Iron deficiency in Massachusetts communities: socioeconomic and demographic risk factors among children
This study examined the association between community rates of iron deficiency in children and sociodemographic characteristics of Massachusetts communities. Between April 1990 and March 1991, 238 273 Massachusetts children 6 through 59 months of age were screened; iron deficiency was defined as an...
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Published in | American journal of public health (1971) Vol. 86; no. 4; pp. 544 - 550 |
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Main Authors | , , , , |
Format | Journal Article |
Language | English |
Published |
Washington, DC
Am Public Health Assoc
01.04.1996
American Public Health Association |
Subjects | |
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Abstract | This study examined the association between community rates of iron deficiency in children and sociodemographic characteristics of Massachusetts communities. Between April 1990 and March 1991, 238 273 Massachusetts children 6 through 59 months of age were screened; iron deficiency was defined as an erythrocyte protoporphyrin concentration of 0.62 micromoles/L or higher and a blood lead level of less than 1.2 micromoles/L. Sociodemographic data were obtained from the 1990 US Census. Five percent of communities had iron deficiency rates greater than 13.9 per 100 children screened. Iron deficiency rate was positively associated with proportion of Southeast Asians (odds ratio [OR] = 1.10, 95% confidence interval [CI] = 1.08, 1.12), proportion of Hispanics (OR = 1.008, 95% CI = 1.002, 1.013), and high school incompletion (OR = 1.028, 95% CI = 1.020, 1.035). Similarly, an examination of three Massachusetts cities indicated that the iron deficiency rate was higher for children with Southeast Asian (relative risk [RR] = 3.6, 95% CI = 3.3, 3.8) and Hispanic (RR = 1.6, 95% CI = 1.5, 1.8) surnames than for all other children. Wide variation exists in iron deficiency rates for children in Massachusetts communities. Community iron deficiency was associated with low socioeconomic status and high proportions of Southeast Asians and Hispanics |
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AbstractList | OBJECTIVES: This study examined the association between community rates of iron deficiency in children and sociodemographic characteristics of Massachusetts communities. METHODS: Between April 1990 and March 1991, 238 273 Mssachusetts children 6 through 59 months of age were screened; iron deficiency was defined as an erythrocyte protopophyrin concentration of 0.62 micromol/L or higher and a blood lead level of less than 1.2 micromol/L. Sociodemographic data were obtained from the 1990 US Census. RESULTS: Five percent of communities had iron deficiency rates greater than 13.9 per 100 children screened. Iron deficiency rate was positively associated with proportion of Southeast Asians (odds ratio [OR] = 1.10, 95% confidence interval [CI] = 1.08, 1.12), proportion of Hispanics (OR = 1.008, 95% CI = 1.002, 1.013), and high school incompletion (OR = 1.028, 95% CI = 1.020, 1.035). Similarly, an examination of three Massachusetts cities indicated that the iron deficiency rate was higher for children with Southeast Asian (relative risk [RR] = 3.6, 95% CI = 3.3, 3.8) and Hispanic (RR = 1.6, 95% CI = 1.5, 1.8) surnames than for all other children. CONCLUSIONS: Wide variation exists in iron deficiency rates for children in Massachusetts communities. Community iron deficiency was associated with low socioeconomic status and high proportions of Southeast Asians and Hispanics. This study examined the association between community rates of iron deficiency in children and sociodemographic characteristics of Massachusetts communities. Between April 1990 and March 1991, 238 273 Massachusetts children 6 through 59 months of age were screened; iron deficiency was defined as an erythrocyte protoporphyrin concentration of 0.62 micromoles/L or higher and a blood lead level of less than 1.2 micromoles/L. Sociodemographic data were obtained from the 1990 US Census. Five percent of communities had iron deficiency rates greater than 13.9 per 100 children screened. Iron deficiency rate was positively associated with proportion of Southeast Asians (odds ratio [OR] = 