中国六省(自治区)孕产妇孕期铁剂补充状况及其影响因素分析  

Analysis on the status of iron supplements during pregnancy and its influencing factors among pregnant women and puerperas in six provinces(autonomous regions)of China

作　　者：刘利君 杨琦[2] 张英奎[3] 刘智昱[4] 吴云涛[5] 阿不都克里木·依不拉音 孟庆有 万英[8] 狄江丽[1] LIU Lijun;YANG Qi;ZHANG Yingkui;LIU Zhiyu;WU Yuntao;ABuDouKeLiMu·YIBULAYIN;MENG Qingyou;WAN Ying;DI Jiangli(National Center for Women and Children′s Health ,China Beijing 100081,China)

机构地区：[1]中国疾病预防控制中心妇幼保健中心妇幼健康监测室,北京100081 [2]中国疾病预防控制中心妇幼保健中心健康教育室 [3]河北省妇幼保健中心信息管理科 [4]湖南省妇幼保健院妇幼适宜技术培训推广中心 [5]广东省妇幼保健院保健部 [6]新疆维吾尔自治区妇幼保健中心妇幼信息管理科 [7]济南市妇幼保健院妇女保健所 [8]云南省妇幼保健院信息中心科

出　　处：《中国生育健康杂志》2021年第5期401-406,426,共7页Chinese Journal of Reproductive Health

基　　金：联合国儿童基金会孕产妇贫血防治研究项目(IMCHD project 1.4.1.1)。

摘　　要：目的了解并分析中国6省(自治区)孕产妇孕期铁剂补充状况及其影响因素。方法2019年10月—2020年2月以方便抽样原则在监测地区的6个省(自治区)纳入1714名孕产妇作为调查对象,问卷调查收集其人口学特征、孕期铁剂补充等情况,采用多因素Logistics回归分析相关影响因素。结果被调查的孕产妇中,孕期从未补充过铁剂、偶尔补充过、一直补充的比例分别为61.9%、23.6%和14.4%。孕期从未补充铁剂最主要的原因是“认为没必要”(53.4%),其次是“医生没有告知”(19.2%)和“总忘记吃”(9.6%)。多因素Logistic回归结果显示,东部和西部地区孕产妇孕期铁剂补充率显著高于中部地区,分别是中部地区的1.50倍(OR=1.50,95%CI:1.06~2.11)和1.52倍(OR=1.52,95%CI:1.07~2.16);北方是南方的1.54倍(OR=1.54,95%CI:1.18~2.03);中孕期、晚孕期妇女以及产妇分别是早孕期妇女的1.58倍(OR=1.58,95%CI:1.02~2.44)、2.56倍(OR=2.56,95%CI:1.66~3.97)和3.52倍(OR=3.52,95%CI:2.27~5.46);在孕期进行过铁蛋白检测者是未检测的1.36倍(OR=1.36,95%CI:1.02~1.83);贫血者是不贫血者的1.71倍(OR=1.71,95%CI:1.16~2.52);铁缺乏症者是无铁缺乏者的2.91倍(OR=2.91,95%CI:1.91~4.42)。结论调查地区的孕产妇孕期铁剂补充率较低,不同地区、地域、人群间铁剂补充率存在较大差异,应有针对性地开展健康教育,以促进孕期合理补充铁剂。Objective To understand and analyze the status of iron supplements during pregnancy and its influencing factors among pregnant women and puerperas in six provinces(autonomous regions)of China.MethodsFrom October 2019 to February 2020,1714 pregnant women and puerperas were recruited in 6 provinces(autonomous regions)of the surveillance areas by convenient sampling,the information about the demographic characteristics and iron supplements during pregnancy among the pregnant women and puerperas were collected with questionnaire.Logistic regression analysis was used to analyze the influencing factors of iron supplements.ResultsAmong the pregnant women and puerperas,the proportion of never took iron supplements during pregnancy,occasionally,and continuously was 61.9%、23.6%and 14.4%respectively.The main reason for never taking iron supplements during pregnancy was that think unnecessary(53.4%),not be told by doctor(19.2%),always forget(9.6%).The results of multivariate logistic regression showed that the iron supplements rate of women in the eastern and western regions was significantly higher than that in the central regions,which was 1.50 times(OR=1.50,95%CI:1.06-2.11)and 1.52 times(OR=1.52,95%CI:1.07-2.16)higher than that in the central regions,respectively.The iron supplements rate of women in the north area was 1.54 times(OR=1.54,95%CI:1.18-2.03)higher than that in the south area.The iron supplements rate of women in second trimester,women in third trimester and women in puerpera was 1.58 times(OR=1.58,95%CI:1.02-2.44),2.56 times(OR=2.56,95%CI:1.66-3.97)and 3.52 times(OR=3.52,95%CI:2.27-5.46)higher than that women in first trimester,respectively.The iron supplements rate of women who had ferritin examination during pregnancy was 1.36 times(OR=1.36,95%CI:1.02-1.83)higher than that without ferritin examination.The iron supplements rate of women with anemia and iron deficiency was 1.71 times(OR=1.71,95%CI:1.16-2.52)and 2.91 times(OR=2.91,95%CI:1.91-4.42)higher than that of women without anemia and iron deficiency,r

关 键 词：孕产妇 铁剂补充 监测地区 

分 类 号：R71[医药卫生—妇产科学]