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埃及米努夫省农村地区孕妇缺铁性贫血的患病率及危险因素

Prevalence and risk factors of iron-deficiency anaemia among pregnant women in rural districts of Menoufia governorate, Egypt.

作者信息

Rezk M, Marawan H, Dawood R, Masood A, Abo-Elnasr M

机构信息

a Department of Obstetrics and Gynecology , Faculty of Medicine, Menoufia University , Shibin Elkom, Menoufia , Egypt.

b Department of Community Medicine and Public health , Faculty of Medicine, Menoufia University , Shibin Elkom , Egypt.

出版信息

J Obstet Gynaecol. 2015;35(7):663-6. doi: 10.3109/01443615.2014.991289. Epub 2015 Feb 2.

Abstract

This cross-sectional community-based study with analytic component was conducted among Egyptian pregnant women in rural districts during January to December 2013. A total of 2470 pregnant women were enrolled for laboratory tests for iron- deficiency anaemia (IDA). The prevalence of IDA was 51.3% (1267 of 2470); IDA affects about one in every two pregnant women in rural districts in Egypt. Women who are older than 30 years (Odds ratio [OR], 0.73) had more than three children (OR, 0.73), with body mass index less than 20 (OR, 1.57), shorter birth spacing less than 2 years (OR, 0.68), lack of antenatal care visits (OR, 1.25), low intake of foods of animal origin (OR, 1.57), vegetables and fruits (OR, 1.29) and having intestinal parasites (OR, 0.74) were positively associated with anaemia [at confidence interval 95%]. In addition to nutritional deficiency, multiparity and increasing maternal age are the main causes of IDA.

摘要

这项包含分析部分的基于社区的横断面研究于2013年1月至12月期间在埃及农村地区的孕妇中开展。共有2470名孕妇登记参加缺铁性贫血(IDA)的实验室检测。IDA的患病率为51.3%(2470例中有1267例);在埃及农村地区,约每两名孕妇中就有一人受IDA影响。年龄超过30岁的女性(比值比[OR],0.73)、子女数超过三个的女性(OR,0.73)、体重指数低于20的女性(OR,1.57)、生育间隔短于2年的女性(OR,0.68)、缺乏产前检查的女性(OR,1.25)、动物性食物摄入量低的女性(OR,1.57)、蔬菜和水果摄入量低的女性(OR,1.29)以及患有肠道寄生虫的女性(OR,0.74)与贫血呈正相关[95%置信区间]。除营养缺乏外,多胎妊娠和母亲年龄增加是IDA的主要原因。

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