Please use this identifier to cite or link to this item: https://hdl.handle.net/2440/81090
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Type: Journal article
Title: Exposure to the Chinese famine in early life and the risk of anaemia in adulthood
Author: Shi, Z.
Zhang, C.
Zhou, M.
Zhen, S.
Taylor, A.
Citation: BMC Public Health, 2013; 13(1):1-7
Publisher: BioMed Central Ltd.
Issue Date: 2013
ISSN: 1471-2458
1471-2458
Statement of
Responsibility: 
Zumin Shi, Cuilin Zhang, Minghao Zhou, Shiqi Zhen and Anne W Taylor
Abstract: Background: Famine exposure during the early stage of life is related to a number of adulthood diseases. The objective of this study was to examine the association of early life exposure to the famine in China (1959–1961) with the risk of anaemia in adulthood. Methods: We used the data of 2007 adults born between 1954 and 1964 in Jiangsu province from the 2002 Chinese National Nutrition and Health Survey. Anaemia was defined as haemoglobin concentration <12 g/dl in women and <13 g/dl in men. Results: Prevalence of anaemia in adulthood in nonexposed, fetal-exposed, early-childhood, mid-childhood, and late-childhood exposed to famine groups were 26.0%, 33.8%, 28.1%, 28.2% and 29.7%, respectively. Overall, fetal-exposed to famine was associated with 37% increased risk of anaemia as compared with those non-exposed after adjusting for income, education, place of residence, smoking, alcohol drinking, job, hypertension and BMI; relative risk (95% confidence interval) (RR (95% CI)) was 1.37 (1.09, 1.71). In general, this association appeared to be stronger among men, those who were currently overweight or obese, or those of lower educational levels. Corresponding RR (95% CI) was 1.87 (1.21-2.87), 1.75 (1.20-2.56), and 2.07 (1.37-3.12), respectively. Conclusions: Fetal exposure to the Chinese famine was associated with an increased risk of anaemia in adulthood.
Keywords: Chinese famine
Anemia
Adults
Fetal exposure
Rights: © 2013 Shi et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
DOI: 10.1186/1471-2458-13-904
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