[Prevalence and sociodemographic factors associated with iron deficiency anemia in pregnant women of Colombia (secondary analysis of the ENSIN 2010)].

Abstract:

Introduction:Objective: iron deficiency anemia is associated with adverse results for health and it is highly prevalent worldwide. The current study evaluated the prevalence and the sociodemographic factors associated with iron deficiency anemia in a sample of Colombian pregnant women. Materials and methods: the secondary analysis for the obtained information at the National Nutrition Survey (ENSIN) 2010 of Colombia in a probabilistic sample of 1,385 pregnant women between 13 and 49 years old. Hemoglobin concentration, ferritin plasmatic levels, sociodemographic levels and factors (age, escolarity, socioeconomic level, geographic area, region, ethnic group, tobacco habits), and body mass index according on the weeks of gestation were determined. There were made normality tests, measure comparisons, and association between logistic regression models. Results: the prevalence of Iron deficiency anemia (hemoglobin < 11 g/dL and ferritin < 12 μg/L) was 11.0% (CI95% = 9.7-12.6). The highest prevalence was found in pregnant women without any escolarity (19.4%; CI95% = 8.0-33.3), women in a socioeconomic level I (12.7%; CI95% = 10.3-14.9), that live in the Atlantic or Pacific regions (16.0%; CI95% = 12.0-20.4 and 12.7%; CI95% = 8,3-17,1 respectively), and Afro-Colombian women (18.6%; IC95% = 12.1-23.9). Iron deficiency anemia was associated with living in the Atlantic region OR 7.21 (CI95% 1.71-30.33), Oriental OR 4.50 (CI95% 1.01-20.04), Pacific OR 5.51 (CI95% 1.27-23.88), national territory OR 4.37 (CI95% 1.03-18.57) and belonging to an Afro-Colombian ethnic group OR 2.19 (CI95% 1.40-3.42). Conclusions: the studied population presents a high prevalence of iron deficiency anemia and it is associated with the residency region and ethnic group. Introducción:Objetivo: la anemia ferropénica se asocia con resultados adversos para la salud y es altamente prevalente a nivel mundial. El presente estudio evaluó prevalencia y factores sociodemográficos asociados con anemia ferropénica en una muestra de mujeres embarazadas colombianas. Materiales y métodos: análisis secundario de la información obtenida en la Encuesta Nacional de la Situación Nutricional (ENSIN) 2010 de Colombia, en una muestra probabilística de 1.385 mujeres gestantes entre 13 y 49 años. Se determinaron concentración de hemoglobina, niveles plasmáticos de ferritina, niveles y factores sociodemográficos (edad, escolaridad, nivel socioeconómico, área geográfica, región, grupo étnico, hábito tabáquico) e índice de masa corporal según semanas de gestación. Se realizaron pruebas de normalidad, comparación de medias y asociaciones mediante modelos de regresión logística. Resultados: la prevalencia global de anemia ferropénica (hemoglobina < 11 g/dL y ferritina < 12 μg/L) fue de 11,0% (IC95% = 9,7-12,6). Las prevalencias más altas se encontraron en mujeres sin ningún grado de escolaridad (19,4%; IC95% = 8,0-33,3), mujeres del nivel I socioeconómico (12,7%; IC95% = 10,3-14,9) que habitan en la región atlántica o pacífica (16,0%; IC95% = 12,0-20,4 y 12,7%; IC95% = 8,3-17,1, respectivamente) y mujeres afrocolombianas (18,6%; IC95% = 12,1-23,9). Se asoció anemia ferropénica con vivir en la región atlántica OR 7,21 (IC95% 1,71-30,33), oriental OR 4,50 (IC95% 1,01-20,04), pacífica OR 5,51 (IC95% 1,27-23,88), territorios nacionales OR 4,37 (IC95% 1,03-18,57) y pertenecer a etnia afrocolombiana OR 2,19 (IC95% 1,40-3,42). Conclusiones: la población estudiada presenta una alta prevalencia de anemia ferropénica y está asociada con la región de residencia y grupo étnico.

journal_name

Nutr Hosp

journal_title

Nutricion hospitalaria

authors

Rincón-Pabón D,Urazán-Hernández Y,Gonzalez-Santamaria J

doi

10.20960/nh.1895

subject

Has Abstract

pub_date

2019-03-07 00:00:00

pages

87-95

issue

1

eissn

0212-1611

issn

1699-5198

journal_volume

36

pub_type

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