Patterns of Anemia in Married Women and Their Children in Cambodia: A Synthetic Cohort Analysis.

IF 1.3 Q2 Social Sciences

International Quarterly of Community Health Education Pub Date : 2021-04-01 Epub Date: 2020-06-13 DOI:10.1177/0272684X20916615

Ngozi J I'Aronu, Nkechi G Onyeneho, Benjamin C Ozumba, S V Subramanian

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Abstract

Aim: To explore the prevalence of anemia in three cohorts of women, namely, married yet to be mothers, married and are mothers, and currently pregnant, to ascertain the patterns in anemia in women.

Methods: We analyzed a sample of 130,965 married women from four Demographic Health Surveys: 2000, 2005, 2009 and 2015. The primary focus for the analysis was married women aged 15 to 49 years. In the absence of a longitudinal data that followed the same women over the periods, a synthetic cohort of the women of that age-group was constructed to get women aged 15 to 64 years over the four surveys. Women who were aged 15 to 19 years in 2000 were the same as those 30 to 34 years in 2015, while those aged 45 to 49 years in 2000 were the same as 60 to 64 years in 2015.

Results: Logistic regression revealed that young mothers were significantly more infected (p < .001). Pregnancy affected anemia in the women (p < .001). Being younger and richer were associated with odds ratios of 0.599 (95% confidence interval, CI: [0.560, 0.640]) and 0.765 (95% CI: [0.726, 0.807]) for anemia, respectively. Being pregnant had odds ratio of 1.642 (95% CI: [1.439, 1.872]) for anemia.

Conclusion: Public health strategies should target social deprivation at the household level while addressing maternal health issues. An analysis of data on unmarried women and their children is recommended.

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柬埔寨已婚妇女及其子女贫血模式:一项综合队列分析。

目的:探讨已婚未为人母、已婚已为人母和怀孕妇女三组妇女贫血的患病率，以确定妇女贫血的模式。方法:对2000年、2005年、2009年和2015年四次人口健康调查的130,965名已婚妇女进行分析。分析的主要焦点是15至49岁的已婚女性。由于缺乏在这段时间内追踪同一女性的纵向数据，研究人员构建了一个由该年龄段的女性组成的综合队列，以便在四次调查中获得年龄在15至64岁之间的女性。2000年15 - 19岁的女性与2015年30 - 34岁的女性相同，而2000年45 - 49岁的女性与2015年60 - 64岁的女性相同。结果:逻辑回归显示，年轻母亲的感染率明显更高(p)。结论:公共卫生战略在解决孕产妇健康问题的同时，应针对家庭层面的社会剥夺。建议对未婚妇女及其子女的数据进行分析。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Quarterly of Community Health Education PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

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期刊介绍： The International Quarterly of Community Health Education is committed to publishing applied research, policy and case studies dealing with community health education and its relationship to social change. Since 1981, this rigorously peer-referred Journal has contained a wide selection of material in readable style and format by contributors who are not only authorities in their field, but can also write with vigor, clarity, and occasionally with humor. Since its introduction the Journal has considered all manuscripts, especially encouraging stimulating articles which manage to combine maximum readability with scholarly standards.