Sholeye Oluwafolahan Olugbenga, Animasahun Victor Jide, Shorunmu Tessie O
Department of Community Medicine and Primary Care, Primary Health Care and Nutrition Unit, Faculty of Clinical Sciences, Olabisi Onabanjo University, Sagamu Campus, Sagamu, Ogun State, Nigeria.
Department of Obstetrics and Gynaecology, Obafemi Awolowo College of Health Sciences, Olabisi Onabanjo University Teaching Hospital, Sagamu, Ogun State, Nigeria.
J Family Med Prim Care. 2017 Apr-Jun;6(2):323-329. doi: 10.4103/jfmpc.jfmpc_74_16.
In Nigeria, anemia in pregnancy is one of the leading causes of poor pregnancy outcomes. This study, therefore, determined the prevalence of anemia and its associated factors, among pregnant primary care clients in Sagamu, Nigeria.
A cross-sectional descriptive study was carried out among 400 pregnant, primary care clients in Sagamu, selected through multi-stage sampling. Data were collected with the aid of an interviewer-administered, semi-structured questionnaire, a stadiometer, measuring tape, and a hemoglobinometer. Data were analyzed using SPSS version 17.00. Relevant descriptive and inferential statistics were calculated. Participation was fully voluntary.
The mean age of respondents was 25.4 ± 4.2 years. Most respondents (51.8%) were traders. About a third (32.5%) of respondents were anemic; of these, 72.1% were mildly anemic, while 27.1% were moderately anemic. Anemia was associated with household food security ( = 0.044) and level of food insecurity ( = 0.001) but not with age, occupation, educational status, household size, number of previous pregnancies, body mass index, mid-upper arm circumference, snacking, vegetable intake, and food avoidance ( > 0.05).
Anemia in pregnancy is still high among respondents and associated with household food insecurity. Interventions targeted at improving household food security, dietary intake, and socioeconomic conditions will significantly reduce the prevalence and severity of anemia in pregnancy.
在尼日利亚，孕期贫血是导致不良妊娠结局的主要原因之一。因此，本研究确定了尼日利亚萨加穆地区初级保健机构中孕妇贫血的患病率及其相关因素。
采用多阶段抽样法，对萨加穆地区400名初级保健机构的孕妇开展了一项横断面描述性研究。借助访谈员管理的半结构化问卷、身高计、卷尺和血红蛋白仪收集数据。使用SPSS 17.00版软件对数据进行分析。计算了相关的描述性和推断性统计数据。参与完全是自愿的。
受访者的平均年龄为25.4±4.2岁。大多数受访者（51.8%）是商人。约三分之一（32.5%）的受访者贫血；其中，72.1%为轻度贫血，27.1%为中度贫血。贫血与家庭粮食安全（P = 0.044）和粮食不安全程度（P = 0.001）有关，但与年龄、职业、教育程度、家庭规模、既往妊娠次数、体重指数、上臂中部周长、吃零食、蔬菜摄入量和食物回避情况无关（P>0.05）。
受访者中孕期贫血的发生率仍然很高，且与家庭粮食不安全有关。针对改善家庭粮食安全、饮食摄入量和社会经济状况的干预措施将显著降低孕期贫血的患病率和严重程度。
