Prevalence and determinants of Anemia among pregnant women in sub-Saharan Africa: a systematic review and Meta-analysis.
Prevalence and determinants of Anemia among pregnant women in sub-Saharan Africa: a systematic review and Meta-analysis.
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DOI：
10.1186/s13690-021-00711-3
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发表时间：
2021-12-03
期刊：
影响因子：
--
通讯作者：
Mengiste B
中科院分区：
文献类型：
--
作者：
Fite MB;Assefa N;Mengiste B
贫血是世界上导致残疾的主要原因之一，也是最严重的全球公共卫生问题。这项系统的审查和荟萃分析是非常谨慎地进行的，目的是放弃撒哈拉以南非洲贫血症的综合流行率和决定因素。为了进行这一短暂的系统回顾和荟萃分析，从各种来源、PubMed Medline和Google Scholar Journal进行了相关的文献回顾。使用贫血相关搜索引擎，使研究更具召唤性和集中性。我们使用改良的纽卡斯尔-渥太华横断面研究质量评估量表来评估研究的质量与纳入的关系。跟踪系统评价和荟萃分析(PRISMA)指南的首选报告项目以进行本研究。使用综述管理器和压缩Meta-分析软件计算合并效应大小。20项FIFE研究，包括15,061名孕妇，被选为分析对象。其中，SSA孕期贫血的总体患病率为35.6%。然而，Meta分析结果显示，感染肠道寄生虫的女性发生贫血的可能性是未感染肠道寄生虫的女性的3.59倍[OR：3.59，95%CI(2.44，5.28)]。结果显示，不补充铁和叶酸的女性发生贫血的可能性是补充铁和叶酸的女性的1.82倍{OR：1.82，95%CI(1.22，2.70)]。妊娠晚期妇女发生贫血的可能性是妊娠早期和中期的2.37倍[OR：2.37，95%CI(1.78，3.24)]。饮食多样性得分低的女性患贫血的可能性是饮食多样性得分高的女性的3.59倍[OR：3.59，95%CI(2.44，5.28)]。我们从这项系统回顾和荟萃分析中发现，撒哈拉以南非洲的孕妇中贫血患病率很高。预测因素包括：肠道寄生虫、补充铁和叶酸、妊娠晚期和饮食多样化摄入分数与妊娠期贫血在统计学上呈正相关。这些需要谨慎地评估预防工作对操作政策、计划和设计营养干预的影响，以精炼孕妇在怀孕期间的食物消费。此外，饮食教育干预需要预先安排，以满足孕妇的欲望。这项工作的发现将作为非洲政策制定者的证据；完全用于孕产妇和儿童保健。最后，我们建议在研究领域进行进一步调查，以提出更严格和全面的建议。网上版载有补充材料，可在10.1186/s13690-021-00711-3查阅。
Anemia is one of the world’s leading cause of disability and the most serious global public health issues. This systematic review and meta-analysis was carried out very prudently in order to give up the pooled prevalence and determinants of anemia in Sub-Saharan Africa. To carry out this ephemeral systematic review and meta-analysis, a correlated literature review was done from various sources, PubMed Medline and Google Scholar Journals. Anemia related searching engine was used to make the study more evocative and intensive. We used modified Newcastle-Ottawa quality assessment scale for cross sectional studies to evaluate the quality of the study in relations of their inclusion. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guideline was tracked to conduct this study. The pooled effect size was computed using the review manager and Compressive Meta-analysis software. Twenty-fife studies, which encompassed 15,061 pregnant women, were chosen for the analysis. From those an overall prevalence of anemia in pregnancy in SSA was 35.6%. However, the result from meta-analysis showed that women who were infected with intestinal parasite were 3.59 times more likely to develop anemia compared to those who were not infected [OR:3.59, 95% CI (2.44,5.28)].The result showed that women who had no iron and folic-acid supplementation were 1.82 times more likely to develop anemia compared to those women who had iron and folic-acid supplementation {OR:1.82, 95% CI (1.22,2.70]. Women who had women were in third trimester pregnancy were 2.37 times more likely to develop anemia compared to those who were in first and second trimester [OR:2.37, 95% CI (1.78, 3.24)]. Women who had low dietary diversity score were 3.59 times more likely to develop anemia compared to those who had high dietary diversity score [OR: 3.59, 95% CI (2.44, 5.28]. Our finding from this systematic review and meta-analysis displays the high case in prevalence of anemia among pregnant women in Sub-Saharan Africa. Predictors for this includes: intestinal parasite, iron and folic-acid supplementation, third trimester pregnancy and dietary diversified intake score were statistically correlated positively with anemia in pregnancy. These need cautious evaluation of impact of prevention effort for operational policy, programs and design nutrition intrusions for refining maternal food consumption during pregnancy. Also, dietary education intrusion requires to be prearranged to satisfy the desires of pregnant women. The finding of this work will be used as an evidences for policy makers of Africa; entirely for maternal and child health care. Lastly, we suggested further investigations to be carried out in the area of the study for more rigorous and comprehensive recommendations. The online version contains supplementary material available at 10.1186/s13690-021-00711-3.
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影响因子：
--
作者：
Gebreweld A;Tsegaye A
通讯作者：
Tsegaye A
影响因子：
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作者：
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影响因子：
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作者：
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通讯作者：
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