Department of Public Health, College of Medicine and Health Sciences, Dire Dawa University, Dire Dawa, Ethiopia.
Department of Midwifery, College of Medicine and Health Sciences, Dire Dawa University, Dire Dawa, Ethiopia.
Sci Rep. 2024 Jun 27;14(1):14816. doi: 10.1038/s41598-024-65583-3.
Globally one-third of global population are victims of anemia, significantly impacting maternal and infant health and linked to poor cognition, productivity, and mortality risks. We used randomly selected 4040 lactating mothers' record from nationally representative survey. Descriptive statistics were weighted, and the standard hemoglobin cutoff point (below 12 g/dl) was used. Bivariable and multivariable multilevel binary logistic regression model considering the individual and community-level factors associated with anemia was employed. Crude and adjusted odds ratios with a 95% confidence interval were reported. In Ethiopia, 32.3% (95% CI 30.9-33.7%) of lactating women were anemic, with 23.4% having mild, 7.3% moderate, and 1.2% severe anemia. Pastoral regions (Afar, Somalia, and Oromia region) had higher burden of anemia than the others. The advanced age of the mother above 45 years (AOR = 1.43 (1.11-1.82), unemployment (AOR = 1.19; 95% CI 1.08-1.32), household wealth index (AOR = 0.56; 95% CI 0.50-0.63), extended family size (AOR = 1.20; 95% CI 1.04-1.46), and not using family planning (AOR = 1.70; 95% CI 1.49-1.93) were significant factors associated with anemia. Anemia is a moderate public health problem and associated with location and other factors to be addressed via effective interventions.
全球有三分之一的人口患有贫血,这对母婴健康有重大影响,并与认知能力低下、生产力下降和死亡风险增加有关。我们使用了来自全国代表性调查的随机抽取的 4040 名哺乳期母亲的记录。对描述性统计数据进行了加权处理,并使用了标准血红蛋白截断值(低于 12g/dl)。考虑个体和社区层面与贫血相关的因素,采用了双变量和多变量多层二元逻辑回归模型。报告了未经调整和调整后的比值比及其 95%置信区间。在埃塞俄比亚,32.3%(95%CI 30.9-33.7%)的哺乳期妇女患有贫血,其中 23.4%为轻度贫血,7.3%为中度贫血,1.2%为重度贫血。与其他地区相比,牧区(阿法尔、索马里和奥罗米亚地区)贫血负担更高。母亲年龄在 45 岁以上(AOR=1.43(1.11-1.82))、失业(AOR=1.19;95%CI 1.08-1.32)、家庭财富指数(AOR=0.56;95%CI 0.50-0.63)、大家庭规模(AOR=1.20;95%CI 1.04-1.46)和不使用计划生育(AOR=1.70;95%CI 1.49-1.93)是与贫血相关的显著因素。贫血是一个中等程度的公共卫生问题,与地理位置和其他因素有关,需要通过有效的干预措施来解决。