Syarif Aidah Luthfiah, Ansariadi Ansariadi, Wahiduddin Wahiduddin, Wijaya Eri, Amiruddin Ridwan, Citrakesumasari Citrakesumasari, Ishak Hasanuddin
Master Program in Public Health, Department of Epidemiology, Faculty of Public Health, Hasanuddin University, Indonesia.
Department of Epidemiology, Faculty of Public Health, Hasanuddin University, Indonesia.
J Educ Health Promot. 2024 Jan 22;12:452. doi: 10.4103/jehp.jehp_551_23. eCollection 2023.
During pregnancy, the body requires more complex nutritional intake. Therefore, problems with fulfilling nutrition during pregnancy occur often. One of the most common nutritional problems in pregnancy is iron deficiency anemia, the most widespread micronutrient problem and the most difficult to overcome worldwide. This study aimed to determine awareness and prevention behavior associated with the incidence of iron deficiency in pregnant women living in urban slum areas.
This was a cross-sectional study. The data collection used KoboToolbox, an Android-based tool. Iron status was examined by serum ferritin level assay using ELISA at the Microbiology Laboratory Unit of Hasanuddin University Hospital.
The prevalence of pregnant women who experienced iron deficiency was 78%. The logistic regression analysis showed that poor awareness (AOR = 3.03, CI 95% 1.26-7.29, = 0.013) and practices in taking iron enhancers (AOR = 2.85, CI 95% 1.18-6.92, = 0.020) became the main factors associated with iron deficiency among pregnant women.
Poor awareness and practices regarding consuming iron enhancers increased the risk of iron deficiency among pregnant women living in urban slum areas. Iron deficiency is a major health concern for pregnant women, especially those living in slum settlements, which must be addressed. A more optimal healthcare system for pregnant women may reduce the incidence of iron anemia in pregnancy by improving health promotion and optimizing healthcare services.
孕期身体需要更复杂的营养摄入。因此，孕期营养摄入不足的问题经常出现。缺铁性贫血是孕期最常见的营养问题之一，是全球最普遍的微量营养素问题，也是最难克服的问题。本研究旨在确定城市贫民窟地区孕妇缺铁发生率相关的认知和预防行为。
这是一项横断面研究。数据收集使用了基于安卓的工具KoboToolbox。在哈桑丁大学医院微生物实验室单元，通过酶联免疫吸附测定法检测血清铁蛋白水平来检查铁状态。
缺铁孕妇的患病率为78%。逻辑回归分析表明，认知不足（比值比=3.03，95%置信区间1.26 - 7.29，P=0.013）和服用铁强化剂的行为（比值比=2.85，95%置信区间1.18 - 6.92，P=0.020）成为孕妇缺铁的主要相关因素。
对服用铁强化剂的认知不足和行为不当增加了城市贫民窟地区孕妇缺铁的风险。缺铁是孕妇尤其是居住在贫民窟的孕妇的主要健康问题，必须加以解决。更优化的孕妇医疗保健系统可通过加强健康促进和优化医疗服务来降低孕期缺铁性贫血的发生率。
