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AJPH First Look, published online ahead of print Dec 28, 2006
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American Journal of Public Health, 10.2105/AJPH.2005.078121

Research and Practice

Anemia and Iron Deficiency in School Children, Adolescents, and Adults: A Community-Based Study in Rural Amazonia

Marcelo U. Ferreira 1, Mônica da Silva-Nunes 1, Carla N. Bertolino 2, Rosely S. Malafronte 3, Pascoal T. Muniz 4, Marly A. Cardoso 2*

1 Departamento de Parasitologia, Instituto de Ciencias Biomedicas da Universidade de Sao Paulo
2 Departamento de Nutricao, Faculdade de Saude Publica, Universidade de Sao Paulo, Sao Paulo, Brazil
3 Laboratorio de Protozoologia, Instituto de Medicina Tropical de Sao Paulo, Sao Paulo, Brazil
4 Departamento de Ciencias da Saude, Universidade Federal do Acre, Rio Branco, Brazil

* To whom correspondence should be addressed. E-mail: mcardoso{at}hsph.harvard.edu.


  Abstract

We investigated the prevalence and risk factors of anemia and iron deficiency in 398 rural Amazonians aged 5-90 years in Acre, Brazil. Anemia and iron deficiency were diagnosed in 16% and 19% of the population, respectively. Anemia was likely to have multiple causes. Although nearly half of anemic school children and women had altered iron status indicators, only 19.7% of overall anemia was attributable to iron deficiency. Geohelminth infection and a recent malaria episode were additional factors affecting iron status indicators in this population.

Key Words: Community Health, Quality of Care, Nutrition/Food, Public Health Practice




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