Alemayehu Aklilu, Gedefaw Lealem, Yemane Tilahun, Asres Yaregal
Department of Clinical Laboratory Science, Gambela Regional Health Bureau, Gambella, Ethiopia.
Department of Medical Laboratory Science and Pathology, College of Health Sciences, Jimma University, Jimma, Ethiopia.
Anemia. 2016;2016:9817358. doi: 10.1155/2016/9817358. Epub 2016 Dec 12.
Anemia is one of the major health problems among refugee pregnant women in the world. Anemia among pregnant women is multifactorial and results in detrimental consequences on the mothers and infants. The aim of this study was to determine the prevalence, severity, and determinants of anemia among pregnant women in South Sudanese refugees, Pugnido western, Ethiopia. A facility-based cross-sectional study was conducted in Pugnido Administration Refugee and Returnee Affairs Health Center from April 15 to June 30, 2015. Demographic and related data were collected using questionnaire based interview. Complete blood count was done using CELL-DYN 1800 (Abbott USA). Blood smear and fecal specimen were examined for hemoparasite and intestinal parasite, respectively. Bivariate and multivariate logistic regression analyses were done using SPSS-Version 20.0. The overall prevalence of anemia was 36.1%, from whom 2.3% had severe anemia. Being in third trimester, eating meat at most once a week, drinking tea immediately after meal at least once a day, having mid-upper arm circumference below 21 centimeters, and intestinal parasitic infection were identified as independent factors of anemia. More than one-third of pregnant women had anemia in this study. Intervention based strategies on identified determinant factors will be very important to combat anemia among the group.
贫血是全球难民孕妇面临的主要健康问题之一。孕妇贫血是多因素导致的,会对母亲和婴儿产生有害影响。本研究的目的是确定埃塞俄比亚西部普格尼多的南苏丹难民孕妇贫血的患病率、严重程度及决定因素。2015年4月15日至6月30日,在普格尼多行政区难民和回归者事务健康中心开展了一项基于机构的横断面研究。通过基于问卷的访谈收集人口统计学及相关数据。使用CELL-DYN 1800(美国雅培公司)进行全血细胞计数。分别对血涂片和粪便样本进行血寄生虫和肠道寄生虫检查。使用SPSS 20.0版进行二元和多元逻辑回归分析。贫血的总体患病率为36.1%,其中2.3%患有严重贫血。孕晚期、每周最多吃一次肉、每天至少饭后立即喝茶一次、上臂中段周长低于21厘米以及肠道寄生虫感染被确定为贫血的独立因素。本研究中超过三分之一的孕妇患有贫血。基于已确定决定因素的干预策略对于该群体防治贫血非常重要。