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加纳博尔加坦加市产后妇女贫血的危险因素

Risk factors of anaemia among postpartum women in Bolgatanga Municipality, Ghana.

作者信息

Wemakor Anthony, Ziyaaba Alice, Yiripuo Felix

机构信息

Department of Nutritional Sciences, School of Allied Health Sciences, University for Development Studies, P. O. Box TL 1883, Tamale, Ghana.

出版信息

BMC Nutr. 2022 Jun 24;8(1):58. doi: 10.1186/s40795-022-00550-7.

Abstract

INTRODUCTION

Anaemia is a major public health problem affecting women of reproductive age globally. This study was conducted to assess the prevalence and determinants of anaemia among postpartum women in Bolgatanga Municipality, Ghana.

METHODS

The study employed an analytical cross-sectional study design to recruit 405 women who delivered in the last 6 weeks from 9 health facilities in the Municipality. Data were collected on socio-demographic characteristics, obstetric characteristics, dietary diversity, knowledge on iron-folic acid (IFA), iron and anaemia, and haemoglobin level of the women. Postpartum anaemia (PPA) was defined as hemoglobin < 12 g/dl. Chi-square and logistic regression analysis were used to identify the determinants of PPA.

RESULTS

The mean age of the participants was 27.4 ± 5.3 years and 46.70% of them had PPA. The risk factors of PPA were not meeting dietary diversity [Adjusted Odds Ratio (AOR) = 2.96; 95% Confidence Interval (CI): 1.67-5.25], low knowledge on IFA, iron and anaemia (AOR = 3.03; 95% CI: 1.67-5.25), and first trimester pregnancy anaemia (AOR = 10.39; 95% CI: 1.32-6.95). Kusasi ethnicity was protective of PPA (AOR = 0.35; CI: 0.16-0.75).

CONCLUSION

Anaemia is prevalent in postpartum women in Bolgatanga Municipality and its risk factors are dietary diversity, knowledge on IFA, iron and anaemia, pregnancy anaemia and ethnicity. Nutrition counselling and intervention in pregnancy and after delivery are warranted to reduce the burden of anaemia in this population.

摘要

引言

贫血是一个影响全球育龄妇女的主要公共卫生问题。本研究旨在评估加纳博尔加坦加市产后妇女贫血的患病率及其决定因素。

方法

本研究采用分析性横断面研究设计,从该市9个卫生设施中招募了405名在过去6周内分娩的妇女。收集了这些妇女的社会人口学特征、产科特征、饮食多样性、铁叶酸(IFA)、铁和贫血的知识以及血红蛋白水平的数据。产后贫血(PPA)定义为血红蛋白<12 g/dl。采用卡方检验和逻辑回归分析来确定PPA的决定因素。

结果

参与者的平均年龄为27.4±5.3岁,其中46.70%患有PPA。PPA的危险因素包括未达到饮食多样性[调整优势比(AOR)=2.96;95%置信区间(CI):1.67-5.25]、对IFA、铁和贫血的知识不足(AOR=3.03;95%CI:1.67-5.25)以及孕早期贫血(AOR=10.39;95%CI:1.32-6.95)。库萨西族对PPA有保护作用(AOR=0.35;CI:0.16-0.75)。

结论

博尔加坦加市产后妇女贫血普遍存在,其危险因素包括饮食多样性、对IFA、铁和贫血的知识、孕期贫血和种族。有必要在孕期和产后进行营养咨询和干预,以减轻该人群的贫血负担。

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