目的：虐待儿童被视为健康问题的终身社会决定因素。然而,对身体虐待儿童的营养状况及其对儿童行为的累积影响知之甚少。本研究旨在研究中国受虐儿童的非贫血缺铁状况以及身体虐待和非贫血缺铁对儿童行为的综合影响。
方法：这项横断面研究包括来自金坛的314名11-14(12.30±0.57)岁的儿童，中国。儿童自我报告他们的身体虐待经历和行为问题。还测量了血铁和血红蛋白浓度。
结果：38%的儿童报告了身体虐待的经历，17.5％的人患有非贫血性缺铁症，这两个危险因素在8.0%的儿童中同时发生。与未受虐待的儿童相比，受身体虐待的儿童更容易受到非贫血缺铁的影响。经历过身体虐待和非贫血缺铁症的儿童报告的行为问题比没有或没有危险因素的儿童更多。
结论：身体虐待儿童更有可能患有非贫血性缺铁。同时存在身体虐待经历和非贫血缺铁症的儿童有更多的行为问题。有必要同时防止虐待儿童和非贫血缺铁，以维持正常的儿童行为发展。
OBJECTIVE: Child abuse is regarded as a life-course social determinant of health problems. However, little is known about the nutritional status of physically abused children and their cumulative effect on child behavior. The present study aimed to examine the non-anemic iron deficiency status of abused children and the combined effect of physical abuse and non-anemic iron deficiency on child behavior in
China.
METHODS: This cross-sectional study comprised 314 children aged 11-14 (12.30±0.57) years old from Jintan,
China. Children self-reported their physical abuse experiences and behavior problems. Blood iron and hemoglobin concentrations were also measured.
RESULTS: Thirty-eight percent of children reported physical abuse experience, 17.5% had non-anemic iron deficiency, and the two risk factors co-occurred in 8.0% children. Physically abused children were more likely to be affected by non-anemic iron deficiency than their non-abused counterparts. Children who had experienced both physical abuse and non-anemic iron deficiency reported more behavior problems than children with neither or either risk factors.
CONCLUSIONS: Physically abused children are more likely to have non-anemic iron deficiency. Children with the presence of both physical abuse experience and non-anemic iron deficiency have more behavior problems. There is a need to prevent both child abuse and non-anemic iron deficiency simultaneously to maintain normal child behavior development.
