Socio-economic determinants of prenatal anaemia in rural communities of South-West Nigeria: a preliminary report.

Autor:	Oyelese AT; Department of Haematology and Immunology, Faculty of Basic Clinical Sciences, Benjamen Carson Snr School of Medicine, Babcock University Ilisan-Remo, Nigeria., Ogbaro DD; Department of Haematology and Blood Transfusion, Faculty of Basic Medical Sciences, Olabisi Onabanjo University/Olabisi Onabanjo University Teaching Hospital Sagamu Ogun State, Nigeria., Wakama TT; Department of Haematology and Blood Transfusion, National Hospital Abuja Nigeria., Adediran A; Department of Haematology and Immunology, Faculty of Basic Clinical Sciences, Benjamen Carson Snr School of Medicine, Babcock University Ilisan-Remo, Nigeria., Gbadegesin A; Department of Obstetrics and Gynaecology, Lagos State University College of Medicine Ikeja, Lagos, Nigeria., Awodele IO; Department of Haematology, Babcock University Teaching Hospital Ilisan-Remo, Nigeria., Ocheni S; Department of Haematology & Immunology, University of Nigeria, Ituku-Ozalla Campus Enugu, Nigeria., Adetola A; Department of Nutrition and Dietetics, Babcock University Teaching Hospital Ilisan, Remo, Ogun State, Nigeria., Adenuga JO; Department of Haematology and Blood Transfusion, Olabisi Onabanjo University Teaching Hospital Sagamu Ogun State, Nigeria.
Jazyk:	angličtina
Zdroj:	American journal of blood research [Am J Blood Res] 2021 Aug 15; Vol. 11 (4), pp. 410-416. Date of Electronic Publication: 2021 Aug 15 (Print Publication: 2021).
Abstrakt:	Background: Anaemia is common worldwide and pregnant women are one of the most vulnerable group. Although, anaemia in the general population including pregnant women is multi-factorial in aetiology, the most frequent cause in pregnancy worldwide is iron deficiency. In Nigeria, an estimated prevalence of anaemia among pregnant women ranges from 35-75%. Anaemia in pregnancy (AIP) is associated with significant perinatal and maternal morbidity and mortality including premature birth and low birth weight. Aim: The aim of this study was to determine the prevalence, demographic and socio-economic determinants of anaemia in pregnancy in a rural community of South-West Nigeria. Materials and Methods: One-hundred and fifty consenting pregnant women aged 18-42 years in the three trimesters were recruited from four primary health centres of Ikene Local Government of Ogun State of Nigeria after ethical approval was obtained from the Ethics Unit of the Medical officer of Health of the Local Government. Pre-tested interviewer-administered questionnaire was used to collect data on socio-demographic information and 24-hour dietary recall. Using a finger prick, the haemoglobin concentration of each respondent was determined with a haemoglobinometer (DG-300HB manufactured by DouBle, China). Data was analyzed using the Statistical Package for Social Sciences (SPSS) version 20. Results: All the respondents belonged to low socio-economic class. The mean haemoglobin (Hb) concentration obtained in this study was 10.22±1.60 g/dL with a range of 6-14.8 g/dL. Using WHO cut-off Hb concentration of 11 g/dL, the prevalence of anaemia in this study was 67.3%. The frequency of anaemia increased with increase in age group. P =0.010. About 21.4% of those with adequate dietary iron intake were anaemic when compared with 72.1% (98 of 136) of those with inadequate dietary iron intake who were anaemic. AOR-0.090; 95% CI- 0.018-0.457; P =0.004. Conclusion: Increasing age, low socio-economic status, poor health education and low dietary iron intake were the predominant socio-economic determinants of prenatal anaemia in the population studied. Efforts must be intensified to alleviate poverty in rural areas and give health education on iron-rich foods to girls and women of children-bearing age in the rural communities. Competing Interests: None. (AJBR Copyright © 2021.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu