Abriha Abrehet, Yesuf Melkie Edris, Wassie Molla Mesele
Department of Human Nutrition, College of Medicine and Health sciences, University of Gondar, Gondar, Ethiopia.
BMC Res Notes. 2014 Dec 9;7:888. doi: 10.1186/1756-0500-7-888.
Nutritional anemia is the most common type of anemia worldwide and mainly includes iron, folic acid, vitamin B12 and vitamin C deficiencies. Anemia is a global public health problem affecting people in all age groups but the burden of the problem is higher in pregnant women. The study aimed to assess prevalence of anemia and associated factors among pregnant women attending antenatal care in governmental health institutions in mekele town.
Institution based cross-sectional study was employed. Systematic random sampling procedure was employed to select 619 study subjects. Pretested questionnaire were used to collect the data. The predictive value of the variable to Anemia was identified by bivariate and multiple logistic regression analysis.
The overall prevalence of anemia among pregnant women was 19.7%. Meal frequency less than two per day [AOR 3.93 95% CI (2.0,7.9)], Low Dietary Diversity score [AOR 12.8 95% CI (6.4,25.6)], Medium Dietary Diversity score [AOR 2.4 95% CI (1.2,4.8)], Parity [AOR 2.3 95% CI (1.4,3.8)] and Meat consumption less than once per week [AOR 2.2 95% CI (1.0,4.9)] were found to be factors affecting Anemia in pregnant women.
Anemia among pregnant women is found to be mild public health problem in the study area. Parity, meal frequency, dietary diversity and meat consumption were significantly and independently affect anemia of pregnant women. Using family planning methods and improved meat consumption contributes for decreasing prevalence of anemia. Moreover, Diversifying food intake and increasing meal frequency of pregnant women is highly recommended.
营养性贫血是全球最常见的贫血类型，主要包括铁、叶酸、维生素B12和维生素C缺乏。贫血是一个影响所有年龄组人群的全球公共卫生问题，但该问题在孕妇中的负担更高。本研究旨在评估梅克勒镇政府医疗机构中接受产前护理的孕妇贫血患病率及相关因素。
采用基于机构的横断面研究。采用系统随机抽样程序选取619名研究对象。使用预先测试的问卷收集数据。通过双变量和多因素逻辑回归分析确定变量对贫血的预测价值。
孕妇贫血的总体患病率为19.7%。发现每天进餐次数少于两次[AOR 3.93，95%CI(2.0,7.9)]、饮食多样性得分低[AOR 12.8，95%CI(6.4,25.6)]、饮食多样性得分中等[AOR 2.4，95%CI(1.2,4.8)]、产次[AOR 2.3，95%CI(1.4,3.8)]以及每周肉类摄入量少于一次[AOR 2.2，95%CI(1.0,4.9)]是影响孕妇贫血的因素。
在研究地区，孕妇贫血被发现是一个轻度的公共卫生问题。产次、进餐次数、饮食多样性和肉类摄入量显著且独立地影响孕妇贫血。使用计划生育方法和增加肉类摄入量有助于降低贫血患病率。此外，强烈建议孕妇多样化食物摄入并增加进餐次数。
