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职业女性贫血的患病率。

The Prevalence of Anemia in Working Women.

作者信息

Shah Shahtaj A, Soomro Umar, Ali Ovais, Tariq Yumna, Waleed Madeeha Subhan, Guntipalli Prathima, Younus Nadia

机构信息

Department of Medicine, Jinnah Medical and Dental College, Karachi, PAK.

Department of Internal Medicine, Lower Bucks Hospital, Bristol, USA.

出版信息

Cureus. 2023 Aug 25;15(8):e44104. doi: 10.7759/cureus.44104. eCollection 2023 Aug.

Abstract

INTRODUCTION

Anemia can be defined as a reduction in the amount of hemoglobin (Hb) in red blood cells (RBCs). It is becoming a growing socioeconomic issue. It is important to identify the causes of anemia and educate people about its symptoms. This can aid in the early identification and diagnosis of anemia, thereby preventing the disease's complications. The complications of anemia include the risk of low birth weight, prematurity, prenatal and neonatal mortality, and maternal mortality.

OBJECTIVE

The objective of the study is to investigate the factors contributing to anemia among working-class women employed in government or private sectors located in Karachi, Pakistan. By identifying the causes and risk factors of anemia, participants can be counseled to adopt a healthier lifestyle, a well-balanced diet, and activities that may eliminate the causes of anemia, further preventing the incidence of anemia. The objectives of the study are specific, measurable, achievable, realistic, and time-bound (SMART). The study was conducted from November 2019 to August 2021 despite facing COVID-19-related restrictions. The sample size fit the inclusion criteria, and the objectives were accomplished successfully with adequate resources.

METHODOLOGY

The cross-sectional study was conducted after receiving clearance from institutions and consent from participants. A total of 180 participants provided consent after receiving a thorough explanation of the study, and they had the right to refuse to participate. In respect of confidentiality, the participants were not required to provide their names, as they were not included in our data analysis. The inclusion criteria included women of the working class, aged 18-45 years, working a minimum of four to five hours per week, and employed in government or private sectors located in Karachi, Pakistan. The exclusion criteria included women with bleeding or hematological disorders, a history of surgery in the last 12 months, pregnancy, or systemic disease. Data collection was divided into two sections: section one (questionnaire) and section two (investigations). The questionnaire was given to each participant via Google Forms and was filled out before section two of data collection, which included blood tests via a finger prick to measure hemoglobin with a Veri-Q Multi Meter hemoglobin monitoring system (manufactured by Q-line BIOTECH, New Delhi, India).

RESULTS

The mean Hb was 11.15 ± 1.29 mg/dl (n = 180). The study revealed that 58.3% of the participants had a normal hemoglobin concentration according to the WHO anemia classification, while 41.7% were anemic. Overall, the prevalence of anemia was 41.7%, and the majority (56%) of the participants had mild anemia.

CONCLUSION

The majority of the participants had mild anemia. Education on anemia and its symptoms, eating habits, occupational status, and stress-related factors can affect the hemoglobin concentration in RBCs. A diet low in meat, leafy vegetables, and fruit leads to anemia. Despite knowledge of anemia and its symptoms, non-medical professionals, especially young adults, had a higher prevalence of anemia than medical professionals, although the difference was minor.

摘要

引言

贫血可定义为红细胞(RBC)中血红蛋白(Hb)含量的降低。它正成为一个日益严重的社会经济问题。识别贫血的病因并对人们进行症状教育很重要。这有助于早期识别和诊断贫血,从而预防该疾病的并发症。贫血的并发症包括低出生体重、早产、产前和新生儿死亡率以及孕产妇死亡率。

目的

本研究的目的是调查在巴基斯坦卡拉奇的政府或私营部门工作的工人阶级女性中导致贫血的因素。通过识别贫血的病因和风险因素,可以建议参与者采用更健康的生活方式、均衡饮食以及可能消除贫血病因的活动,进一步预防贫血的发生。该研究的目标是具体的、可衡量的、可实现的、现实的且有时限的(SMART)。尽管面临与新冠疫情相关的限制,该研究仍于2019年11月至2021年8月进行。样本量符合纳入标准,并且目标在有足够资源的情况下成功完成。

方法

在获得机构批准和参与者同意后进行了横断面研究。共有180名参与者在对研究进行全面解释后表示同意,他们有权拒绝参与。在保密方面,参与者无需提供姓名,因为他们未被纳入我们的数据分析。纳入标准包括年龄在18 - 45岁的工人阶级女性,每周至少工作四到五个小时,且在巴基斯坦卡拉奇的政府或私营部门工作。排除标准包括有出血或血液系统疾病的女性、过去12个月内有手术史、怀孕或患有全身性疾病的女性。数据收集分为两个部分:第一部分(问卷)和第二部分(检查)。问卷通过谷歌表单分发给每位参与者,并在数据收集的第二部分之前填写,第二部分包括通过手指采血进行血液检测,使用Veri - Q多参数血红蛋白监测系统(由印度新德里的Q - line BIOTECH制造)测量血红蛋白。

结果

平均血红蛋白为11.15±1.29mg/dl(n = 180)。该研究表明,根据世界卫生组织贫血分类,58.3%的参与者血红蛋白浓度正常,而41.7%为贫血。总体而言,贫血患病率为41.7%,大多数(56%)参与者患有轻度贫血。

结论

大多数参与者患有轻度贫血。关于贫血及其症状、饮食习惯、职业状况和压力相关因素的教育会影响红细胞中的血红蛋白浓度。肉类、绿叶蔬菜和水果摄入量低的饮食会导致贫血。尽管了解贫血及其症状,但非医学专业人员,尤其是年轻人,贫血患病率高于医学专业人员,但差异较小。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d6f0/10518160/4c1a5b600ca9/cureus-0015-00000044104-i01.jpg

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