武汉市婴幼儿缺铁性贫血与抚养人铁营养KAP的关系

目的：了解婴幼儿缺铁性贫血状况及其与抚养人铁营养知识、态度、行为之间的关系，为防治婴幼儿缺铁性贫血提供理论依据。方法抽取在武汉市儿保门诊进行规范化健康体检的910名6～36月龄婴幼儿进行血红蛋白检测并对其抚养人进行铁营养知信行（KAP）问卷调查。结果武汉市婴幼儿贫血患病率26．6％。各年龄患病率差异有统计学意义（P ＜0．05），抚养人铁营养 KAP 得分随其文化程度升高而升高，随家庭收入水平升高而升高，婴幼儿缺铁性贫血患病率随抚养人文化程度升高而递减，随家庭收入水平升高而递减。抚养人营养知识（K）平均分为（11．96±3．77）分，态度（A）平均分为（7．09±2．80）分，喂养行为（P）平均分为（18．05±3．60）分。抚养人的铁喂养知识、态度和行为之间存在正相关关系。结论应开展多层面的铁营养知识专项宣传，提高对抚养人铁营养的认知水平，降低婴幼儿缺铁性贫血患病率。

The relationship between the infants′Iron-deficiency anemia and the dependents′KAP of Iron nutrition in Wuhan

Objective To understand the relationship between the infants′iron-deficiency anemia and the dependents′KAP (knowledge,attitude,practice)of iron nutrition,and to provide a theoretical support for the prevention and cure of the infants′iron-eficiency anemia.Methods A total of 960 infants,aging from 6 months to 36 months,were randomly chosen as samples at the child care clinics in Wuhan while they were doing their routine health check-up there.Their hemoglobin was examined.Their dependents were asked to fill in questionnaires about KAP of iron nutrition.Results The ratio of anemia in infants in Wuhan is 26.6%.The ra-tio difference of different age groups has statistical significance(P <0.05).The dependents′KAP of iron nutrition is in direct pro-portion to their educational level and family income.The ratio of anemia in infants is in inverse proportion to their dependents′edu-cational level and family income.The dependents′knowledge,attitude and practice of iron-intake were positively related.The aver-age score of guardian nutrition knowledge(K)was (11.96±3.77)points,the average score of attitude(A)was (7.09±2.80)points while the average score of feeding practice(P)was (18.05±3.60)points.Conclusion Much publicity should be given to the knowl-edge of iron nutrition and it should be conducted from various perspectives,in order to improve the cognitive level of the depend-ents′knowledge of iron nutrition and to lower the ratio of anemia in infants.