Anemia associated with asymptomatic malaria among pregnant women in the rural surroundings of Arba Minch Town, South Ethiopia.
Anemia associated with asymptomatic malaria among pregnant women in the rural surroundings of Arba Minch Town, South Ethiopia.
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DOI：
10.1186/s13104-015-1081-4
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发表时间：
2015-03-31
影响因子：
1.8
通讯作者：
Eshetu T
中科院分区：
文献类型：
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作者：
Nega D;Dana D;Tefera T;Eshetu T
怀孕期间贫血是一种众所周知的医学状况，大部分时间都没有得到承认，因为它被怀孕期间的正常生理状况所掩盖。本研究旨在确定埃塞俄比亚南部Arbaminch镇农村地区孕妇贫血的患病率和预测因素。2013年4月至6月进行了一项基于社区的横断面研究。采用结构式问卷调查孕妇的社会经济和社会人口学特征。测定红细胞压积（HCT）水平，将孕妇分为贫血和非贫血。无症状疟原虫血症的诊断通过姬姆萨染色血涂片显微镜进行。以HCT <33%、HCT ≥ 30% & < 33%、HCT ≥ 21% & < 30%、HCT < 21%分别表示贫血、轻度贫血、中度贫血、重度贫血。共有341名孕妇参加了这项研究，其中118名（34.6%）贫血。孕妇的中位年龄为25岁（四分位数范围：23-29）。平均HCT为35.2%（95% CI：34.6%-35.8%），SD为± 5.5%。在这118例贫血女性中，73例（61.9%）为轻度贫血，38例（32.2%）为中度贫血，7例（5.9%）为重度贫血。无症状疟原虫血症的患病率为9.1%（31/341）。相对于非寄生虫血症孕妇，寄生虫血症患者发生贫血的几率为15.72倍[AOR：15.72，95% CI（3.97，62.22），P值≤ 0.001]。未使用驱虫蚊帐（ITN）是孕妇贫血的显著预测因素[AOR：3，95% CI：（1.72，5.22），P < 0.001]。这项研究强调了研究地区孕妇贫血和无症状疟疾之间的重要联系。因此，应鼓励对疟疾和贫血进行常规筛查，然后进行及时管理，以遏制疟疾和贫血对孕妇及其胎儿的影响。还应开展进一步的研究，以测试疟疾和贫血症例行筛查的有效性，然后进行及时管理。
Anemia during pregnancy is a well known medical condition most of the time under-recognized as it is overshadowed by the normal physiological condition during pregnancy. This study aimed at determining the prevalence and predictors of anemia among pregnant women residing in the rural surroundings of Arbaminch Town, south Ethiopia. A cross-sectional community based study was conducted between April and June, 2013. A structured questionnaire was used to collect socio-economic and socio-demographic characteristics of the pregnant women. Hematocrit (HCT) level was determined to classify the pregnant women as anemic and non-anemic. Diagnosis of asymptomatic malaria parasitemia was done by Giemsa stained blood smear microscopy. HCT < 33%, (HCT ≥ 30% & < 33%), (HCT ≥ 21% & < 30%), and HCT < 21% was used to indicate anemia, mild anemia, moderate anemia, and severe anemia respectively. A total of 341 pregnant women participated in this study, out of which 118 (34.6%) were anemic. The median age of the pregnant women was 25 years (Inter-quartile range: 23–29). The mean HCT was 35.2% (95% CI: 34.6%–35.8%) with SD of ±5.5%. Of those 118 anemic women; 73(61.9%) were mildly anemic, 38(32.2%) were moderately anemic, and 7(5.9%) were found to be severely anemic. The prevalence of asymptomatic malaria parasitemia was 9.1% (31/341). The odds of being anemic were 15.72 times [AOR: 15.72, 95% CI (3.97, 62.22), P-value ≤ 0.001] more likely to occur in parasitemic individuals relative to the non parasitemic pregnant women. Not using insecticide treated bed net (ITN) was a significant predictor of anemia among the pregnant women [AOR: 3, 95% CI: (1.72, 5.22), P < 0.001]. This study highlighted the significant association between anemia and asymptomatic malaria among pregnant women in the study area. Therefore, the practice of routine screening for malaria and anemia followed by prompt management should be encouraged to curb the effect of malaria and anemia on the pregnant women as well as her fetus. Further studies should also be in place to test the effectiveness of routine screening for malaria and anemia followed by prompt management.