Prevalence and Predictors of Maternal Anemia during Pregnancy in Gondar, Northwest Ethiopia: An Institutional Based Cross-Sectional Study
Prevalence and Predictors of Maternal Anemia during Pregnancy in Gondar, Northwest Ethiopia: An Institutional Based Cross-Sectional Study
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DOI：
10.1155/2014/108593
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发表时间：
2014-01-01
期刊：
影响因子：
2.9
通讯作者：
Enawgaw, Bamlaku
中科院分区：
文献类型：
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作者：
Melku, Mulugeta;Addis, Zelalem;Enawgaw, Bamlaku
背景贫血是一个全球性的公共卫生问题，对孕产妇的影响尤为隆起。本研究的目的是评估母亲贫血的患病率和预测因素。法2012年3月1日至4月30日，对302名在贡达尔大学医院接受产前护理的孕妇进行了一项横断面研究。访谈为基础的问卷调查，临床病史，实验室检查，以获得数据。使用双变量和多变量logistic回归来确定预测因素。结果.贫血患病率为16.6%。多数为轻度贫血（64%）和形态正常的红细胞正常色素性贫血（76%）。妊娠晚期贫血发生率高（18.9%）。家庭收入低（AOR [95% CI] = 3.1 [1.19，8.33]），大家族（AOR [95% CI] = 4.14 [4.13，10.52]），钩虫感染（AOR [95%CI] = 2.72 [1.04，7.25]）和HIV感染（AOR [95%CI] = 5.75 [2.40，13.69]）是贫血的独立预测因素。结论贫血患病率高，以轻度和正常红细胞正常色素性贫血为主。低收入、大家庭规模、钩虫感染和艾滋病毒感染与贫血有关。因此，应努力对艾滋病毒和钩虫感染进行早期诊断和管理，并特别重视低收入和大家庭人口的人。
Background. Anaemia is a global public health problem which has an eminence impact on pregnant mother. The aim of this study was to assess the prevalence and predictors of maternal anemia. Method. A cross-sectional study was conducted from March 1 to April 30, 2012, on 302 pregnant women who attended antenatal care at Gondar University Hospital. Interview-based questionnaire, clinical history, and laboratory tests were used to obtain data. Bivariate and multivariate logistic regression was used to identify predictors. Result. The prevalence of anemia was 16.6%. Majority were mild type (64%) and morphologically normocytic normochromic (76%) anemia. Anemia was high at third trimester (18.9%). Low family income (AOR [95% CI] = 3.1 [1.19, 8.33]), large family size (AOR [95% CI] = 4.14 [4.13, 10.52]), hookworm infection (AOR [95% CI] = 2.72 [1.04, 7.25]), and HIV infection (AOR [95% CI] = 5.75 [2.40, 13.69]) were independent predictors of anemia. Conclusion. The prevalence of anemia was high; mild type and normocytic normochromic anemia was dominant. Low income, large family size, hookworm infection, and HIV infection were associated with anemia. Hence, efforts should be made for early diagnosis and management of HIV and hookworm infection with special emphasis on those having low income and large family size.