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 inAmerican journal of public health (1971) Vol. 86; no. 4; pp. 544 - 550
Main Authors Sargent, J.D. (Dartmouth-Hitchcock Medical Center, Lebanon, NH.), Stukel, T.A, Dalton, M.A, Freeman, J.L, Brown, M.J
Format Journal Article
LanguageEnglish
Published Washington, DC Am Public Health Assoc 01.04.1996
American Public Health Association
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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
AbstractList 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 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
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.
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.
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.
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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Issue 4
Keywords Human
Demography
Socioeconomic status
Deficiency
Risk factor
Iron
Inorganic element
Child
Epidemiology
Ethnic group
Public health
Language English
License CC BY 4.0
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American Public Health Association
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References p_28
Yip R (p_7) 1983; 72
p_29
Jackson KW (p_31) 1978; 24
Yip R (p_1) 1987; 80
p_45
Committee on Nutrition (p_23) 1992; 89
p_25
Haas JD (p_3) 1988
Centers for Disease Control (p_22) 1986; 35
p_41
p_20
Rush D (p_24) 1988; 48
p_42
p_21
Katsanis E (p_44) 1987; 137
Sudre P (p_30) 1990; 197
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Watson RJ (p_10) 1958; 21
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Piomelli S (p_4) 1973; 81
Marsh WLJ (p_43) 1983; 13
Miller V (p_27) 1985; 75
Clark M (p_9) 1988; 81
Smith AL (p_26) 1986; 86
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p_11
p_33
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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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StartPage 544
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
URI http://ajph.aphapublications.org/cgi/content/abstract/86/4/544
https://www.ncbi.nlm.nih.gov/pubmed/8604787
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Volume 86
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