Anwary Zabihullah, Stanikzai Muhammad Haroon, Wyar Wali Mohammad, Wasiq Abdul Wahed, Farooqi Khushhal
Faculty of Medicine, Bost University, Lashkar Gah, Helmand, Afghanistan.
Public Health Department, Faculty of Medicine, Kandahar University, Kandahar, Afghanistan.
Anemia. 2021 Jan 5;2021:9358464. doi: 10.1155/2021/9358464. eCollection 2021.
Anemia is a global public health problem that affects a large number of pregnant women worldwide. In developed and developing countries, the number of pregnant women who become anemic ranges between 18% and 56%, respectively. The aim of this study was to determine the prevalence of anemia and factors associated with anemia among pregnant women who visit Bost Hospital for delivery in Helmand province, Afghanistan.
This was a hospital-based cross-sectional study that included 787 pregnant women who visited Bost Hospital for delivery services from January to June 2019. Data was collected in a self-structured questionnaire, which included sociodemographic, obstetrics, and laboratory information. Data was analyzed using SPSS 21.00 Statistical software. The prevalence of anemia was presented as a percentage. Bivariate analysis and binary logistic regression were used to identify the predictors of anemia among pregnant women.
The overall prevalence of anemia in this study was 51% (95% CI = 48.7%-54.7%). The mean hemoglobin concentration among the study participants was 10.8 (±1.8) g/dL. On bivariate analysis, age group 30 years and above, rural residency and unemployment/housewives, multiparity, and no previous use of contraceptive were found to be associated with anemia. Binary logistic regression showed that multiparity (AOR = 3.09, 95% CI = 1.81-5.29) and no contraceptive use (AOR = 1.53, 95% CI = 1.08-2.16) were the independent predictors of increased anemia among pregnant women.
Anemia was found to be a severe public health problem in the study area. Policymakers in Afghanistan must accelerate interventions to promote family planning. The need for prospective studies is also suggested to identify other factors associated with anemia among pregnant women.
贫血是一个全球性的公共卫生问题，影响着全球大量孕妇。在发达国家和发展中国家，贫血孕妇的比例分别在18%至56%之间。本研究的目的是确定在阿富汗赫尔曼德省前往博斯特医院分娩的孕妇中贫血的患病率以及与贫血相关的因素。
这是一项基于医院的横断面研究，纳入了2019年1月至6月期间前往博斯特医院寻求分娩服务的787名孕妇。数据通过自行设计的问卷收集，问卷包括社会人口统计学、产科和实验室信息。使用SPSS 21.00统计软件进行数据分析。贫血患病率以百分比表示。采用双变量分析和二元逻辑回归来确定孕妇贫血的预测因素。
本研究中贫血的总体患病率为51%（95%置信区间=48.7%-54.7%）。研究参与者的平均血红蛋白浓度为10.8（±1.8）g/dL。双变量分析发现，30岁及以上年龄组、农村居住、失业/家庭主妇、多胎妊娠以及既往未使用过避孕药具与贫血有关。二元逻辑回归显示，多胎妊娠（调整后比值比=3.09，95%置信区间=1.81-5.29）和未使用避孕药具（调整后比值比=1.53，95%置信区间=1.08-2.16）是孕妇贫血增加的独立预测因素。
在研究地区，贫血是一个严重的公共卫生问题。阿富汗的政策制定者必须加快干预措施以促进计划生育。还建议进行前瞻性研究以确定孕妇贫血的其他相关因素。
