Determinants of Anemia among Pregnant Women at Public Hospitals in West Shewa, Central Ethiopia: A Case-Control Study

IF 2.2 Q3 HEMATOLOGY

Anemia Pub Date : 2020-11-28 DOI:10.1155/2020/2865734

Berhanu Senbeta Deriba, E. T. Bala, G. A. Bulto, Tinsae Abeya Geleta, Agumas Fentahun Ayalew, Addis Adera Gebru, H. Desta, Mengistu Benayew Shiferaew, Lidya Zerihun Sahile

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Abstract

Introduction. Anemia is highly dominant among pregnant women due to the need for iron for women themselves and their fetuses. Nearly half a billion globally and around one-third in Ethiopia of pregnant women were affected by anemia which has both health and economic impact. Therefore, this study aimed to identify the determinants of anemia among pregnant women attending antenatal care at public hospitals in the West Shewa zone, Oromia regional state, Central Ethiopia, 2019. Methods. An unmatched case-control study was conducted at public hospitals in the West Shewa zone, Ethiopia, from February to April 2019. A consecutive sampling was used to select study participants. Data were collected by a structured questionnaire, and the collected data were entered into Epi Info version 7 and SPSS version 23 for analyses. Descriptive statistics such as tables, graphs, and proportions were used to present the data. Binary and multiple logistic regression analyses were computed to identify the determinants of anemia. Adjusted odds ratio (AOR) with 95% confidence interval (CI) and p value <0.05 were used to determine the presence of an association. Result. A total of 426 women (142 cases and 284 controls) participated in this study with a 95.3% response rate. Family size >5 (AOR = 2.95, 95% CI: 1.34–6.50), peptic ulcer diseases (PUD) (AOR = 2.85, 95% CI: 1.14–7.13), having the previous history of abortion (AOR = 2.84, 95% CI: 1.08–7.47), birth interval <2 years (AOR = 2.61, 95% CI: 1.20–5.70), antepartum hemorrhage (APH) (AOR = 6.05, 95% CI: 1.95–18.81), and not using latrine (AOR = 3.45, 95% CI: 1.30–9.24) were the identified determinants of anemia. Conclusions. Family size, PUD, abortion, birth interval, APH, and unable to use latrine were the determinants of anemia among pregnant women. Therefore, the intervention on anemia prevention should consider the promotion of family planning methods and counseling on latrine utilization.

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埃塞俄比亚中部西谢瓦公立医院孕妇贫血的决定因素:一项病例对照研究

介绍由于孕妇自身和胎儿需要铁，贫血在孕妇中占主导地位。全球近5亿孕妇和埃塞俄比亚约三分之一的孕妇患有贫血，贫血对健康和经济都有影响。因此，本研究旨在确定2019年在埃塞俄比亚中部奥罗米亚州西谢瓦地区公立医院接受产前护理的孕妇贫血的决定因素。方法。2019年2月至4月，在埃塞俄比亚西谢瓦地区的公立医院进行了一项无与伦比的病例对照研究。采用连续抽样法选择研究参与者。通过结构化问卷收集数据，并将收集的数据输入Epi Info第7版和SPSS第23版进行分析。使用描述性统计数据，如表格、图表和比例来呈现数据。计算二元和多元逻辑回归分析，以确定贫血的决定因素。95%置信区间（CI）和p值为5的调整比值比（AOR） = 2.95，95%CI:1.34-6.50），消化性溃疡病（PUD）（AOR = 2.85，95%可信区间：1.14–7.13），既往有流产史（AOR = 2.84，95%CI:1.08-7.47），出生间隔<2年（AOR = 2.61，95%可信区间：1.20–5.70），产前出血（APH）（AOR = 6.05，95%置信区间：1.95–18.81），并且不使用厕所（AOR = 3.45，95%CI:1.30-9.24）是贫血的确定决定因素。结论。家庭规模、PUD、流产、生育间隔、APH和不能上厕所是孕妇贫血的决定因素。因此，预防贫血的干预措施应考虑推广计划生育方法和厕所使用咨询。

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来源期刊

Anemia HEMATOLOGY-

CiteScore

4.80

自引率

3.40%

发文量

审稿时长

18 weeks

期刊介绍： Anemia is a peer-reviewed, Open Access journal that publishes original research articles, review articles, and clinical studies on all types of anemia. Articles focusing on patient care, health systems, epidemiology, and animal models will be considered, among other relevant topics. Affecting roughly one third of the world’s population, anemia is a major public health concern. The journal aims to facilitate the exchange of research addressing global health and mortality relating to anemia and associated diseases.