Wright Saidah, Earland Dominique, Sakhuja Swati, Junkins Anna, Franklin Sarah, Padilla Luz, Aung Maung, Jolly Pauline E
Department of Epidemiology, School of Public Health, University of Alabama at Birmingham, Birmingham, AL, USA.
Western Region Health Authority, Cornwall Regional Hospital, Ministry of Health, Montego Bay, Jamaica.
Int J Womens Health. 2017 Jun 8;9:431-439. doi: 10.2147/IJWH.S129567. eCollection 2017.
Anemia is one of the most prevalent problems in pregnancy. In 2011, 29.9% of all pregnant women in Jamaica were diagnosed with anemia.
The objective of this study was to determine the prevalence and predictors of anemia in pregnancy in Western Jamaica.
A cross-sectional study was conducted among 293 mothers attending post-natal clinics in Western Jamaica. A questionnaire was administered to the mothers, and an abstraction form was used to collect clinical data from the mothers' records.
The prevalence of anemia among the women was 37.6%. Younger mothers (aged 18-24 years) were more likely to be anemic compared to those ≥35 years (odds ratio [OR]: 3.44, 95% CI: 1.07-11.06). Mothers who reported not always washing their hands after using the toilet were almost 10 times more likely to be anemic (OR: 9.7, 95% CI: 1.72-54.78) compared to those who reported always washing their hands. Mothers who attended a public facility for antenatal care were 2.3 times more likely to be anemic (OR: 2.31, 95% CI: 1.03-5.18) compared to those who obtained care at a private facility, and mothers who reported being told that they were anemic by a health care provider (HCP) were almost six times more likely to be anemic compared with those who were not told (OR: 5.58, 95% CI: 1.73-17.93).
The results of the study indicate that early identification and treatment of anemia, especially among younger pregnant women, should be a priority. HCP should ensure that women understand the need to be cured of their anemia and to adhere to preventive hygienic practices.
贫血是孕期最普遍的问题之一。2011年，牙买加所有孕妇中有29.9%被诊断为贫血。
本研究的目的是确定牙买加西部孕期贫血的患病率及预测因素。
对在牙买加西部产后诊所就诊的293名母亲进行了一项横断面研究。向母亲们发放了问卷，并使用摘要表从母亲的记录中收集临床数据。
这些女性中贫血的患病率为37.6%。与年龄≥35岁的母亲相比，年轻母亲（18 - 24岁）患贫血的可能性更大（比值比[OR]：3.44，95%置信区间[CI]：1.07 - 11.06）。报告在使用厕所后不总是洗手的母亲患贫血的可能性几乎是报告总是洗手的母亲的10倍（OR：9.7，95% CI：1.72 - 54.78）。与在私立机构接受产前护理的母亲相比，在公共机构接受产前护理的母亲患贫血的可能性高2.3倍（OR：2.31，95% CI：1.03 - 5.18），并且报告被医疗保健提供者（HCP）告知自己贫血的母亲患贫血的可能性几乎是未被告知者的6倍（OR：5.58，95% CI：1.73 - 17.93）。
研究结果表明，贫血的早期识别和治疗，尤其是在年轻孕妇中，应成为优先事项。医疗保健提供者应确保女性了解治愈贫血的必要性并坚持预防性卫生习惯。
