Department of Clinical Nursing, School of Nursing, the University of Dodoma, P.O. Box 259, Dodoma, Tanzania.
Department of Nursing Management and Education, School of Nursing, the University of Dodoma, P.O. Box 259, Dodoma, Tanzania.
BMC Pregnancy Childbirth. 2022 Jan 22;22(1):60. doi: 10.1186/s12884-021-04291-6.
The use of deworming drugs is one of the important antenatal strategies in preventing anaemia in pregnancy. Little is known about the factors associated with the use of deworming drugs, which accounts for the aim of this study.
The study used data from the 2015-16 Tanzania HIV Demographic and Health Survey and Malaria Indicators Survey (2015-16 TDHS-MIS). A total of 6924 women of active reproductive age from 15 to 49 were included in the analysis. Both univariate and multiple logistic regression analyses were used.
The majority of interviewed women 3864(60.1%) took deworming drugs. In a weighed multiple logistic regression, women residing in urban areas reported greater use of deworming drugs than women residing in rural areas [AOR = 1.73, p = 0.01, 95% CI (1.26-2.38)]. In the four areas of residence, compared to women residing in mainland rural areas, women residing in mainland urban areas and Pemba islands reported greater use of deworming drugs [mainland urban (AOR = 2.56 p < 0.001,95% CI(1.78-3.75), and Pemba Island (AOR = 1.18, p < 0.001, 95% CI(1.17-1.20)]. However, women residing in Zanzibar Island (Unguja) were less likely to use deworming drugs compared to women in mainland rural women (AOR = 0.5, p < 0.001, 95% CI (0.45-0.55). Similarly, compared to women under 20 years of age, women between 20 to 34 years reported significantly greater use of deworming drugs [20 to 34 years (AOR = 1.30, p = 0.03, 95% CI(1.02-1.65). Likewise, greater use of deworming drugs was reported in women with a higher level of education compared to no education [higher education level (AOR = 3.25, p = 0.01,95% CI(1.94-7.92)], rich women compared to poor [rich (AOR = 1.43, p = 0.003, 95% CI (1.13-1.80)] and in women who initiated antenatal care on their first trimester of pregnancy compared to those who initiated later [AOR = 1.37, p < 0.001, 95% CI (1.17-1.61)].
Women who were more likely to use the deworming drugs were those residing in urban compared to rural areas, aged between 20 and 34 years, those with a higher level of formal education, wealthier, and women who book the antenatal clinic (ANC) within their first trimester of pregnancy. Considering the outcomes of anaemia in pregnancy, a well-directed effort is needed to improve the use of deworming drugs.
驱虫药物的使用是预防妊娠贫血的重要产前策略之一。对于与驱虫药物使用相关的因素知之甚少，这就是本研究的目的。
本研究使用了来自 2015-16 年坦桑尼亚艾滋病毒人口与健康调查和疟疾指标调查（2015-16 年 TDHS-MIS）的数据。共有 6924 名 15 至 49 岁的育龄妇女纳入分析。采用单变量和多变量逻辑回归分析。
大多数接受访谈的妇女 3864 人（60.1%）服用了驱虫药物。在加权多变量逻辑回归中，与居住在农村地区的妇女相比，居住在城市地区的妇女更有可能使用驱虫药物 [比值比（AOR）=1.73，p=0.01，95%置信区间（CI）（1.26-2.38）]。在四个居住地区中，与居住在大陆农村地区的妇女相比，居住在大陆城市地区和奔巴岛的妇女更有可能使用驱虫药物 [大陆城市（AOR=2.56，p<0.001，95%CI（1.78-3.75），和奔巴岛（AOR=1.18，p<0.001，95%CI（1.17-1.20））。然而，与居住在大陆农村地区的妇女相比，居住在桑给巴尔岛（温古贾岛）的妇女使用驱虫药物的可能性较小（AOR=0.5，p<0.001，95%CI（0.45-0.55））。同样，与 20 岁以下的妇女相比，20 至 34 岁的妇女报告驱虫药物使用显著增加 [20 至 34 岁（AOR=1.30，p=0.03，95%CI（1.02-1.65）]。同样，与没有接受教育的妇女相比，接受更高教育水平的妇女驱虫药物使用更多 [更高教育水平（AOR=3.25，p=0.01，95%CI（1.94-7.92）]，富有妇女比贫困妇女 [富有（AOR=1.43，p=0.003，95%CI（1.13-1.80）]，以及在怀孕早期开始产前保健的妇女比后来开始的妇女 [AOR=1.37，p<0.001，95%CI（1.17-1.61）]。
更有可能使用驱虫药物的妇女是居住在城市地区而不是农村地区、年龄在 20 至 34 岁之间、接受过更高水平正规教育、更富裕、以及在怀孕早期预约产前保健（ANC）的妇女。考虑到妊娠贫血的结果，需要进行有针对性的努力，以提高驱虫药物的使用。
