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首页> 外文期刊>Journal of Nutrition & Food Sciences >Factors Associated with Anemia among Lactating Mothers in Subsistence Farming Households from Selected Districts of Jimma Zone, South Western Ethiopia: A Community Based Cross-Sectional Study
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Factors Associated with Anemia among Lactating Mothers in Subsistence Farming Households from Selected Districts of Jimma Zone, South Western Ethiopia: A Community Based Cross-Sectional Study

机译：埃塞俄比亚西南部吉马地区部分地区自给自足农户的哺乳母亲贫血相关因素：基于社区的横断面研究

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Introduction: Anemia is the most common nutritional deficiency disorder affecting one third of the global population. Lactating mothers are more susceptible because of maternal iron depletion during lactation, blood loss during childbirth and inadequate nutrient intake. Morbidity associated with chronic anemia extends to loss of productivity from impaired work capacity, cognitive impairment, and increased susceptibility to infection. Nevertheless, many Ethiopian mothers remained anemic yet the availability of information is limited. Methods: A community-based cross-sectional study was conducted among 327 randomly selected lactating mothers residing in the two districts. Interviewer administered questionnaire was used to collect demographic characteristics and anemia risk factors. Finger prick blood sample was analyzed by Hemocue device to determine hemoglobin level. Epi-data 1.4.4.0 and SPSS version 20 were used for data entry and analysis. Bivariate and multivariable regressions were used to identify candidate and predictor variables of anemia, respectively. All associations were considered statistically significant at alpha <0.05. Results: Overall, 28.7% (95% CI: 24.1%, 33.6%) of mothers were anemic with mild and moderate anemia accounting for 25.8% and 2.9%, respectively. Multi-gravidity (AOR=2.32 (95% CI: 1.12, 4.84), lower ante-natal frequency (AOR=2.37 (95% C.I.: 1.20, 4.71)), lower meal frequency/day (AOR=2.28 (95% C.I.: 1.12, 4.63)), food insecurity (AOR=4.19(2.83, 21.13)), mild undernutrition (AOR=0.35 (95% C.I.: 0.10, 0.80)) and lower dietary diversity (AOR=2.32 (95% C.I.: 1.65, 5.72)) were predictors of anemia. Conclusion: Anemia is public health problem in the study community, where one in every four lactating mothers was anemic. Antenatal follow up should be encouraged in order to reserve and prevent iron depletion during breastfeeding period, while frequent births need to be alleviated through family planning. Multi-sectoral collaboration is needed to improve the feeding practice, dietary diversity, food insecurity and undernutrition of study community in order to prevent anemia.
机译：简介：贫血是最常见的营养缺乏症，影响全球三分之一的人口。哺乳期的母亲由于哺乳期母体铁耗竭，分娩时失血以及营养摄入不足而更容易受到影响。与慢性贫血相关的发病率延伸到工作能力受损，认知障碍和对感染的易感性增加导致生产力下降。尽管如此，许多埃塞俄比亚母亲仍然贫血，但信息的可获得性有限。方法：对居住在两个地区的327名随机选择的哺乳母亲进行了基于社区的横断面研究。采访者管理的问卷用于收集人口统计学特征和贫血危险因素。用Hemocue设备分析手指刺血样品以确定血红蛋白水平。 Epi-data 1.4.4.0和SPSS版本20用于数据输入和分析。双变量和多变量回归分别用于确定贫血的候选变量和预测变量。所有关联均被认为在α<0.05时具有统计学意义。结果：总体而言，有贫血的母亲占28.7％（95％CI：24.1％，33.6％），其中轻度和中度贫血分别占25.8％和2.9％。多重力（AOR = 2.32（95％CI：1.12，4.84），产前频率较低（AOR = 2.37（95％CI：1.20，4.71）），每天进餐频率较低（AOR = 2.28（95％CI） ：1.12，4.63）），粮食不安全（AOR = 4.19（2.83，21.13）），轻度营养不良（AOR = 0.35（95％CI：0.10，0.80））和较低的饮食多样性（AOR = 2.32（95％CI：1.65） ，5.72））是贫血的预测指标结论：贫血是研究社区的公共卫生问题，每4名哺乳母亲贫血，应鼓励产前随访，以保留和防止母乳喂养期间的铁耗竭，而需要通过计划生育减轻频繁的分娩，需要多部门合作来改善喂养习惯，饮食多样性，粮食不安全和研究社区的营养不良，以预防贫血。

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