Kar Rakhee, Anand Jeyanthi, Kar Sitanshu Sekhar, Banu Narkiss, Kuppusamy Dheebika, Sivanantham Parthibane, Bhattacharyya Maitreyee
Department of Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry, India.
Department of Preventive and Social Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry, India.
J Family Med Prim Care. 2023 Aug;12(8):1629-1635. doi: 10.4103/jfmpc.jfmpc_2275_22. Epub 2023 Aug 29.
Haemoglobin disorders are unique and important health challenges for tribal populations. Hence, this study was undertaken with the aim to screen for haematological disorders, particularly anaemia and haemoglobinopathies, and to assess the sociodemographic profile in indigenous communities residing in and around Puducherry.
This was a community-based cross-sectional study conducted in both urban and rural areas of Puducherry district. We included 556 participants through convenient sampling. Trained research associates visited community to enrol eligible participants and sought information on sociodemographic parameters, health status, and disease profile, using a structured questionnaire; 2-3 ml of blood was collected in ethylene diamine tetra acid anticoagulant for analysis of haematology parameters.
Median age of participants was 28 (17-42) years. Majority (58.8%) of the participants were female, married (52.8%). On thalassemia screening, none of the study participants had any haemoglobinopathy. The burden of anaemia among the study population was 38.7% (95% CI: 34.6-42.8%) and was higher among the female participants in both adolescent (54.5%) and adult (57.8%) age groups. The next common haematological abnormality observed was eosinophilia 21.4% (95% CI: 18-25%), more prevalent among males in the age group of 30-60 years.
More than half of the women were anaemic. Multidimensional planning and implementation are needed to improve the socio-economic profile and overall health of this vulnerable population.
血红蛋白疾病是部落人群面临的独特且重要的健康挑战。因此，开展本研究旨在筛查血液系统疾病，尤其是贫血和血红蛋白病，并评估居住在本地治里及其周边地区的原住民社区的社会人口学特征。
这是一项在本地治里地区城乡开展的基于社区的横断面研究。我们通过方便抽样纳入了556名参与者。经过培训的研究助理走访社区招募符合条件的参与者，并使用结构化问卷收集有关社会人口学参数、健康状况和疾病概况的信息；采集2 - 3毫升用乙二胺四乙酸抗凝的血液用于血液学参数分析。
参与者的中位年龄为28（17 - 42）岁。大多数（58.8%）参与者为女性，已婚（52.8%）。在地中海贫血筛查中，研究参与者均未患任何血红蛋白病。研究人群中的贫血负担为38.7%（95%置信区间：34.6 - 42.8%），在青少年（54.5%）和成年（57.8%）年龄组的女性参与者中更高。观察到的下一个常见血液学异常是嗜酸性粒细胞增多症，为21.4%（95%置信区间：18 - 25%），在30 - 60岁年龄组的男性中更为普遍。
超过一半的女性贫血。需要进行多维度规划和实施，以改善这一弱势群体的社会经济状况和整体健康。