1.10, 95% confidence interval [CI] = 1.08, 1.12), proportion of Hispanics (OR = 1.008, 95% CI = 1.002, 1.013), and high school incompletion (OR = 1.028, 95% CI = 1.020, 1.035). Similarly, an examination of three Massachusetts cities indicated that the iron deficiency rate was higher for children with Southeast Asian (relative risk [RR] = 3.6, 95% CI = 3.3, 3.8) and Hispanic (RR = 1.6, 95% CI = 1.5, 1.8) surnames than for all other children. Wide variation exists in iron deficiency rates for children in Massachusetts communities. Community iron deficiency was associated with low socioeconomic status and high proportions of Southeast Asians and Hispanics Between April 1990 and March 1991, 238 273 children 6-59 months of age were screened; notes the definition used for iron deficiency. 5% of communities had deficiency rates greater than 13.9 per 100 children screened. Iron deficiency rate was positively associated with proportion of Southeast Asians and high school incompletion. Community iron deficiency was associated with low socioeconomic status and high proportions of Southeast Asians and Hispanics. (Original abstract-amended) This study examined the association between community rates of iron deficiency in children and sociodemographic characteristics of Massachusetts communities. Between April 1990 and March 1991, 238 273 Mssachusetts children 6 through 59 months of age were screened; iron deficiency was defined as an erythrocyte protopophyrin concentration of 0.62 micromol/L or higher and a blood lead level of less than 1.2 micromol/L. Sociodemographic data were obtained from the 1990 US Census. Five percent of communities had iron deficiency rates greater than 13.9 per 100 children screened. Iron deficiency rate was positively associated with proportion of Southeast Asians (odds ratio [OR] = 1.10, 95% confidence interval [CI] = 1.08, 1.12), proportion of Hispanics (OR = 1.008, 95% CI = 1.002, 1.013), and high school incompletion (OR = 1.028, 95% CI = 1.020, 1.035). Similarly, an examination of three Massachusetts cities indicated that the iron deficiency rate was higher for children with Southeast Asian (relative risk [RR] = 3.6, 95% CI = 3.3, 3.8) and Hispanic (RR = 1.6, 95% CI = 1.5, 1.8) surnames than for all other children. Wide variation exists in iron deficiency rates for children in Massachusetts communities. Community iron deficiency was associated with low socioeconomic status and high proportions of Southeast Asians and Hispanics. This study examined the association between community rates of iron deficiency in children and sociodemographic characteristics of Massachusetts communities. Between April 1990 and March 1991, 238 273 Mssachusetts children 6 through 59 months of age were screened; iron deficiency was defined as an erythrocyte protopophyrin concentration of 0.62 micromol/L or higher and a blood lead level of less than 1.2 micromol/L. Sociodemographic data were obtained from the 1990 US Census. Five percent of communities had iron deficiency rates greater than 13.9 per 100 children screened. Iron deficiency rate was positively associated with proportion of Southeast Asians (odds ratio [OR] = 1.10, 95% confidence interval [CI] = 1.08, 1.12), proportion of Hispanics (OR = 1.008, 95% CI = 1.002, 1.013), and high school incompletion (OR = 1.028, 95% CI = 1.020, 1.035). Similarly, an examination of three Massachusetts cities indicated that the iron deficiency rate was higher for children with Southeast Asian (relative risk [RR] = 3.6, 95% CI = 3.3, 3.8) and Hispanic (RR = 1.6, 95% CI = 1.5, 1.8) surnames than for all other children. Wide variation exists in iron deficiency rates for children in Massachusetts communities. Community iron deficiency was associated with low socioeconomic status and high proportions of Southeast Asians and Hispanics. OBJECTIVESThis study examined the association between community rates of iron deficiency in children and sociodemographic characteristics of Massachusetts communities.METHODSBetween April 1990 and March 1991, 238 273 Mssachusetts children 6 through 59 months of age were screened; iron deficiency was defined as an erythrocyte protopophyrin concentration of 0.62 micromol/L or higher and a blood lead level of less than 1.2 micromol/L. Sociodemographic data were obtained from the 1990 US Census.RESULTSFive