Magnitude, tendência temporal e fatores associados à anemia em crian？as do Estado da Paraíba

objective: to estimate the magnitude of the anemia, to analyze the time trends and investigate the factors associated with this disturbance in children in the state of paraíba, brazil. methods: a cross-sectional survey, of population-based, with 1108 children, aged 6 to 59 months, both sexes in the state of paraíba. hemoglobin (hb) in venous blood was analyzed with an automatic counter. the social-economic and demographic characteristics of children were obtained by questionnaire. proportions were compared by pearson's chi-squared test, and the association between hemoglobin concentrations and potential risk factors was tested by regression model poisson. the time trend of anemia was assessed by the increase/decreased in the prevalence of anemia, using as comparison the prevalence observed in the years 1982, 1992 and 2007. results: the prevalence of anemia (hb < 11.0 g/dl) in the state of paraíba was 36.5% (ci95% 33.7 to 39.3). it was observed that 1.3% (ci95% 0.7 to 1.8) were in severe form (hb <7.0 g/dl), 11% (ci95% 9.4 to 13.5) in a moderate form and 87.6% (ci95% 79.1 to 91.2) in the mild form. there was an increase 88.5% in cases of anemia between the years 1982-1992 and stabilization in the prevalence between the years 1992-2007. the analysis adjusted poisson model showed a greater susceptibility to anemia in children 6 to 24 months of age, those breastfed for six months or more, who co-inhabited with more than 04 people in the same household and lived in houses with less than 05 rooms. conclusions: the results revealed that anemia remains an important public health problem in the state of paraíba and despite having been shown an stabilization in the prevalence of anemia between 1992-2007, differently the prevalence observed between 1982-1992, this deficiency presents in high level, witch requires more effective measures of prevention and control.