was 12.80% 12.49% 13.1212%, of which 14.52% for girls was significantly higher than 11.28% for boys (蠂 2 100.26 P 0.001 0. 6 years old). The highest cumulative incidence of anemia was found in girls aged 1011 years. Students who continue to attend hope schools have the highest risk of anaemia (male students: RRX 1.9395% CI1: 1.72 / 2.16; female students RRN 1.2095 CI: 1.04: 1.39). Persistent overweight or obesity is the protective factor for anemia (male student RRU 0.7595 CIW 0.670.84; female student RR0.777% 95CIW 0.688.88). The detection rate of anemia was 14.58, and that of recurrent anemia was 2.54. The frequency of anemia detection for boys and girls with different ages, different nature schools and different nutritional status was mainly once (P0.05). Conclusion anemia in school students aged 6 to 11 years old in Minhang District of Shanghai is in a mild epidemic state. There is a need to continue the general survey of anaemia among school-age children of all ages and to strengthen health education for parents of school-age children and adolescent girls, based on the results of monitoring, supplemented by individualized interventions, Focus on schools and students with recurrent or persistent anaemia.
【作者單位】： 上海市閔行區(qū)疾病預(yù)防控制中心;復(fù)旦大學(xué)公共衛(wèi)生學(xué)院婦幼與兒少衛(wèi)生教研室;
【基金】：上海市閔行區(qū)衛(wèi)生和計(jì)劃生育委員會(huì)特色項(xiàng)目(2013MWTX02) 上海市研究生教育創(chuàng)新計(jì)劃 上海市公共衛(wèi)生與預(yù)防醫(yī)學(xué)Ⅰ類高峰學(xué)科建設(shè)計(jì)劃~~
【分類號(hào)】：R153.2

【相似文獻(xiàn)】

相關(guān)期刊論文 前10條

1 鄔小t$,甘夏格;疾病頻數(shù)的概念及計(jì)算方法(二)[J];環(huán)境與健康雜志;1991年06期

2 樓介治,韓麗華;某鉬礦防塵前后矽肺累積發(fā)病率及防塵后累積發(fā)病率預(yù)測(cè)[J];中國衛(wèi)生統(tǒng)計(jì);1997年01期

3 ;名詞解釋[J];浙江預(yù)防醫(yī)學(xué)與疾病監(jiān)測(cè);1992年04期

4 江青敏;;揚(yáng)中縣城鎮(zhèn)地區(qū)小學(xué)生貧血患病率調(diào)查[J];中國校醫(yī);1989年03期

5 何金龍;李曉玲;魯鵬;馬力揚(yáng);;中江縣976名學(xué)齡前兒童生長發(fā)育與營養(yǎng)狀況研究[J];中國校醫(yī);2014年05期

6 李鋒;陳文娟;江帆;金星明;沈曉明;;上海市10～11歲學(xué)生貧血現(xiàn)狀分析[J];中國兒童保健雜志;2011年06期

7 王飆;;高鐵雞蛋培育及其應(yīng)用的研究[J];微量元素與健康研究;1993年03期

8 許宏建,陳美芬,孟瑞琳;2001年廣州市中學(xué)生貧血患病率調(diào)查分析[J];華南預(yù)防醫(yī)學(xué);2002年05期

9 周曉軍;何春燕;林曉寧;張高東;肖年;王嵐;王正琳;;重慶市四區(qū)縣孕產(chǎn)婦貧血現(xiàn)狀及其影響因素調(diào)查[J];中國婦幼衛(wèi)生雜志;2011年05期

10 張學(xué)愚;郝世奮;李士欣;李露霞;謝亞君;楊軍;;吐魯番維吾爾族學(xué)齡前兒童營養(yǎng)性缺鐵性貧血的研究[J];石河子醫(yī)學(xué)院學(xué)報(bào);1989年04期

，

本文編號(hào)：1868457