The prevalence of anemia in pregnant Nepali women -: a study in Kathmandu
The prevalence of anemia in pregnant Nepali women -: a study in Kathmandu
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DOI：
10.1034/j.1600-0412.2000.079005341.x
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发表时间：
2000-05-01
影响因子：
4.3
通讯作者：
Kvåle, G
中科院分区：
文献类型：
--
作者：
Bondevik, GT;Ulstein, M;Kvåle, G
背景妊娠贫血与产妇和围产期发病率和死亡率有关。世界卫生组织建议，在没有最新资料的情况下，应停止流行率研究。对1994 ~ 1995年在加德满都帕坦医院进行首次产前检查的2280名孕妇的红细胞压积分布进行了研究。贫血定义为在孕早期和孕晚期红细胞压积值小于或等于34%，或在孕中期小于或等于33%。重度贫血定义为红细胞压积值小于或等于24%。调查贫血和重度贫血的患病率，以及与社会人口学（年龄、种族、居住地区、父母教育程度和职业）和生物学（身高、体重指数、产次、妊娠）变量的关系。红细胞压积值范围为11-49%，平均值为32.6%（s.d.）。3.9）。贫血和重度贫血的患病率分别为62.2%和3.6%。在青少年、农民、身材矮小的妇女、喇嘛/夏尔巴人/塔芒族以及嫁给产业工人或文盲男子的妇女中，贫血症的发病率很高。此外，贫血的风险随着妊娠而增加。在服务行业工作、受过高等教育和身体质量指数高与贫血风险较低相关。据观察，加德满都孕妇贫血的发病率很高。红细胞压积值与社会人口学和生物学因素有关。为了规划重点突出和有效的干预措施，需要对尼泊尔农村和城市地区孕妇贫血症的病因进行研究。
Background. Anemia in pregnancy is associated with maternal and perinatal morbidity and mortality. The World Health Organization has suggested that where up-to-date information is not available, prevalence studies should be undertaken.Methods. The distribution of hematocrit in 2280 pregnant women attending Patan Hospital, Kathmandu, for their first antenatal visit in a twelve month period, 1994-95, was studied. Anemia was defined as a hematocrit value less than or equal to 34% in the first and third trimesters, or less than or equal to 33% in the second trimester. Severe anemia was defined as a hematocrit value less than or equal to 24%. The prevalence of anemia and severe anemia, and associations with socio-demographic (age, ethnic group, living area, maternal and paternal education and occupation) and biological (height, body mass index, parity, gestation) variables were investigated.Results. The hematocrit values ranged from 11-49% with a mean value of 32.6% (s.d. 3.9). The prevalences of anemia and severe anemia were 62.2% and 3.6%, respectively. High prevalence of anemia was observed among teenagers, farmers, women of short height, the ethnic groups Lama/Sherpa/Tamang, and women married to industrial workers or illiterate men. Also, the risk of anemia increased with gestation. Work within the service professions, higher education and high body mass index, were associated with a lower risk of anemia.Conclusions. A high prevalence of anemia among pregnant women in Kathmandu was observed. The hematocrit values were related to socio-demographic and biological factors. In order to plan focused and effective intervention, studies on the etiology of anemia among pregnant women in rural and urban areas of Nepal need to be carried out.