Subedi Prativa, Adhikari Prakash, Shah Sangam, Kc Anil, Yadav Gopal Kumar, Paudel Basanta Sharma, Subedi Pratik, Thapa Anish, Sah Michael Kumar, Oli Aadhar, Sah Ranjit
Department of Internal Medicine, KIST Medical College and Teaching Hospital, Lalitupr, Nepal.
Institute of Medicine, Central Department of Public Health.
Medicine (Baltimore). 2025 Jan 3;104(1):e41150. doi: 10.1097/MD.0000000000041150.
Iron deficiency anemia remains a significant public health concern, particularly among pregnant women and children. The prevalence of anemia is higher in lower middle income countries including Nepal. Despite government efforts, progress in reducing anemia in the last 15 years has been slow, especially in remote hilly regions. While investing in anemia control can yield substantial economic returns, there have not been adequate studies to cover diverse geographical areas of Nepal. This study aims to determine the prevalence of anemia in a hilly district of western Nepal. A retrospective cross-sectional study was conducted among the 350 pregnant women visiting for ante natal checkup in Burtibang primary hospital from July 15, 2022 to Jan 15, 2023. The factors associated with the prevalence of anemia was calculated by using multivariate logistics regression analysis at P < .05 and ANOVA test was done to calculate the differences in hemoglobin level across the different characteristics of the pregnant women. More than 2 out of 5 pregnant women (43.1%) had anemia with 57.6% having mild anemia and 42.4% of the women having moderate to severe level of anemia. The mean Hb level of the pregnant women was 10.8 (±1.0) g/dL. Women on second (adjusted odds ratio [aOR]: 0.06; 95% CI: 0.03-0.11) and third trimester of their pregnancy (aOR: 0.06; 95% CI: 0.02-0.16) had lower odds of having anemia. A moderate level of correlation of Hb level with the gestational age (R = 0.574, P value: <.001) was seen in the study. The prevalence of anemia is a serious public health problem among the women visiting ante natal checkup in Burtibang hospital. Later trimester of the pregnancy had higher risks of having anemia in comparison to the first and the gestational age of the women was a significant predictor of Hb level among the population.
缺铁性贫血仍然是一个重大的公共卫生问题，尤其是在孕妇和儿童中。包括尼泊尔在内的中低收入国家贫血患病率较高。尽管政府做出了努力，但过去15年中在减少贫血方面进展缓慢，特别是在偏远山区。虽然投资于贫血控制可以产生可观的经济回报，但尚未有足够的研究覆盖尼泊尔的不同地理区域。本研究旨在确定尼泊尔西部一个山区县的贫血患病率。2022年7月15日至2023年1月15日，在布尔蒂邦初级医院进行产前检查的350名孕妇中开展了一项回顾性横断面研究。采用多因素logistic回归分析计算P<0.05时与贫血患病率相关的因素，并进行方差分析以计算不同特征孕妇血红蛋白水平的差异。五分之二以上的孕妇（43.1%）患有贫血，其中57.6%为轻度贫血，42.4%的妇女为中度至重度贫血。孕妇的平均血红蛋白水平为每分升10.8（±1.0）克。处于妊娠第二（调整优势比[aOR]：0.06；95%置信区间：0.03-0.11）和第三孕期（aOR：0.06；95%置信区间：0.02-0.16）的妇女患贫血的几率较低。研究发现血红蛋白水平与孕周存在中度相关性（R=0.574，P值：<0.001）。在布尔蒂邦医院进行产前检查的妇女中，贫血患病率是一个严重的公共卫生问题。与第一孕期相比，妊娠晚期患贫血的风险更高；在该人群中，妇女的孕周是血红蛋白水平的一个重要预测指标。
