Al-Kharabsheh Ahlam M, Alahmad Israa F, Al-Tamimi Malak M, Abufraijeh Seham M, Alnawaiseh Nedal
Department of Obstetrics and Gynecology, Faculty of Medicine, Mutah University, Alkarak 61710, Jordan.
Faculty of Medicine, Mutah University, Alkarak 61710, Jordan.
Healthcare (Basel). 2024 Dec 10;12(24):2495. doi: 10.3390/healthcare12242495.
The literature underrepresents maternal anemia in southern Jordan, and national studies often have small sample sizes. According to the 2019 Jordan National Micronutrient Survey, maternal anemia in Jordan accounted for 19.1% of cases, with the majority experiencing mild anemia (17.1%). Among the 29 pregnant women recruited from the southern region, 56.5% had anemia, of which 34.8% had mild and 21.7% had moderate anemia. The current study provides an update on the prevalence of anemia during pregnancy in southern Jordan. This cross-sectional study was conducted at a government referral hospital in southern Jordan. Pregnant women who visited outpatient clinics were included in the study. Data were collected through face-to-face interviews, and blood samples were collected to measure hemoglobin levels. Descriptive analyses of continuous and categorical variables were performed. Maternal anemia risk factors were assessed using the chi-square test, Fisher's exact test, and multivariate logistic regression analysis. Statistical significance was defined at < 0.05. Of the 474 pregnant women who agreed to participate, 36.8% had anemia. Education, income, diet (number of meals and meat consumption), regularity of antenatal care, and supplement use were factors that significantly affected hemoglobin levels ( < 0.05). The adolescent pregnancy rate was 5.3%, and 48% had mild to moderate anemia. Maternal anemia rates in southern Jordan remained high, despite a slow decline. Reducing this burden requires improved access to healthcare and health education, particularly for rural residents who are at greater risk of disease.
约旦南部地区关于孕产妇贫血的文献报道不足，而且全国性研究的样本量往往较小。根据2019年约旦全国微量营养素调查，约旦的孕产妇贫血病例占19.1%，其中大多数为轻度贫血（17.1%）。在从南部地区招募的29名孕妇中，56.5%患有贫血，其中34.8%为轻度贫血，21.7%为中度贫血。本研究提供了约旦南部地区孕期贫血患病率的最新情况。这项横断面研究在约旦南部的一家政府转诊医院进行。到门诊就诊的孕妇被纳入研究。通过面对面访谈收集数据，并采集血样以测量血红蛋白水平。对连续变量和分类变量进行描述性分析。使用卡方检验、Fisher精确检验和多因素逻辑回归分析评估孕产妇贫血的危险因素。统计学显著性定义为P<0.05。在同意参与研究的474名孕妇中，36.8%患有贫血。教育程度、收入、饮食（用餐次数和肉类消费情况）、产前检查的规律性以及补充剂的使用是显著影响血红蛋白水平的因素（P<0.05）。青少年妊娠率为5.3%，其中48%患有轻度至中度贫血。尽管约旦南部地区的孕产妇贫血率呈缓慢下降趋势，但仍然很高。减轻这一负担需要改善医疗保健服务的可及性和健康教育，特别是对于患病风险更高的农村居民。
