老挝人民民主共和国育龄妇女贫血患病率及其相关因素:来自全国代表性调查的证据。

IF 2.2 Q3 HEMATOLOGY

Anemia Pub Date : 2021-01-15 eCollection Date: 2021-01-01 DOI:10.1155/2021/8823030

Sengtavanh Keokenchanh, Sengchanh Kounnavong, Akiko Tokinobu, Kaoru Midorikawa, Wakaha Ikeda, Akemi Morita, Takumi Kitajima, Shigeru Sokejima

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引用次数: 14

摘要

导言:贫血仍然是发展中国家育龄妇女面临的一个重大公共卫生问题，其中包括老挝人民民主共和国，那里的妇女贫血率仍然很高。本研究旨在评估老挝人民民主共和国WRA 15-49岁人群的贫血患病率及其相关因素。方法:我们使用老挝社会指标调查II, 2017年数据集进行了横断面研究。本研究采用多阶段抽样方法，共纳入12519例WRA贫血检测。采用二元logistic回归确定贫血的相关因素。结果:12519名女性中，4907名(39.2%)贫血。多因素logistic回归显示，生活在中部省份(aOR: 2.16, 95% CI: 1.96-2.38)、农村地区(aOR: 1.1, 95% CI: 1.00-1.20)、6人以上的大家庭(aOR: 1.14, 95% CI: 1.01-1.29)、怀孕(aOR: 1.46, 95% CI: 1.22-1.74)、有任何不良妊娠结局(aOR: 1.14, 95% CI: 1.03-1.25)、饮用水差(aOR: 1.24, 95% CI: 1.10-1.39)和卫生设施差(aOR: 1.15, 95% CI: 1.15)。1.03-1.28)与贫血风险增加显著相关。相反，有四个因素与预防贫血相关，包括25-34岁(aOR: 0.81, 95% CI: 0.74-0.90)、高等教育(aOR: 0.76, 95% CI: 0.60-0.97)、苗族(aOR: 0.48, 95% CI: 0.39-0.59)和几乎每天看电视(aOR: 0.84, 95% CI: 0.75-0.95)。结论:贫血仍然是老挝人民民主共和国面临的一项重大公共卫生挑战。应考虑根据地域差异采取干预措施，改善安全饮水和卫生设施，促进怀孕期间补充铁，并通过大众媒体对农村地区妇女进行健康教育。

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Prevalence of Anemia and Its Associate Factors among Women of Reproductive Age in Lao PDR: Evidence from a Nationally Representative Survey.

Introduction: Anemia continues to be a major public health problem significant among women of reproductive age (WRA) in developing countries, including Lao People's Democratic Republic (Lao PDR), where the prevalence of anemia among women remains high. This study aimed to assess the prevalence of anemia and its associated factors among WRA 15-49 years in Lao PDR.

Methods: We conducted a cross-sectional study, using the Lao Social Indicator Survey II, 2017 dataset. A total of 12,519 WRA tested for anemia were included in this study, through multistage sampling approaches. Binary logistic regression was used to determine the associated factors of anemia.

Results: Of 12,519 women, 4,907 (39.2%) were anemic. Multivariate logistic regression revealed that living in central provinces (aOR: 2.16, 95% CI: 1.96-2.38), rural area (aOR: 1.1, 95% CI: 1.00-1.20), large family size with more than 6 persons (aOR: 1.14, 95% CI: 1.01-1.29), pregnancy (aOR: 1.46, 95% CI: 1.22-1.74), having any adverse pregnancy outcomes (aOR: 1.14, 95% CI: 1.03-1.25), poor drinking water (aOR: 1.24, 95% CI: 1.10-1.39), and poor sanitation facility (aOR: 1.15, 95% CI: 1.03-1.28) were significantly associated with an increased risk of anemia. Conversely, four factors were associated with anemia preventively, including being aged 25-34 years (aOR: 0.81, 95% CI: 0.74-0.90), postsecondary education (aOR: 0.76, 95% CI: 0.60-0.97), Hmong-Mien ethnicity (aOR: 0.48, 95% CI: 0.39-0.59), and watching television almost daily (aOR: 0.84, 95% CI: 0.75-0.95).

Conclusion: Anemia continues to be a major public health challenge in Lao PDR. Interventions should be considered on geographic variations, improving safe water and sanitation facility, promoting of iron supplements during pregnancy, and health education through mass media for women in rural areas.

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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.