Kien Nguyen Trung, Duc Tran Quang, Chi Vu Thi Quynh, Quang Phan Ngoc, Tuyen Bui Thi Thanh, Hoa Dinh Thi Phuong
Department of Obstetrics and Gynecology, Thai Binh University of Medicine and Pharmacy, Thai Binh, 06121, Vietnam.
Independent Scholar, Tokushima, Japan.
Health Promot Perspect. 2022 Dec 10;12(3):231-239. doi: 10.34172/hpp.2022.30. eCollection 2022.
Anaemia is a public health concern in developing nations, particularly among women of reproductive age. However, the present prevalence and recent trend in anaemia among this population are unclear. This systematic review aimed to evaluate the prevalence of anaemia among non-pregnant women in Vietnam. We systematically searched databases such as PubMed, Scopus, and reference lists of earlier prevalence studies from their inception until July 2022. For statistical analysis to check for heterogeneity, random or fixed effects models were employed to summarize the prevalence of anaemia. Visual examination of a funnel plot was used to determine the presence of publication bias, which was then verified using the Egger regression test. Subgroup analyses were also undertaken to evaluate how the proportion of anaemia differs across various study groups. A total of 188 studies were found as a result of the bibliographical search. Finally, of the 12 included studies, anaemia affected 5089 non-pregnant women out of a total of 19744, making the prevalence of this condition 23.2% (95% CI: 16.1-32.2). From 1995 to 2013, the prevalence of anaemia in this population declined significantly, from 42.6% to 16.9%. Notably, the prevalence of anaemia among non-pregnant women differed by geography and increased by mountains, Northern Vietnam, rural areas, and ethnic minority groups. Furthermore, no publication bias was found in this meta-analysis. To enhance the health of women and meet global objectives for eliminating anaemia, more efforts are required in specific regions and ethnic minority groups in Vietnam.
贫血是发展中国家的一个公共卫生问题,在育龄妇女中尤为突出。然而,目前该人群中贫血的患病率及近期趋势尚不清楚。本系统评价旨在评估越南非孕妇女性贫血的患病率。我们系统检索了PubMed、Scopus等数据库以及早期患病率研究的参考文献列表,检索时间从各数据库建库至2022年7月。为进行统计分析以检查异质性,采用随机效应模型或固定效应模型总结贫血患病率。通过漏斗图的可视化检查来确定发表偏倚的存在,然后使用Egger回归检验进行验证。还进行了亚组分析,以评估不同研究组中贫血比例的差异。文献检索共找到188项研究。最终,纳入的12项研究中,19744名非孕妇女性中有5089人患有贫血,该疾病的患病率为23.2%(95%置信区间:16.1 - 32.2)。1995年至2013年,该人群贫血患病率显著下降,从42.6%降至16.9%。值得注意的是,非孕妇女性贫血患病率因地域而异,山区、越南北部、农村地区和少数民族群体的患病率较高。此外,该荟萃分析未发现发表偏倚。为提高妇女健康水平并实现消除贫血的全球目标,越南的特定地区和少数民族群体需要做出更多努力。