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埃塞俄比亚西北部产前保健诊所孕妇贫血的决定因素

Determinant factors of anaemia among pregnant women attending antenatal care clinic in Northwest Ethiopia.

作者信息

Hailu Tadesse, Kassa Simachew, Abera Bayeh, Mulu Wondemagegn, Genanew Ashenafi

机构信息

1Department of Medical Laboratory Science, College of Medicine and Health Sciences, Bahir Dar University, P.O. Box: 79, Bahir Dar City, Ethiopia.

2Department of Midwifery, College of Medicine and Health Sciences, Bahir Dar University, P.O. Box: 79, Bahir Dar City, Ethiopia.

出版信息

Trop Dis Travel Med Vaccines. 2019 Jul 17;5:13. doi: 10.1186/s40794-019-0088-6. eCollection 2019.

Abstract

BACKGROUND

Anaemia is a low blood haemoglobin concentration and has been shown to be a public health problem affecting both developing and developed countries. Pregnant women are the most vulnerable groups to anaemia due to several factors, including parasitic infection and feeding habits during their pregnancy. The aim of this study was to assess the prevalence and determinant factors of anemia in pregnant women in Northwest Ethiopia.

METHODS

A cross-sectional study was conducted among pregnant women from February, 2017 to June, 2017. The data on determinant factors were collected using a structured questionnaire. The hemoglobin level and intestinal parasites were determined using Hemocue HB 201 and formol ether concentration techniques, respectively. Data was entered and analyzed using SPSS version 23 statistical software. Bivariate and multivariate regressions were computed and odds ratio was determined at 95% confidence interval.

RESULTS

The study consists of 743 participants with a median age of 25 years were included. The prevalence of anemia among pregnant women was 79 (10.6%). The prevalence of mild, moderate and severe anaemia were 78 (99.8%), 1 (0.1%) and 1 (0.1%), respectively. Pregnant women of rural dwellers (AOR = 3.72, CI =1.51-9.18), farmer in occupation (AOR = 3.51, CI = 1.75-7.01), and not educated (AOR = 2.25, CI = 1.13-4.48) were significantly associated with increased risk of anemia.

CONCLUSION

Anaemia is still a problem amongst pregnant women in the study area though much has been done to increase the hemoglobin level during pregnancy. Health education should be given on factors that aggravate anaemia during pregnancy.

摘要

背景

贫血是指血液中血红蛋白浓度较低,已被证明是一个影响发展中国家和发达国家的公共卫生问题。由于多种因素,包括孕期的寄生虫感染和饮食习惯,孕妇是最易患贫血的群体。本研究的目的是评估埃塞俄比亚西北部孕妇贫血的患病率及其决定因素。

方法

于2017年2月至2017年6月对孕妇进行了一项横断面研究。使用结构化问卷收集有关决定因素的数据。分别采用Hemocue HB 201和甲醛乙醚浓缩技术测定血红蛋白水平和肠道寄生虫。使用SPSS 23版统计软件录入和分析数据。计算双变量和多变量回归,并在95%置信区间确定比值比。

结果

该研究纳入了743名参与者,中位年龄为25岁。孕妇贫血患病率为79例(10.6%)。轻度、中度和重度贫血的患病率分别为78例(99.8%)、1例(0.1%)和1例(0.1%)。农村居民孕妇(调整后比值比[AOR]=3.72,可信区间[CI]=1.51-9.18)、从事农民职业的孕妇(AOR=3.51,CI=1.75-7.01)以及未受过教育的孕妇(AOR=2.25,CI=1.13-4.48)与贫血风险增加显著相关。

结论

尽管在孕期提高血红蛋白水平方面已做了大量工作,但贫血仍是研究地区孕妇面临的一个问题。应针对孕期加重贫血的因素开展健康教育。

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