percent of communities had iron deficiency rates greater than 13.9 per 100 children screened. Iron deficiency rate was positively associated with proportion of Southeast Asians (odds ratio [OR] = 1.10, 95% confidence interval [CI] = 1.08, 1.12), proportion of Hispanics (OR = 1.008, 95% CI = 1.002, 1.013), and high school incompletion (OR = 1.028, 95% CI = 1.020, 1.035). Similarly, an examination of three Massachusetts cities indicated that the iron deficiency rate was higher for children with Southeast Asian (relative risk [RR] = 3.6, 95% CI = 3.3, 3.8) and Hispanic (RR = 1.6, 95% CI = 1.5, 1.8) surnames than for all other children.CONCLUSIONSWide variation exists in iron deficiency rates for children in Massachusetts communities. Community iron deficiency was associated with low socioeconomic status and high proportions of Southeast Asians and Hispanics. |
Author | Stukel, T.A Sargent, J.D. (Dartmouth-Hitchcock Medical Center, Lebanon, NH.) Brown, M.J Dalton, M.A Freeman, J.L |
AuthorAffiliation | Department of Pediatrics, Dartmouth Medical School, Hanover, NH 03756, USA |
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CitedBy_id | crossref_primary_10_1097_01_mph_0000140652_73214_0b crossref_primary_10_1079_BJN20031042 crossref_primary_10_1006_enrs_1999_4011 crossref_primary_10_1177_216507990505300706 crossref_primary_10_1177_1010539513491417 crossref_primary_10_1177_156482659902000405 crossref_primary_10_1006_enrs_2001_4309 crossref_primary_10_3390_nu12113313 crossref_primary_10_1542_peds_2007_0572 crossref_primary_10_1007_s12011_010_8736_8 crossref_primary_10_1093_epirev_mxad002 crossref_primary_10_1007_s00277_007_0305_7 crossref_primary_10_1590_S1415_790X2010000400010 crossref_primary_10_1097_00042560_199804010_00007 crossref_primary_10_5694_j_1326_5377_1997_tb138711_x crossref_primary_10_1007_BF03061329 crossref_primary_10_1097_00006199_199803000_00005 crossref_primary_10_1111_j_1753_4887_1999_tb01773_x crossref_primary_10_1046_j_1365_2141_1999_01511_x crossref_primary_10_1155_2014_868752 crossref_primary_10_2105_AJPH_93_4_593 crossref_primary_10_1111_j_0730_7659_2004_00301_x crossref_primary_10_1590_S1519_38292004000100004 |
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Keywords | Human Demography Socioeconomic status Deficiency Risk factor Iron Inorganic element Child Epidemiology Ethnic group Public health |
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Snippet | This study examined the association between community rates of iron deficiency in children and sociodemographic characteristics of Massachusetts communities.... OBJECTIVES: This study examined the association between community rates of iron deficiency in children and sociodemographic characteristics of Massachusetts... Between April 1990 and March 1991, 238 273 children 6-59 months of age were screened; notes the definition used for iron deficiency. 5% of communities had... OBJECTIVESThis study examined the association between community rates of iron deficiency in children and sociodemographic characteristics of Massachusetts... |
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SubjectTerms | AGE Anemia, Iron-Deficiency - ethnology Anemia, Iron-Deficiency - etiology Asian people BEBES Biological and medical sciences CARENCE EN OLIGOELEMENT Censuses Child, Preschool Children & youth DEFICIENCIA DE OLIGOELEMENTOS Demographic aspects Demographics EDAD Educational Status ENFANT EN AGE PRESCOLAIRE ENFANT EN BAS AGE ENSAYO ERITROCITOS ERYTHROCYTE Estimates ESTRUCTURA SOCIAL Ethnic groups FER GROUPE ETHNIQUE GRUPOS ETNICOS HIERRO Humans Infant Iron Iron deficiency Laboratories Lead content Lead poisoning Mass Screening MASSACHUSETTS Massachusetts - epidemiology Medical sciences Metabolic diseases NINOS DE EDAD PREESCOLAR Nutrition Odds Ratio Other nutritional diseases (malnutrition, nutritional and vitamin deficiencies...) Population Population Surveillance PORFIRINAS PORPHYRINE Preschool children Prevention programs Public health RIESGO Risk Factors RISQUE Secondary schools Sociodemographics Socioeconomic aspects Socioeconomic Factors STRUCTURE SOCIALE TESTAGE |
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Title | Iron deficiency in Massachusetts communities: socioeconomic and demographic risk factors among children |
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