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孕妇补铁:一项基于人群的调查研究结果

Iron supplementation among pregnant women: results from a population-based survey study.

作者信息

Cesar Juraci Almeida, Dumith Samuel de Carvalho, Chrestani Maria Aurora Dropa, Mendoza-Sassi Raul Andrés

机构信息

Division of Population Health, Universidade Federal do Rio Grande, Rio Grande, RS, Brazil.

Department of Social Medicine, Universidade Federal de Pelotas, Pelotas, RS, Brazil.

出版信息

Rev Bras Epidemiol. 2013 Sep;16(3):729-36. doi: 10.1590/s1415-790x2013000300016.

Abstract

OBJECTIVES

To measure the prevalence and risk factors associated with iron supplementation among pregnant women in the municipality of Rio Grande, Southern Brazil.

METHODS

All mothers living in this municipality who had children in 2007 were surveyed for demographic, socioeconomic and health care received during pregnancy and childbirth. The statistical analysis consisted of Poisson regression with robust adjustment of variance, and the measure of effect was prevalence ratio (PR).

RESULTS

Among the 2,557 mothers interviewed (99% of total), 59% were supplemented with iron during pregnancy period. After adjusting for various confounding factors, a higher PR to iron supplementation was observed among teenagers, women with black skin color, primigravidae, who had six or more antenatal visits, who performed prenatal care in public sector and received vitamin during pregnancy.

CONCLUSION

There is a clear need to increase the iron supplementation coverage of all pregnant women, especially among those currently considered with low gestational risk.

摘要

目的

测量巴西南部里奥格兰德市孕妇中铁剂补充的患病率及相关危险因素。

方法

对2007年在该市生育子女的所有母亲进行调查,了解其孕期和分娩期间的人口统计学、社会经济状况及接受的医疗保健情况。统计分析采用泊松回归并对方差进行稳健调整,效应量为患病率比(PR)。

结果

在接受访谈的2557名母亲中(占总数的99%),59%在孕期补充了铁剂。在对各种混杂因素进行调整后,青少年、皮肤为黑色的女性、初产妇、产前检查达6次或以上、在公共部门接受产前护理且孕期服用维生素的女性中铁剂补充的PR较高。

结论

显然有必要提高所有孕妇的铁剂补充覆盖率,尤其是目前被认为妊娠风险较低的孕妇。

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