Anaemia and associated risk factors among pregnant women in Gilgel Gibe dam area, Southwest Ethiopia
Anaemia and associated risk factors among pregnant women in Gilgel Gibe dam area, Southwest Ethiopia
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DOI：
10.1186/1756-3305-5-296
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发表时间：
2012-12-17
影响因子：
3.2
通讯作者：
Zeynudin, Ahmed
中科院分区：
文献类型：
--
作者：
Getachew, Million;Yewhalaw, Delenesaw;Zeynudin, Ahmed
背景资料：已知贫血是寄生虫感染的后果之一，它可能导致认知发育受损，体力劳动能力下降，严重时死亡风险增加，特别是在产前期间。本研究的目的是确定孕妇在Gilgel-Gibe大坝地区，埃塞俄比亚西南部的贫血的患病率和相关的危险因素。方法：一个横断面社区为基础的研究进行了388名孕妇生活在三个区周围Gilgel-Gibe大坝地区，埃塞俄比亚西南部。从每个参与者收集社会人口和社会经济数据。还从每名选定的孕妇中采集了一份粪便样本。用氰化高铁血红蛋白法测定血红蛋白浓度。结果：在388例受试者中，有209例（53.9%）贫血。农村孕妇（调整后的比值比（AOR）= 1.62，95% C.I：1.02-2.62，P= 0.042），研究期间未使用驱虫蚊帐（AOR = 2.84，95%C.I：1.33-6.05，p = 0.007），疟原虫感染者（AOR = 11.19，95% C.I：3.31-37.7，p= 0.01）和土壤传播蠕虫（STH）感染者（AOR=1.82，95%C.I：1.16-2.87，p=0.001）分别比使用驱虫蚊帐、无疟原虫疟疾和土壤传播蠕虫感染的城市居民贫血的几率更高。钩虫寄生虫负荷的增加与（r = -.110，P< 0.001），蛔虫（r = -.122，P < 0.001）与鞭虫（r =-0.025，P < 0.001）和降低的红细胞压积值。贫血症的高患病率表明，这是目前生活在吉尔格尔吉贝大坝地区的孕妇面临的一个严重健康问题。疟疾和土壤传播的蠕虫感染与贫血显著相关。产前护理应促进驱虫和个人卫生教育。因此，有必要制定战略，帮助诊断孕妇在产前保健（ANC）期间感染疟疾和性传播疾病，而不是仅检测血红蛋白（Hgb）水平和血液中的
Background: Anaemia is known to be one of the outcomes of parasitic infection and it may result in impaired cognitive development, reduced physical work capacity and in severe cases increased risk of mortality, particularly during the prenatal period. The aim of this study was to determine the prevalence and associated risk factors of anaemia among pregnant women in Gilgel-Gibe dam area, southwestern Ethiopia.Methods: A cross-sectional community based study was conducted on 388 pregnant women living in three districts around Gilgel Gibe Dam area, southwestern Ethiopia. Socio-demographic and socio-economic data were collected from each participant. A single stool sample was also collected from each selected pregnant woman. Haemoglobin concentration was determined by the cyanmethemoglobin method. Plasmodium infection prevalence and intensity were assessed with thin and thick blood film examination.Results: Of the total 388 study participants, 209 (53.9%) were anaemic. Pregnant woman who were rural residents (Adjusted odds ratio (AOR) = 1.62, 95% C.I: 1.02-2.62, P= 0.042), not using insecticide treated nets (ITNs) during the study period (AOR = 2.84, 95% C.I: 1.33-6.05, p = 0.007), those who were Plasmodium malaria infected (AOR = 11.19, 95% C.I: 3.31-37.7, p= 0.01) and those with Soil Transmitted Helminth (STH) infections (AOR=1.82, 95% C.I: 1.16-2.87, p=0.001) had higher odds of being anaemic than those who were urban residents, using ITNs, free of Plasmodium malaria and Soil transmitted helminth infection, respectively. There was a significant correlation between increasing hookworm parasite load (r = -.110, P< 0.001), Ascaris lumbricoides (r = -.122, P < 0.001) and Trichuris trichiura (r = -.025, P < 0.001) and decreasing hematocrit values.Conclusion: The high prevalence of anaemia indicates it is currently a serious health problem of pregnant women living in Gilgel Gibe Dam area. Plasmodium malaria and soil transmitted helminth infections were significantly associated with anaemia. Antenatal care should promote de-worming and education on personal hygiene. Therefore, there is a need to design strategies that help to diagnose pregnant women for malaria and STH infections during their antenatal care (ANC) visit instead of testing for only haemoglobin (Hgb) levels and blood