Prevalence and type of anaemia in female cotton mill workers in Beijing, China

Abstract

The present study investigates the prevalence and type of anaemia in Chinese female cotton mill workers. The prevalence of anaemia is reported in 447 non-pregnant female workers aged between 19 and 45 years. The mean value for haemoglobin (Hb) was 123 (SD 15) g/l and 150 of the total 447 subjects had Hb values below 120 g/l; thus 34% of the population was anaemic according to World Health Organization (WHO, 1975) criteria. The mean value for free erythrocyte protoporphyrin (FEP) was 419 (SD 215) μg/l; 55% of the total population had FEP values higher than 350 μg/l and 72% among the anaemic subjects. Serum ferritin (SF) was tested in all the women with a Hb value less than 120 g/l and 71 % of them had SF values below 12·0 μg/ls. Eighty women diagnosed as either Fe deficient or with Fe-deficient anaemia were selected for a diagnostic supplementation trial. They were randomly assigned to FeSO₄(60 or 120 mg Fe/d) or placebo treatment for 12 weeks. Fe supplementation increased mean Hb values from 114 to 127 g/l (P< 0·001) and SF levels from 9·7 to 30·0 μg/l (P< 0·001), and decreased mean FEP values from 570 to 277 μg/l (P< 0·001). The response rate of Hb in the whole Fe-treated group or Fe-treated subjects with an Hb level less than 120 g/1 was 90 % or 92 % respectively. These findings indicate that the type of anaemia in this population was mainly Fe deficiency. It was also found that in this population the severity of anaemia, not the prevalence, was significantly related to the use of intra-uterine devices (IUD).