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2010—2012年中国城市居民贫血状况研究
作者:胡贻椿 陈竞 李敏 李卫东 杨艳华 杨丽琛 王睿 朴建华

摘要:

目的  分析2010—2012年中国城市居民的血红蛋白水平和贫血状况。方法  数据来自2010—2012年中国居民营养与健康状况监测。采用多阶段分层与人口成比例的整群随机抽样方法抽样,调查对象为我国34个大城市和41个中小城市6岁以上居民,共74 276名。采用氰化高铁法检测血红蛋白的浓度。按WHO推荐的贫血标准结合海拔校正界值进行贫血的判定分析。采用2009年国家统计局公布的人口数据,进行复杂抽样加权处理,计算血红蛋白水平()、贫血患病率及95%CI值。结果  2010—2012年中国城市居民血红蛋白水平为(144.16±0.78)g/L,男性为(152.88±0.94)g/L,女性为(135.01±0.71)g/L;大城市为(145.65±1.22)g/L,中小城市为(143.90±0.89)g/L。中国城市居民(不包括孕妇)贫血患病率为9.7%(95%CI: 9.4%~10.1%);男性患病率为6.8%(95%CI: 6.4%~7.3%),女性12.8%(95%CI: 12.2%~13.4%),大城市居民患病率为8.5%(95%CI: 8.0%~9.0%),中小城市居民患病率为10.0%(95%CI: 9.5%~10.4%)。各年龄组中, 18~44岁育龄期女性贫血患病率最高,为15.4%(95%CI: 14.3%~16.6%);60岁以上居民贫血患病率高于其他年龄组,为12.5%(95%CI:11.8%~13.2%)。结论  2010—2012年中国城市居民贫血患病率较10年前有明显改善,但仍需重点关注育龄期妇女和老年人的贫血状况的改善。

关键词:血红蛋白类;贫血;横断面研究;中国城市居民

Abstract:

Objective  The level of blood hemoglobin and the anemia status of Chinese urban residents in 2010-2012 was analyzed.Methods  All the data in this study came from the China Nutrition and Health Survey in 2010-2012. By using multi-stage stratified sampling and population proportional stratified random sampling method, 74 276 residents aged above 6 from 34 metropolis and 41 middle-sized and small cities were included in this study. The concentration of blood hemoglobin was determined by cyanmethemoglobin method. Anemia was judged by the anemia standard recommended by WHO, combined with elevation correction standard. The level of blood hemoglobin, the prevalence of anemia and the 95%CI value were analyzed by using the complex sampling weighted processing, combined with the population figures released by the National Bureau of Statistics in 2009.Results  In 2010-2012, the level of blood hemoglobin of Chinese city population was(144.16±0.78)g/L, (152.88±0.94)g/L for male and(135.01±0.71)g/L for female, while (145.65±1.22)g/L for metropolis and (143.90±0.89)g/L for small and medium-sized. The anemia prevalence of Chinese city population (pregnant women were not included) was 9.7%(95%CI: 9.4%-10.1%), 6.8%(95%CI: 6.4%-7.3%) for male and 12.8%(95%CI: 12.2%-13.4%) for female, while 8.5%(95% CI: 8.0%-9.0%) for metropolis and 10.0%(95%CI: 9.5%-10.4%) for small and medium-sized. The anemia prevalence of 18-44 women (15.4%, 95%CI: 14.3%-16.6%) was the highest among all the age-groups, and the average anemia prevalence of people more than 60 years-old (including) (12.5%, 95%CI: 11.8%-13.2%) was higher than the other age-groups.Conclusion  The anemia prevalence of Chinese city population in 2010-2012 was obviously decreased in comparison of 10 years ago, while, more attention and improvement measures should be take upon women at reproductive age and the elder people.

Key words: Hemoglobins;Anemia;Cross-sectional studies;Chinese urban residents

发表日期:2016/3

引用本文:

图/表:

  • 10.3760/cma.j.issn.0253-9624.2016.03.004.T001:表1 调查对象的年龄、性别及地区分布情况(n)

    10.3760/cma.j.issn.0253-9624.2016.03.004.T001:表1 调查对象的年龄、性别及地区分布情况(n)

  • 10.3760/cma.j.issn.0253-9624.2016.03.004.T002:表2 2010—2012年中国城市居民血红蛋白水平(g/L,)

    10.3760/cma.j.issn.0253-9624.2016.03.004.T002:表2 2010—2012年中国城市居民血红蛋白水平(g/L,)

  • 10.3760/cma.j.issn.0253-9624.2016.03.004.T003:表3 2010—2012年中国城市居民贫血患病率[%(95%CI)]

    10.3760/cma.j.issn.0253-9624.2016.03.004.T003:表3 2010—2012年中国城市居民贫血患病率[%(95%CI)]

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