埃塞俄比亚东南部巴勒州戈巴转诊医院马德达瓦拉布大学产前检查孕妇的贫血及相关因素
Anemia and Associated Factors Among Pregnant Women Attending Antenatal Care at Madda Walabu University Goba Referral Hospital, Bale Zone, Southeast Ethiopia.
作者信息
Girma Sewnet, Teshome Tsion, Worku Meseret, Solomon Tinbit, Kehulu Selam, Aman Reyana, Bonsa Mitiku, Assefa Tesfaye, Gezahegn Habtamu
机构信息
Madda Walabu University Goba Referral Hospital, School of Health Sciences, Department of Nursing, Goba, Bale, Ethiopia.
Madda Walabu University Goba Referral Hospital, School of Health Sciences, Department of Public Health, Goba, Bale, Ethiopia.
出版信息
J Blood Med. 2020 Dec 22;11:479-485. doi: 10.2147/JBM.S285190. eCollection 2020.
BACKGROUND
Globally, anemia is a public health problem, particularly in developing countries, including Ethiopia. Pregnant women are at a higher risk for anemia and anemic pregnant women often develop complications. Early diagnosis of pregnant women for anemia saves both the life of the newborn and hers. Therefore, the present study intended to assess anemia and its associated factors among pregnant women attending at Madda Walabu University Goba referral hospital.
METHODS
An institutional-based cross-sectional study was conducted from April 3 to May 3, 2019, among pregnant women attending Madda Walabu University Goba referral hospital. A total of 353 respondents were included in the study by using systematic random sampling techniques. Data were collected using both face-to-face interview and hemoglobin measurement. The collected data were entered into SPSS and analyzed using both bi-variable and multiple logistic regressions. Finally, statistical significance was declared at a -value of less than 0.05 in the multiple logistic regressions.
RESULTS
In this study, the prevalence of anemia was 46.2% (95%CI: 40.9%, 51.5%). Factors significantly associated with anemia were positive stool examination for parasites (AOR=2.9, 95%CI 1.255-6.856), lower consumption of fruits and vegetables (AOR=2.7, 95%CI 1.47-4.86), no iron supplementation (AOR=2.2, 95%CI 1.07-4.45), large family size (AOR=2.1, 95%CI 1.13-3.77), and absence of abortion history (AOR=0.4, 95%CI 0.24-0.77).
CONCLUSIONS AND RECOMMENDATION
Prevalence of anemia among pregnant women was high. Pregnant women with a previous history of abortion, positive stool for parasite, lower consumption of fruits and vegetables, no iron supplementation and large family size above five were risk factors for anemia. Therefore, encouraging pregnant women to take iron supplementation and to eat fruits and vegetables are important.
背景
在全球范围内，贫血是一个公共卫生问题，在包括埃塞俄比亚在内的发展中国家尤为突出。孕妇患贫血的风险更高，贫血的孕妇常常会出现并发症。对孕妇进行贫血的早期诊断既能挽救新生儿的生命，也能挽救孕妇自己的生命。因此，本研究旨在评估在马德达瓦拉布大学戈巴转诊医院就诊的孕妇中的贫血情况及其相关因素。
方法
2019年4月3日至5月3日，在马德达瓦拉布大学戈巴转诊医院就诊的孕妇中开展了一项基于机构的横断面研究。采用系统随机抽样技术，共纳入353名受访者。通过面对面访谈和血红蛋白测量收集数据。收集到的数据录入SPSS，并使用双变量和多因素逻辑回归进行分析。最后，在多因素逻辑回归中，P值小于0.05时判定具有统计学意义。
结果
在本研究中，贫血患病率为46.2%（95%置信区间：40.9%，51.5%）。与贫血显著相关的因素有寄生虫粪便检查呈阳性（比值比=2.9，95%置信区间1.255 - 6.856）、水果和蔬菜摄入量较低（比值比=2.7，95%置信区间1.47 - 4.86）、未补充铁剂（比值比=2.2，95%置信区间1.07 - 4.45）、家庭规模较大（比值比=2.1，95%置信区间1.13 - 3.77）以及无流产史（比值比=0.4，95%置信区间0.24 - 0.77）。
结论与建议
孕妇贫血患病率较高。有流产史、寄生虫粪便检查呈阳性、水果和蔬菜摄入量较低、未补充铁剂以及家庭规模大于5人的孕妇是贫血的危险因素。因此，鼓励孕妇补充铁剂和食用水果及蔬菜非常重要。
Zotero 插件