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Anemia and Associated Factors among Pregnant Women Attending Prenatal Care in Rural Dembia District, North West Ethiopia: A cross-Sectional Study.
Ecology of Food and Nutrition ( IF 1.8 ) Pub Date : 2019-10-28 , DOI: 10.1080/03670244.2019.1680551
Alicia M Helion Belay 1 , Amare Tariku 2 , Solomon Assefa Woreta 3 , Getu Debalkie Demissie 4 , Geta Asrade 5
Affiliation  

Introduction: About 22% of pregnant women are anemic in Ethiopia, but there is a large variation across the country. Hence, the aim of this study identifies the prevalence of anemia and associated factors among pregnant women attending prenatal appointments in Dembia District, northwest Ethiopia.Methods and materials: A facility-based, cross-sectional study was conducted among 713 pregnant women. A multi-stage, stratified sampling technique was used to select the study participants. A structured and pretested questionnaire, laboratory data, and chart review were used to collect data. Bivariate and multivariate logistic regression analyses were used to identify factors associated with anemia in pregnant women.Results: Prevalence of anemia was 32.4% with a majority of these having moderate anemia. Type of health center being rural/urban health center, water sources, days since fasting, 4 weeks of iron supplementation, craving unusual foods, mid-upper arm circumference scores, and decision power were significant predictors of anemia.Conclusion: The present study suggests anemia among pregnant women attending prenatal in Dembia district was high. Working to enhance adherence to iron supplementation and partner involvement for joint decision-making is recommended to avert prenatal anemia. Health-care providers and programmers are advised to pay special attention to rural and fasting pregnant mothers. Abbreviations: AOR: Adjusted Odd Ratio; CMHS: College of medicine and health sciences; CI: Confidence Interval; HFIAS: Household Food Insecurity Access Scale; RCSI: Reduced Coping Strategies Index; Hgb: Hemoglobin; MCMC: Marco Chain Monte Carlo; EPV: Events per variable; BMI: Body Mass Index; PPS: Population proportionate to size sampling; SRS: simple random sampling; DALYS: Disability-adjusted life years; MUAC: Mid-upper-arm-circumference; WHO: World Health Organization; EDHS: Ethiopian Demographic and Health Survey; SPSS: Statistical package for social science; ANC: Ante natal care; PCA: Principal component analysis; MASL: Meter above sea level; g/dl: gram per decilitre HALE: Health Action Leicester Ethiopia; WDDS: Women's Dietary Diversity Scale.

中文翻译:

埃塞俄比亚西北部农村Dembia地区参加产前保健的孕妇贫血和相关因素:跨部门研究。

简介:埃塞俄比亚约有22%的孕妇贫血,但全国各地差异很大。因此,本研究的目的是确定埃塞俄比亚西北部Dembia地区参加产前检查的孕妇中贫血的发生率和相关因素。方法和材料:对713名孕妇进行了基于设施的横断面研究。使用多阶段,分层抽样技术选择研究参与者。使用结构化和预先测试的问卷,实验室数据和图表审查来收集数据。结果:贫血患病率为32.4%,其中大多数为中度贫血。健康中心的类型为农村/城市卫生中心,水源,禁食后的天数,补充铁剂的4周,对异常食物的渴望,上臂中上分的中位数以及决策能力是贫血的重要预测指标。结论:本研究表明登比亚地区产前孕妇的贫血程度很高。为避免产前贫血,建议努力加强对铁补充剂的坚持和合作伙伴参与的共同决策。建议卫生保健提供者和程序员特别注意农村和空腹怀孕的母亲。缩写:AOR:调整后的奇数比;CMHS:医学与健康科学学院;CI:置信区间;HFIAS:家庭粮食不安全获取量表;RCSI:减少应对策略指数;Hgb:血红蛋白;MCMC:Marco Chain蒙特卡洛;EPV:每个变量的事件;BMI:体重指数;PPS:人口与规模抽样成比例;SRS:简单随机抽样;DALYS:残疾调整生命年;MUAC:上臂中段;世卫组织:世界卫生组织;EDHS:埃塞俄比亚人口与健康调查;SPSS:社会科学统计软件包;ANC:产前检查;PCA:主成分分析;MASL:海拔米;g / dl:克/分升HALE:埃塞俄比亚莱斯特健康行动;WDDS:妇女的饮食多样性量表。产前保健;PCA:主成分分析;MASL:海拔米;g / dl:克/分升HALE:埃塞俄比亚莱斯特健康行动;WDDS:妇女的饮食多样性量表。产前保健;PCA:主成分分析;MASL:海拔米;g / dl:克/分升HALE:埃塞俄比亚莱斯特健康行动;WDDS:妇女的饮食多样性量表。
更新日期:2020-04-20
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