Malaria and anemia in antenatal women in Blantyre, Malawi: a twelve-month survey
| Autor: | Chisale Mhango, C. Qongwane, Malcolm E. Molyneux, N van den Broek, Stephen J. Rogerson, Ebbie Chaluluka |
|---|---|
| Rok vydání: | 2000 |
| Předmět: |
Adult
Malawi Pediatrics medicine.medical_specialty Anemia Parasitemia Hemoglobins Pregnancy Virology parasitic diseases Epidemiology Prevalence medicine Humans business.industry Age Factors medicine.disease Sulfadoxine/pyrimethamine Malaria Pregnancy Complications Low birth weight Infectious Diseases Tropical medicine Regression Analysis Female Parasitology Seasons medicine.symptom business medicine.drug |
| Zdroj: | The American Journal of Tropical Medicine and Hygiene. 62:335-340 |
| ISSN: | 1476-1645 0002-9637 |
| DOI: | 10.4269/ajtmh.2000.62.335 |
| Popis: | Malaria and anemia are common in pregnant African women. We screened 4,764 Malawian women at first antenatal visits for malaria and anemia. A total of 42.7% had a malaria infection, which was more common and of higher density in primigravidae (prevalence = 47.3%, geometric mean = 332 parasites/microl) and teenagers (49.8%, 390/microl) than in multigravidae (40.4%, 214/microl) or older women (40.6%, 227/microl). However, 35% of gravida 3+ women were parasitemic. A total of 57.2% of the women was anemic (hemoglobin < 11 g/dl), with moderate anemia (7.0-8.9 g/dl) in 14.9% and severe anemia (< 7 g/dl) in 3.2%. Prevalences of malaria and anemia were highest in the rainy season. Women with moderate/severe anemia had higher parasite prevalences and densities than women with mild/no anemia. Logistic regression showed that age, season, and trimester of presentation were significantly associated with the prevalence of malaria, but gravidity was not. In this urban setting, age and season are more important than gravidity as predictors of malaria at first antenatal visit, and parasitemia is frequent in women of all gravidities. |
| Databáze: | OpenAIRE |
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