دورية أكاديمية

Socio-economic behavioural indicators of falciparum malaria parasitaemia and moderate to severe anaemia among pregnant women attending antenatal clinics in Lagos, Southwest Nigeria.

التفاصيل البيبلوغرافية
العنوان: Socio-economic behavioural indicators of falciparum malaria parasitaemia and moderate to severe anaemia among pregnant women attending antenatal clinics in Lagos, Southwest Nigeria.
المؤلفون: Olukosi AY; Nigerian Institute of Medical Research, 6, Edmund Crescent, PMB 2013, Yaba, Lagos, Nigeria. yaolukosi@yahoo.co.uk., Olakiigbe A; Nigerian Institute of Medical Research, 6, Edmund Crescent, PMB 2013, Yaba, Lagos, Nigeria., Ajibaye O; Nigerian Institute of Medical Research, 6, Edmund Crescent, PMB 2013, Yaba, Lagos, Nigeria., Orok BA; Nigerian Institute of Medical Research, 6, Edmund Crescent, PMB 2013, Yaba, Lagos, Nigeria., Aina OO; Nigerian Institute of Medical Research, 6, Edmund Crescent, PMB 2013, Yaba, Lagos, Nigeria., Akindele SK; Nigerian Institute of Medical Research, 6, Edmund Crescent, PMB 2013, Yaba, Lagos, Nigeria., Akinyele OO; Nigerian Institute of Medical Research, 6, Edmund Crescent, PMB 2013, Yaba, Lagos, Nigeria.; College of Medicine, University of Lagos, Idi-araba, Lagos, Nigeria.; Health, Environment and Development Foundation, Surulere, Lagos, Nigeria., Onajole AT; College of Medicine, University of Lagos, Idi-araba, Lagos, Nigeria., Awolola ST; Nigerian Institute of Medical Research, 6, Edmund Crescent, PMB 2013, Yaba, Lagos, Nigeria., Arowolo T; Nigerian Institute of Medical Research, 6, Edmund Crescent, PMB 2013, Yaba, Lagos, Nigeria.; College of Medicine, University of Lagos, Idi-araba, Lagos, Nigeria.; Health, Environment and Development Foundation, Surulere, Lagos, Nigeria., Afolabi BM; Health, Environment and Development Foundation, Surulere, Lagos, Nigeria.
المصدر: Malaria journal [Malar J] 2020 Nov 07; Vol. 19 (1), pp. 393. Date of Electronic Publication: 2020 Nov 07.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 101139802 Publication Model: Electronic Cited Medium: Internet ISSN: 1475-2875 (Electronic) Linking ISSN: 14752875 NLM ISO Abbreviation: Malar J Subsets: MEDLINE
أسماء مطبوعة: Original Publication: London : BioMed Central, [2002-
مواضيع طبية MeSH: Malaria, Falciparum/*epidemiology , Parasitemia/*epidemiology , Pregnancy Complications, Parasitic/*epidemiology, Adolescent ; Adult ; Antimalarials/therapeutic use ; Female ; Humans ; Insecticide-Treated Bednets/statistics & numerical data ; Malaria, Falciparum/parasitology ; Nigeria/epidemiology ; Parasitemia/parasitology ; Parity ; Pregnancy ; Pregnancy Complications, Parasitic/parasitology ; Prenatal Diagnosis/statistics & numerical data ; Prevalence ; Socioeconomic Factors ; Young Adult
مستخلص: Background: Incidence of malaria and anaemia are of public health importance especially in pregnant women in endemic regions, due to the negative health consequences to the mother and fetus. This study aimed to assess the pattern of falciparum malaria infection and anaemia, based on malaria prevention methods practiced by participants.
Methods: A semi-structured tool was used to capture information on demographic, socio-economic and malaria prevention practices from 113 pregnant women attending antenatal clinics in 2 peri-urban health facilities in Lagos, southwest Nigeria. Malaria microscopy was conducted and haematocrit was measured. Logistic regression analysis was performed on the data collated from the survey.
Results: The prevalence of anaemia among pregnant women was 87.2%. The mean (± sd) packed cell volume (PCV) (%) of the 22 (19.5%) infected subjects (26.8 ± 6.6), was significantly lower (t = -2.60, P value = 0.007) than that of the 91 (80.5%) uninfected subjects (30.8 ± 6.0). The prevalence of infection was highest in the 3rd trimester (n = 40, 35.4%) at 27.5% (11/40) and among those in their first pregnancy (n = 32, 28.3%) at 25.0% (8/32). There was a significant difference (t = -2.23, P-value = 0.01) in the mean PCV % of pregnant women who consumed herbal teas in pregnancy (28.2 ± 5.2) compared to those who did not (30.8 ± 6.6). Regression analysis showed that first pregnancy, anti-malarial use and insecticide-treated nets use the night before study had increased odds of malaria infection in participants (OR = 1.35, P = 0.006, 95% CI 0.52-2.49; OR = 2.3, P = 0.005, 95% CI 0.14-0.41; OR = 1.92, P = 0.001, 95% CI 0.62-5.98) while intermittent preventive treatment (IPT) participation and formal education were strongly and significantly associated with lower risk of parasitaemia (OR = 0.95, P = 0.025, 95% CI 0.41-2.26; OR = 0.44, P = 0.005, 95% CI 0.34-10.50).
Conclusion: Interventions that will reduce malaria and moderate to severe anaemia, especially in a first pregnancy, should include education on the correct use of long-lasting insecticide-treated bed nets (LLIN), IPT and the dangers of herbal teas in pregnancy.
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فهرسة مساهمة: Keywords: Anaemia; Behavioural factors; Malaria; Pregnancy; Southwest Nigeria
المشرفين على المادة: 0 (Antimalarials)
تواريخ الأحداث: Date Created: 20201108 Date Completed: 20210614 Latest Revision: 20210614
رمز التحديث: 20240829
مُعرف محوري في PubMed: PMC7648425
DOI: 10.1186/s12936-020-03462-8
PMID: 33160357
قاعدة البيانات: MEDLINE
الوصف
تدمد:1475-2875
DOI:10.1186/s12936-020-03462-8