Microcytic Anaemia Predominates in Adolescent School Girls in the Delta Region of Myanmar

目的：貧血是緬甸所有年齡層群眾的一個主要營養問題，然而缺少近期的相關資料。有一個介入型研究計劃將在伊洛瓦底省的央東鄉進行，因此先做一橫斷性研究，以得到緬甸青春期女學生貧血現況的資料。受試者與方法：針對1269名受試者做橫斷面調查，進行完整血液檢查與體位測量，社會經濟特性則由問卷而得。使用Bessman's和Green and King's紅血球指數分類法來區分不同類型的貧血，其中228個血液樣本有進行電泳分析。結果：發育遲緩和過度消瘦者分別占21.2%與10.7%。貧血的盛行率是59.1%，其中以小球性為主；從Green and King's指數來看，有35.8%是由於鐵缺乏。電泳分析的樣本中顯示有36名是屬於HbE血紅蛋白病。結論：在緬甸，貧血仍然是一個主要的營養問題，其高盛行率的原因應被繼續探討與提出。本研究凸顯在緬甸貧血控制計畫中進行大規模且全面調查的必需性。

關鍵字

貧血；血紅蛋白病；緬甸；青少年；女學生

並列摘要

Objective: Anaemia is one of major nutritional problems in Myanmar affecting all age groups. However, there is lack of recent information and a study was conducted to acquire information on the current status of anaemia among adolescent schoolgirls in Nyaung Done township, Ayeyarwady division where an intervention study was planned. Subjects and Methods: A cross-sectional survey was conducted on 1269 subjects to obtain complete blood count, anthropometry and socioeconomic characteristics were obtained by questionnaire. Using red cell indices, we applied Bessman's, and Green and King's index classification to differentiate the types of anaemia. Electrophoresis was also done on a subsample (n=228). Results: Stunting was 21.2% and wasting was 10.7% respectively. Prevalence of anaemia was 59.1% and was mainly microcytic. Green and King’s index showed 35.8% were iron deficient. Electrophoresis revealed 36 cases of Hb E haemoglobinopathy in the subsample. Conclusion: Anaemia is still a major nutrition problem in Myanmar. The reasons for this high prevalence should be explored and properly addressed. The study highlights the need for a comprehensive and large scale survey for the anaemia control programme in Myanmar.

並列關鍵字

anaemia ； haemoglobinopathy ； Myanmar ； adolescent ； schoolgirls

國際替代計量

Microcytic Anaemia Predominates in Adolescent School Girls in the Delta Region of Myanmar

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