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首页> 外文期刊>International Journal of Reproductive Medicine >Hookworm Infection among Pregnant Women at First Antenatal Visit in Lira, Uganda: A Cross-Sectional Study
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Hookworm Infection among Pregnant Women at First Antenatal Visit in Lira, Uganda: A Cross-Sectional Study

机译：在乌干达莱拉的第一次孕妇中钩虫感染在乌干达的第一次出现访问：横断面研究

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Background. Hookworm infection in expectant mothers has adverse health effects on both the mothers and their unborn babies. Foetal effects are known to include intrauterine growth retardation and physical and mental growth retardation, while the mothers may develop anemia which could potentially result in death. Unfortunately, little is known about factors that may predispose a pregnant woman to infection by hookworm. In this study, we strived to determine not only the prevalence of hookworm infection among pregnant women attending their first antenatal visit during the current pregnancy in a local health center in northern Uganda but also factors that might predispose them to hookworm infection. Method. This cross-sectional study was conducted among 346 pregnant women from Ogur Health Center IV located in Lira district, northern Uganda. Stool samples were collected from each study participant and analyzed for hookworms. The independent variables listed in this study (participant’s sociodemographic characteristics, preconception care, and sanitation factors) were obtained using a structured questionnaire. Data analysis, including calculation of adjusted ratios, was performed using STATA software (version 14). Results. Prevalence of hookworm infection among pregnant women who attended their first antenatal visit at Ogur Health Center IV was 11% (n=38). After controlling for confounders, factors found to be significantly associated with this infection among pregnant women here were gardening barefooted (adjusted odds ratio (AOR), 3.4; 95% confidence interval (CI), 1.6 to 7.5; P0.001) and fetching unsafe water shared with animals for domestic uses (AOR, 2.8; 95% CI, 1.3 to 6.2; P value of 0.002). Conclusion. Hookworm infection among pregnant women at Ogur Health Center IV in Lira district, at 11%, is a public health concern and significantly associated with barefoot gardening and fetching water from unsafe sources shared with animals. We, therefore, recommend that special emphasis during routine prenatal health education be placed on the use of protective footwear during farming and fetching water for domestic use from protected safe sources. Author Summary. Hookworm infection is a parasitic condition that more often goes unnoticed, yet it presents immense detrimental effects, especially to pregnant women and their unborn children. It is a chronic disease with accruing effects of blood depletion resulting in anemia. Anemia is, by far, one of the major causes of maternal morbidity and mortality in Uganda. Pregnant women are more prone to hookworm infection by virtue of their compromised immunity, secondary to the physiological process of pregnancy. We demonstrated here that hookworm infection still exists among pregnant women in Uganda. We also showed that gardening barefooted and fetching water for domestic uses from unsafe sources shared with animals were major factors associated with this helminthic infection. This study provides evidence necessary to influence decision making on prevention of hookworm infection in the study area.
机译：背景。预期母亲的钩虫感染对母亲和未出生的婴儿对母亲的影响不良。已知胎儿效应包括宫内生长迟滞和身心延迟，而母亲可能会培养贫血，这可能导致死亡。不幸的是，关于可能使孕妇通过钩虫感染感染的因素很少。在这项研究中，我们努力确定在乌干达北部的当地健康中心的当地健康中心的第一次出现期间患有第一次出现的孕妇中钩虫感染的患病率，但也可能使他们能够使他们陷入钩虫感染的因素。方法。这项横断面研究是在乌干达北部Lira区的Ogur Health Center IV的346名孕妇中进行的。从每项研究参与者收集粪便样本，并分析钩虫。使用结构化问卷获得本研究中列出的独立变量（参与者的社会碘目特征，先入幻想和卫生因素）。使用STATA软件（版本14）执行数据分析，包括调整后比率的计算。结果。参加Ogur Health Center IV的第一次出现访问的孕妇钩虫感染的患病率为11％（n = 38）。在控制混淆后，赤行孕妇的孕妇中发现与这种感染有明显相关的因素（调整的赔率比（AOR），3.4; 95％置信区间（CI），1.6至7.5; P <0.001）并取得不安全与动物共享的水用于国内用途（AOR，2.8; 95％CI，1.3至6.2; P值为0.002）。结论。 Lira区Ogure Health Center IV患者兔虫感染，占地11％，是公共卫生问题，与赤脚园艺和从与动物共享的不安全来源拿走水显着相关。因此，我们建议在营养产前健康教育期间特别强调在农业和取水期间使用防护鞋类，以供水的安全来源。作者摘要。钩虫感染是一种寄生条件，更常常被忽视，但它提出了巨大的有害影响，尤其是孕妇和未出生的孩子。它是一种慢性疾病，血液耗水效应患有贫血。贫血症是，到目前为止，乌干达孕产妇发病率和死亡率的主要原因之一。孕妇凭借其受损的豁免权，孕妇更容易发生钩虫感染，继发于怀孕的生理过程。我们在此证明，钩虫感染仍然存在于乌干达的孕妇。我们还表明，与与动物共享的不安全来源赤足和获取水的园艺和获取水的园艺是与这种蠕虫感染相关的主要因素。本研究提供了影响研究区内预防钩虫感染的决策所必需的证据。

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