Malaria-Associated Factors among Pregnant Women in Guinea
Malaria-Associated Factors among Pregnant Women in Guinea
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DOI：
10.1155/2019/3925094
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发表时间：
2019-11-15
影响因子：
2.2
通讯作者：
Beavogui, Abdoul Habib
中科院分区：
文献类型：
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作者：
Toure, Almamy Amara;Doumbouya, Abdoulaye;Beavogui, Abdoul Habib
导论.疟疾是几内亚卫生机构就诊的主要原因。在怀孕期间，它仍然是一个主要的健康问题，对母亲，胎儿和新生儿造成相当大的风险。然而，人们对几内亚孕妇中疟疾的流行病学知之甚少。我们的目的是提供产妇疟疾相关因素的信息。方法.这是一项在两个区域医院和两个地区医院进行的横断面调查。调查了1000名产妇及其新生儿。对所有患者进行了访谈，并检查了厚血涂片和薄血涂片。为了确定产妇疟疾的预测因素，分类和回归树（CART）首先进行外周和胎盘疟疾作为因变量和社会人口学和产前特征作为自变量，然后，解释性的配置文件变量或集群从这些树被纳入逻辑回归模型。结果我们发现157例（15.8%）和148例（14.8%）的外周和胎盘疟疾，分别。53.8%的孕妇在分娩前经常使用长效驱虫蚊帐，只有35.5%的孕妇使用磺胺乙胺嘧啶剂量≥ 3。与疟疾显著相关的因素如下：来自福雷卡里亚和盖凯杜的妇女不经常使用长效驱虫蚊帐，产前检查少于四次（产前检查
Introduction. Malaria is the leading cause of consultation in Guinea health facilities. During pregnancy, it remains a major health concern causing considerable risks for mother, fetus, and newborn. However, little is known about the epidemiology of malaria among pregnant women in Guinea. We aimed to provide information on malaria-associated factors in parturients. Methods. It was a cross-sectional survey in two regional hospitals and two district hospitals. 1000 parturients and their newborns were surveyed. All patients were interviewed, and thick and thin blood smears were examined. To determine the predictive factors of malaria in parturients, the Classification and Regression Tree (CART) was first performed by using peripheral and placental malaria as dependent variables and sociodemographic and antenatal characteristics as independent variables; then, explanatory profile variables or clusters from these trees were included in the logistic regression models. Results. We found 157 (15.8%) and 148 (14.8%) cases of peripheral and placental malaria, respectively. The regular use of long-lasting insecticide-treated nets (LLINs) before delivery was 53.8%, and only 35.5% used sulfadoxine-pyrimethamine doses >= 3. Factors significantly associated with malaria were as follows: women from Forecariah and Gueckedou who did not regularly use LLINs and accomplished less than four antenatal care visits (ANC