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喀拉拉邦科泽科德农村地区产前妇女贫血患病率及相关因素

Prevalence of anaemia and associated factors among antenatal women in rural Kozhikode, Kerala.

作者信息

Nair Meera S, Raphael Lucy, Chandran Priya

机构信息

Department of Community Medicine, KMCT Medical College, Manassery, Calicut, Kerala, India.

Department of Community Medicine, Jubilee Mission Medical College, Thrissur, Kerala, India.

出版信息

J Family Med Prim Care. 2022 May;11(5):1851-1857. doi: 10.4103/jfmpc.jfmpc_1326_20. Epub 2022 May 14.

Abstract

CONTEXT

Anemia in pregnancy is a significant public health concern with detrimental aftereffects on maternal and fetal well-being universally, especially in developing countries like India.

AIMS

To estimate the prevalence of anemia in pregnant women in rural areas of Kozhikode by hemoglobin estimation and to study the selected factors associated with anemia.

SETTINGS AND DESIGN

A cross-sectional study was conducted among 295 antenatal women in all three trimesters residing in six selected panchayats of Kozhikode district from July 2016 to March 2017.

MATERIALS AND METHODS

The cluster sampling method was followed. Data were obtained from antenatal women, applying a pretested semi-structured questionnaire. Hemoglobin estimation was done using the Humacount 30TS automated hematology analyzer.

STATISTICAL ANALYSIS USED

Data were analyzed using SPSS 18 software.

RESULTS

The prevalence of anemia was 40%. Of this, 30.5% had mild anemia and 9.5% had moderate anemia. There were no cases of severe anemia. The prevalence was more in the second trimester. Factors such as excess menstrual blood loss prior to present pregnancy, early age at first delivery, trimester, and parity were found to be significantly associated with anemia.

CONCLUSION

Anemia continues to be a serious public health problem. Health system should pay more attention on different factors that contribute to anemia, and planners should formulate an apt policy and implement necessary changes in existing programs.

摘要

背景

孕期贫血是一个重大的公共卫生问题,普遍对孕产妇和胎儿的健康产生有害影响,尤其是在印度等发展中国家。

目的

通过血红蛋白测定评估科泽科德农村地区孕妇贫血的患病率,并研究与贫血相关的选定因素。

设置与设计

2016年7月至2017年3月,在科泽科德区六个选定村委会的所有三个孕期的295名产前妇女中进行了一项横断面研究。

材料与方法

采用整群抽样方法。通过预先测试的半结构化问卷从产前妇女那里获取数据。使用Humacount 30TS自动血液分析仪进行血红蛋白测定。

所用统计分析方法

使用SPSS 18软件进行数据分析。

结果

贫血患病率为40%。其中,30.5%为轻度贫血,9.5%为中度贫血。无重度贫血病例。患病率在孕中期更高。发现本次妊娠前月经过多、首次分娩年龄早、孕期和产次等因素与贫血显著相关。

结论

贫血仍然是一个严重的公共卫生问题。卫生系统应更加关注导致贫血的不同因素,规划者应制定适当政策并对现有项目进行必要调整。

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