| Objective: A case-control study was conducted to analyze the influencing factors of iron-deficiency anemia(IDA)in children aged 6-24 months.And then take a targeted interactive intervention model for children with IDA.The aim of this study is to explore the influencing factors of IDA in children aged6-24 months and the effect of interactive intervention model.Methods: The subjects of this study were 90 children,between 6-24 months,with IDA diagnosed in the Department of Pediatrics of Hejiang County People’s Hospital from January 2021 to June 2022.The control group was 90 healthy children in the same age.The caregivers filled in the children’s information registration form,carried out blood tests on the subjects,collected their demographic data,feeding conditions,other important data and related test data,and investigated the influencing factors of IDA.Further,90 children with IDA were randomly divided into experimental group and control group.The control group was treated with routine intervention methods,including iron supplementation,health education,and telephone follow-up.On the basis of routine intervention,the experimental group adopted an interactive intervention model,including dual-track interactive intervention of medical care.Follow up these children and record the quality of life and anemia.Results: The albumin and prealbumin of anaemic children were significantly lower than that of healthy controls(P<0.05).The number of premature births in anaemic children was significantly higher(P<0.05).There was no significant difference between the two groups in the mode of birth,the number of fetuses and the birth weight(P>0.05),but anemia in pregnancy was more common in the mothers of children with IDA(P<0.05).Both groups of children live mainly in city,and parents are the main caregivers(P>0.05).However,the family income and parents’ education level of the children with IDA were obviously lower than those of the healthy children(P<0.05).There were significant differences between the two groups in feeding mode in the first 4 months after birth,time of adding supplementary food and daily intake of iron-rich foods(lean meat,animal liver,etc.)(P<0.05).In addition,the Vitamin A supplementation in IDA children was significantly lower than that in the healthy(P<0.05).The proportion of children with anemia,who had upper respiratory tract infections more than 7 times in a year,was more common(P<0.05),but there was no significant difference between the two groups in the number of lower respiratory tract infections in one year(P>0.05).The number of anaemic children with occasional loose stool and constipation was significantly higher than that of healthy control group(P<0.05).At the same time,the incidence of diarrhea in anaemic children in the past year was significantly more frequently(P<0.05).The results of binary logistic regression analysis showed that premature birth,maternal anemia during pregnancy,exclusive breastfeeding in the first 4 months after birth,late supplementation of complementary foods(≥7 months),low monthly family income(<6000 yuan),low maternal education(junior high school and below),and recurrent upper respiratory tract infections were risk factors for iron deficiency anemia in children aged 6 to 24 months;daily intake of iron rich foods and standardized supplementation of vitamin A are protective factors for iron deficiency anemia in children aged 6 to 24 months.After treated for 6 month,the hemoglobin concentration of the two groups was significantly higher than that before(P<0.05).More interestingly,the hemoglobin concentration of the experimental group was higher than that of the control group(P<0.05).Meanwhile,after 6 months of intervention,the parents of patients in the experimental group had better knowledge of anemia than those in the control group(P<0.05).The number of diarrhea and respiratory tract infection in the experimental group was significantly lower than that in the control group(P<0.05).Conclusion: 1.Premature birth,maternal anemia during pregnancy,exclusive breastfeeding in the first 4 months after birth,late supplementation of complementary foods(≥7 months),low monthly family income(<6000 yuan),low maternal education(junior high school and below),and recurrent upper respiratory tract infections were risk factors for iron deficiency anemia in children aged 6 to 24 months;daily intake of iron rich foods and standardized supplementation of vitamin A are protective factors for iron deficiency anemia in children aged 6 to 24 months.2.Public health workers can reduce the prevalence of anemia and iron deficiency by increasing the coverage of nutrition interventions and increasing the intake of iron and vitamin A in children,such as oral micronutrient supplements and vitamin A supplements.3.The application of interactive intervention mode can improve the quality of life and increase hemoglobin concentration in children with IDA;Interactive intervention mode has a good auxiliary treatment effect on children with IDA. |
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