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| Influential factors for anemia among non-pregnancy women in Jiangsu Province |
| WANG Guanrong1,2 YANG Yuehua1,2 XU Haoqin1,2 LI Xinyan3 BA Lei1,2 |
1.National Health and Family Planning Commission Contraceptives Adverse Reaction Surveillance Center, Jiangsu Province, Nanjing 210036, China;
2.Department of Epidemiology, Jiangsu Province Family Planning Research Institute, Jiangsu Province, Nanjing 210036, China;
3.Department of Information Center, Jiangsu Province Family Planning Research Institute, Jiangsu Province, Nanjing 210036, China |
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Abstract Objective To investigate the prevalence and influence factors of anemia among non-pregnant women at childbearing age in Jiangsu Province, and to provide scientific basis for prevention strategies. Methods The study included the 10 448 women who were participated in the free pre-pregnancy eugenic examination in Peixian, Taixing and Liyang of Jiangsu Province from January to December in 2014. 2236 cases of hemoglobin below 120 g/L were defined as case group while the remaining 8212 women were defined as control group. The risk factors for anemia in non-pregnant women at childbearing age were analyzed by non conditional Logistic regression. Results The overall prevalence of anemia among non-pregnancy women in Jiangsu was about 21.4%. Multiple regression results showed that the risk factors of anemia contain educational level, occupation, body mass index (BMI) <18.5 kg/m2 and live birth history (P < 0.05). Condom use and BMI 24-<28 kg/m2 were protective factors for anemia (P < 0.05). Conclusion The main influencing factors of anemia in non-pregnant women in Jiangsu Province are educational level, occupation, live birth history, BMI and contraceptive measures. The government and health departments could take these factors as the basis for the intervention of high-risk groups in this area to put forward effective measures to prevent anemia.
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[1] Mclean E，Egli I，Cogswell M，et al. Worldwide prevalence of anemia in preschool aged children，pregnant women and non-pregnant women of reproductive age [J]. Worldwide Prevalence of Anemia，2007：1-12.
[2] Gaillard R，Eilers PHC，Yassine S，et al. Risk factors and consequences of maternal anaemia and elevated haemoglobin levels during pregnancy：a population-based prospective cohort study [J]. Paediatr Perinat Epidemiol，2014，28（3）：213-226.
[3] 谭珊，李洪艳，高晓，等.长沙市妇女妊娠期贫血影响因素的巢式病例对照研究[J].中南大学学报：医学版，2016， 41（6）：619-625.
[4] 苟文丽，宋青.妊娠与贫血的相互影响[J].实用妇产科杂，2003，19（3）：129-130.
[5] 世界卫生组织.血红蛋白浓度用于诊断贫血和评估其严重程度[EB/OL].http://www.who.int/vmnis/indicators/haemo globin/zh/
[6] 中国肥胖问题工作组.中国成人超重和肥胖症预防与控制指南（节录）[J].营养学报，2004，26（1）：1-4.
[7] 中国儿童、孕妇、育龄妇女铁缺乏症流行病学调查协作组.中国孕妇、育龄妇女铁缺乏症患病率调查[J].中华血液学杂志，2004，25（11）：653-657.
[8] 王临虹，赵更力，陈丽君，等.育龄妇女贫血状况调查及影响因素分析[J].中华流行病学杂志，1999，20（3）：158-161.
[9] 修新红，万爱华，袁丽，等.育龄妇女缺铁性贫血影响因素分析[J].实用妇产科杂志，2004，20（2）：115-116.
[10] 邵梦楠，陈巾宇，杨青，等.长春市朝阳区育龄妇女缺铁性贫血现况调查及相关影响因素研究[J].中国妇幼保健，2015，30（6）：932-935.
[11] 尹承丽.汶上县育龄妇女贫血状况调查分析[J].医学动物防制，2006，22（3）：189-190.
[12] Dangour AD，Hill HL，Ismail SJ. Haemoglobin status of adult non-pregnant Kazakh women living in Kzyl-Orda region，Kazakhstan [J]. Eur J Clin Nutr，2001，55（12），1068-1075.
[13] 黄桥梁，胡晓抒，袁宝君，等.江苏省太仓、常州市妇女贫血影响因素分析[J].中国公共卫生，2007，23（7）：813-815.
[14] Habib MA，Raynes-Greenow C，Soofi SB，et al. Prevalence and determinants of iron deficiency anemia among non-pregnant women of reproductive age in Pakistan [J]. Asia Pac J Clin Nutr，2018，27（1）：195.
[15] Hossain M，Kamruzzaman，Wadood A. Two-level Logistic regression analysis of factors influencing anemia among nonpregnant married women of reproductive age in Bangladesh [M]// Issues on Health and Healthcare in India. 2018.
[16] Bharati P，Som S，Chakrabarty S，et al. Prevalence of anemia and its determinants among nonpregnant and pregnant women in India [J]. Asia Pac J Public Health，2008， 20（4）：347-359.
[17] 陈树昶，汪宁，李瑛.不同避孕方法与育龄妇女贫血关系的现况研究[J].中国公共卫生，2004，20（9）：1025-1027.
[18] 周健，李瑛，吴玉璘，等.江苏省农村已婚育龄妇女贫血的发生与避孕方法使用关系的研究[J].中国计划生育学杂志，2007，15（4）：207-212.
[19] Rakic L，Djokic D，Drakulovic M，et al. Risk factors associated with anemia among Serbian non-pregnant women 20 to 49 years old. A cross-sectional study [J]. Hippokratia，2013，17（1）：47-54.
[20] 中华人民共和国国家卫生和计划生育委员会.中国食物与营养发展纲要（2014-2020年）[J].营养学报，2014，36（2）：111-113. |
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