加纳坦农村地区孕产妇铁营养和补充知识的相关因素

Listowel F., A. K., Naomi K.Y.
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摘要

背景:在加纳,孕妇患缺铁性贫血的风险很高。尽管为预防妊娠期缺铁性贫血提供了铁营养教育和补充,但妊娠期缺铁性贫血的估计患病率相对较高。由于数据有限,相关因素如孕产妇铁营养知识和补充治疗尚不清楚。目的:本研究旨在评估加纳坦区农村孕产妇对铁营养和补充的知识及其相关因素。方法:采用横断面定量资料。数据是从在坦区任何卫生设施产前诊所就诊的480名孕妇样本中收集的。对十个卫生设施进行了分层,向十个设施中的每个设施分配的样本与规模成比例。采用简单随机抽样的方法,从每个保健机构编制的已登记产前母亲名单中选择个别参与者。结果:总的来说,36%的参与者报告有足够的铁营养和补充知识。丈夫未受过正规教育/初等教育(AOR=0.0078(95% CI: 0.021, 0.294)、中等教育/初中教育(AOR=0.223(95% CI: 0.067, 0.743)的孕妇对铁营养和补充知识的了解程度相关。有一个孩子的孕妇(AOR= 0.150 (95% CI: 0.053, 0.426)和有两个孩子的孕妇(AOR= 0.375(95% CI: 0.146, 0.963)对铁营养和补充有足够知识的几率较低。结论:孕产妇对铁营养及补充预防缺铁性贫血的知识知晓率较低。应加强铁营养和补铁治疗的健康教育。
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Factors Associated with Maternal Knowledge of Iron Nutrition and Supplementation in the Rural Tain District, Ghana
Background: Pregnant women are at a high risk of iron deficiency anaemia in Ghana. Despite the provision of iron nutrition education and supplementation for the prevention of iron deficiency anaemia in pregnancy, the estimated prevalence of iron deficiency anaemia in pregnancy is relatively high. The associated factors such as maternal knowledge of iron nutrition and supplementation therapy are not clear due to limited data. Objective: This study aims to assess maternal knowledge of iron nutrition and supplementation and associated factors in the rural Tain District of Ghana. Method: Cross-sectional quantitative data was used. Data was collected from a sample of 480 pregnant women attending antenatal clinics in any of the health facilities in the Tain district. The ten health facilities were stratified and the allocation of samples to each of the ten facilities was proportionate to size. Simple random sampling was used to select individual participants from a compiled list of registered antenatal mothers in each health facility. Results: In all, 36% of participants reported having adequate knowledge of iron nutrition and supplementation. Pregnant women whose husbands have no formal/Primary education (AOR=0.0078(95% CI: 0.021, 0.294), Middle/JHS education (AOR=0.223(95% CI: 0.067, 0.743) were associated with a knowledge of iron nutrition and supplementation. Pregnant women who have one child (AOR= 0.150 (95% CI: 0.053, 0.426) and those who have two children (AOR= 0.375(95% CI: 0.146, 0.963) had lower odds of adequate knowledge of iron nutrition and supplementation. Conclusion: Maternal knowledge of iron nutrition and supplementation for the prevention of iron deficiency anaemia is low. Health education on iron nutrition and supplementation therapy should be strengthened.
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