Kalenga M K, Nyembo M K, Nshimba M, Foidart J M
Santé de la Reproduction, Faculté de Médecine, Lubumbashi, RD Congo.
Sante Publique. 2003 Dec;15(4):413-21.
The purpose of this study is to evaluate and determine the prevalence of anemia and associated factors (malaria and intestinal helminthiasis) in some high risk groups, especially in pregnant and breast-feeding women and in children aged 1-2 years old from within a deprived semi-urban population of Lubumbashi (Bongonga and Sendwe). These results were compared to those obtained from an urban population having a more satisfying socio-economic situation (University Clinics). The overall frequency of anemia in the subjects studied from the three centres varies from 50-80%. The proportion of anemic cases is clearly higher in the Bongonga and Sendwe populations (70-80%) than in that of the urban group (50%) (P < 0.05). Among all of the subjects examined, pregnant women are found to be the group with the highest proportion of anemic patients (P < 0.05). All things considered, anemia is associated with malaria in 40% of the cases and with intestinal parasitism (Ascaris and/or Ankylostome infestation) in 9%. Faced with such a situation, the strategy to fight against anemia and associated parasitosis demands and requires multi-disciplinary actions centred on health education, collective screening and specific anti-parasite treatment.
本研究的目的是评估和确定一些高危人群中贫血及相关因素(疟疾和肠道蠕虫病)的患病率,尤其是来自卢本巴希(邦贡加和森德韦)贫困半城市人口中的孕妇、哺乳期妇女以及1至2岁的儿童。将这些结果与从社会经济状况较好的城市人口(大学诊所)中获得的结果进行比较。来自三个中心的研究对象中贫血的总体发生率在50%至80%之间。邦贡加和森德韦人群中贫血病例的比例(70%至80%)明显高于城市组(50%)(P<0.05)。在所有接受检查的对象中,孕妇是贫血患者比例最高的群体(P<0.05)。综合考虑,40%的病例中贫血与疟疾有关,9%的病例中与肠道寄生虫感染(蛔虫和/或钩虫感染)有关。面对这种情况,对抗贫血及相关寄生虫病的策略需要并要求以健康教育、集体筛查和特定抗寄生虫治疗为中心的多学科行动。