Mohamed Ag Ayoya|Gerburg Maria Spiekermann?Brouwer|Abdel Kader Traoré|Rebecca J. Stoltzfus|Cutberto Garza
Determinants of Anemia among Pregnant Women in Mali
Cornell University
anemia pregnancy remains major problem nearly developing many industrialized countries mali subpopulation prevalence etiology anemia pregnancy largely unknownto examine prevalence likely etiologies anemia pregnancy poor urban population bamako malipregnant women n 190 selected randomly hemoglobin serum iron total ironbinding capacity measured blood smears examined plasmodium falciparum malaria single stool urine samples examined schistosoma haematobium hookworm gynecologic examinations performed interviews conducted qualitatively assess food consumption socioeconomic characteristics associations among mild moderate severe anemia iron parasite status erythrocyte sedimentation rates presence abnormal vaginal discharge evaluated differences hemoglobin serum iron concentrations total ironbinding capacity anemia compared according trimester pregnancy infected noninfected women relative attributable risks anemia calculated adjusted odds ratios anemia low serum iron estimated multivariate logistic regressionof 131 women complete data available 47 hemoglobin concentrations 110 gl 13 serum iron concentrations 12 micromoll none transferrin saturation values 16 11 23 8 harbored p falciparum haematobium hookworm respectively 82 abnormal vaginal discharge food restrictions reported 45 women abnormal vaginal discharge correlated significantly anemia pearson chi2 624 p 01 univariate multivariate analyses found infections strongly associated predictive anemiaour data suggest infections food accessibility contribute high rates anemia pregnancy mali