Worku Takele Wubet, Tariku Amare, Wagnew Shiferaw Fasil, Demsie Amare, Alemu Wondale Getinet, Zelalem Anlay Degefaye
Department of Community Health Nursing, School of Nursing, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Department of Human Nutrition, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Anemia. 2018 Oct 9;2018:7618959. doi: 10.1155/2018/7618959. eCollection 2018.
In Ethiopia, prenatal anemia is a major public health concern affecting both the health of the woman and babies. The World Health Organization recommends to conduct repeated prevalence studies concerning prenatal anemia . However, there is no recent evidence on the magnitude of the prenatal anemia. Therefore, the aim of this study was to determine the prevalence and the associated factors of prenatal anemia among women attending the Antenatal Care Clinic at the University of Gondar Referral Hospital.
A facility-based cross-sectional quantitative study was conducted among 362 participants from June 03-July 08, 2017, at the University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia. The systematic random sampling technique was employed. Structured interviewer administered questionnaire was used. Human Immunodeficiency Virus (HIV) screening was conducted. Nutritional status of the participants was assessed. Blood sample was collected by capillary tube . Intestinal parasite was examined by stool wet mount test. HIV serostatus was detected. Anemia was defined as hemoglobin concentration below 11 g/dl. The multivariable logistic regression model was employed to identify associated factors and to control the possible effects of confounders.
The prevalence of anemia was 22.2% (95% CI: 18.11, 27.1%). The highest odds of anemia were observed among pregnant women with family size of >five [AOR = 3 (95% CI: 1.03, 8.65)], unprotected water source users, [AOR = 4.09 (95% CI: 1.75, 9.55)], HIV infected [AOR = 2.94(95% CI: 1.37, 6.35)], and multigravida women [AOR = 3.5 (95% CI: 1.35, 9.17)].
The prevalence of anemia among pregnant women attending the University of Gondar Referral Hospital was a moderate public health problem. Unprotected water source, large family size, Human Immunodeficiency Virus infection, and repeated pregnancies were factors that predicted anemia. Thus, prevention of Human Immunodeficiency Virus infection, family planning utilization, and accessing pure water are recommended.
在埃塞俄比亚，产前贫血是一个重大的公共卫生问题，影响着妇女和婴儿的健康。世界卫生组织建议开展关于产前贫血的重复患病率研究。然而，目前尚无关于产前贫血严重程度的最新证据。因此，本研究的目的是确定贡德尔大学转诊医院产前保健门诊就诊妇女中产前贫血的患病率及其相关因素。
2017年6月3日至7月8日，在埃塞俄比亚西北部的贡德尔大学综合专科医院，对362名参与者进行了一项基于机构的横断面定量研究。采用系统随机抽样技术。使用结构化访谈员管理的问卷。进行了人类免疫缺陷病毒（HIV）筛查。评估了参与者的营养状况。用毛细管采集血样。通过粪便涂片检查检测肠道寄生虫。检测HIV血清学状态。贫血定义为血红蛋白浓度低于11g/dl。采用多变量逻辑回归模型确定相关因素并控制混杂因素的可能影响。
贫血患病率为22.2%（95%CI：18.11，27.1%）。在家庭规模>5人的孕妇中观察到贫血的最高几率[AOR = 3（95%CI：l.03，8.65）]，使用无保护水源的孕妇[AOR = 4.09（95%CI：1.75，9.55）]，感染HIV的孕妇[AOR = 2.94（95%CI：1.37，6.35）]，以及多胎孕妇[AOR = 3.5（95%CI：1.35，9.17）]。
在贡德尔大学转诊医院就诊的孕妇中，贫血患病率是一个中度公共卫生问题。无保护水源、大家庭规模、人类免疫缺陷病毒感染和多次怀孕是预测贫血的因素。因此，建议预防人类免疫缺陷病毒感染、使用计划生育措施和获取纯净水。
