Asrie Fikir
Department of Hematology and Immunohematology, School of Biomedical and Laboratory Sciences, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
J Blood Med. 2017 Apr 11;8:35-40. doi: 10.2147/JBM.S134932. eCollection 2017.
Anemia is a global public health problem in both developing and developed countries; ~1.62 billion people suffer from anemia, and pregnant women are the most susceptible to it. The main aim of the present study was to assess the prevalence of anemia and associated risk factors among pregnant women receiving antenatal care at Aymiba Health Center, northwest Ethiopia.
An institution-based cross-sectional study was conducted at Aymiba Health Center from January to March 2015. Hemoglobin level and intestinal parasitic infections in pregnant women were assessed. Sociodemographic data were collected using a structured questionnaire. The data were entered and analyzed using the SPSS version 20. Odds ratio, <0.05, and binary logistic regression were used to assess the association of pregnant women's sociodemographic characteristics with their hemoglobin levels and the prevalence of anemia.
The mean with ±2 standard deviation of hemoglobin value was 12±1.3 (95% confidence interval [CI] =11.9-12.5), and the prevalence of anemia from a total of 206 study subjects was 52 (25.2%). Of this anemic group, 50 (24%) were in the second and third trimesters. Anemia was significantly associated with rural residence and intestinal parasitic infections (adjusted odds ratio [AOR] =9.17, 95% CI =2.15-40, <0.001) and (AOR =55.091, 95% CI =6.88-441.19, <0.001), respectively.
In the present study, the prevalence of anemia was lower than in previous studies conducted in various countries, including Ethiopia. More studies are needed regarding the importance of regular maternal care and health education promotion programs, which have the potential to play a more significant role in health care.
贫血是发展中国家和发达国家都面临的一个全球性公共卫生问题;约16.2亿人患有贫血,而孕妇是最易患贫血的人群。本研究的主要目的是评估在埃塞俄比亚西北部艾米巴健康中心接受产前护理的孕妇中贫血的患病率及相关风险因素。
2015年1月至3月在艾米巴健康中心开展了一项基于机构的横断面研究。对孕妇的血红蛋白水平和肠道寄生虫感染情况进行了评估。使用结构化问卷收集社会人口统计学数据。数据录入并采用SPSS 20版进行分析。比值比、<0.05以及二元逻辑回归用于评估孕妇社会人口统计学特征与其血红蛋白水平及贫血患病率之间的关联。
血红蛋白值的平均值±2标准差为12±1.3(95%置信区间[CI]=11.9 - 12.5),在总共206名研究对象中,贫血患病率为52例(25.2%)。在这个贫血组中,50例(24%)处于妊娠中期和晚期。贫血与农村居住以及肠道寄生虫感染显著相关(调整后的比值比[AOR]=9.17,95% CI =2.15 - 40,<0.001)以及(AOR =55.091,95% CI =6.88 - 441.19,<0.001), respectively。
在本研究中,贫血患病率低于包括埃塞俄比亚在内的各国之前开展的研究。关于定期孕产妇护理和健康教育促进项目的重要性,还需要更多研究,这些项目在医疗保健中有可能发挥更重要的作用。