Anemia in pregnancy in Malaysia: a cross-sectional survey

Anemia is the most prevalent nutritional deficiency during pregnancy. Except for a study conducted 10 years ago in Kelantan, Malaysia's available statistics are based on isolated small urban maternity hospital studies from the 1980s. There was therefore, a need for a large study at national lev...

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Main Authors: Haniff, Jamaiyah, Das, Anita, Lim, Teck Onn, Chen, Won Sun, Mohd Nordin, Noraihan, Lekhraj Rampal, Sanjay Rampal, Bahrin, Safiah, Ganeslingam, Muralitharan, K. Kularatnam, Kumar Iswaran, Mohd Zaher, Zaki Morad
Format: Article
Language:English
Published: HEC Press 2007
Online Access:http://psasir.upm.edu.my/id/eprint/37820/1/Anemia%20in%20pregnancy%20in%20Malaysia%20a%20cross-sectional%20survey.pdf
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author Haniff, Jamaiyah
Das, Anita
Lim, Teck Onn
Chen, Won Sun
Mohd Nordin, Noraihan
Lekhraj Rampal, Sanjay Rampal
Bahrin, Safiah
Ganeslingam, Muralitharan
K. Kularatnam, Kumar Iswaran
Mohd Zaher, Zaki Morad
author_facet Haniff, Jamaiyah
Das, Anita
Lim, Teck Onn
Chen, Won Sun
Mohd Nordin, Noraihan
Lekhraj Rampal, Sanjay Rampal
Bahrin, Safiah
Ganeslingam, Muralitharan
K. Kularatnam, Kumar Iswaran
Mohd Zaher, Zaki Morad
author_sort Haniff, Jamaiyah
collection UPM
description Anemia is the most prevalent nutritional deficiency during pregnancy. Except for a study conducted 10 years ago in Kelantan, Malaysia's available statistics are based on isolated small urban maternity hospital studies from the 1980s. There was therefore, a need for a large study at national level to estimate the magnitude of the problem in the country as well as to understand its epidemiology. This multi-center, cross-sectional study was conducted from February to March 2005, to assess the prevalence of anemia. Multistage stratified random sampling technique was used and 59 Ministry of Health (MOH) primary health care clinics were selected. Our final dataset consisted of 1,072 antenatal mothers from 56 clinics. The overall prevalence of anemia in this population was 35 % (SE 0.02) if the cut off level is 11 g/dL and 11 % (SE 0.03) if the cut-off level is 10 g/dL. The majority was of the mild type. The prevalence was higher in the teenage group, Indians followed by Malays and Chinese being the least, grandmultiparas, the third trimester and from urban residence. After multiple linear regression analysis, only gestational age remained significant. These findings are useful for our Maternal Health program planners and implementers to target and evaluate interventions. Work is in progress for outcomes and cost-effectiveness studies to best tackle this problem. In conclusion, the prevalence of anemia is 35% and mostly of the mild type and more prevalent in the Indian and Malays.
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spelling upm.eprints-378202016-04-06T03:00:38Z http://psasir.upm.edu.my/id/eprint/37820/ Anemia in pregnancy in Malaysia: a cross-sectional survey Haniff, Jamaiyah Das, Anita Lim, Teck Onn Chen, Won Sun Mohd Nordin, Noraihan Lekhraj Rampal, Sanjay Rampal Bahrin, Safiah Ganeslingam, Muralitharan K. Kularatnam, Kumar Iswaran Mohd Zaher, Zaki Morad Anemia is the most prevalent nutritional deficiency during pregnancy. Except for a study conducted 10 years ago in Kelantan, Malaysia's available statistics are based on isolated small urban maternity hospital studies from the 1980s. There was therefore, a need for a large study at national level to estimate the magnitude of the problem in the country as well as to understand its epidemiology. This multi-center, cross-sectional study was conducted from February to March 2005, to assess the prevalence of anemia. Multistage stratified random sampling technique was used and 59 Ministry of Health (MOH) primary health care clinics were selected. Our final dataset consisted of 1,072 antenatal mothers from 56 clinics. The overall prevalence of anemia in this population was 35 % (SE 0.02) if the cut off level is 11 g/dL and 11 % (SE 0.03) if the cut-off level is 10 g/dL. The majority was of the mild type. The prevalence was higher in the teenage group, Indians followed by Malays and Chinese being the least, grandmultiparas, the third trimester and from urban residence. After multiple linear regression analysis, only gestational age remained significant. These findings are useful for our Maternal Health program planners and implementers to target and evaluate interventions. Work is in progress for outcomes and cost-effectiveness studies to best tackle this problem. In conclusion, the prevalence of anemia is 35% and mostly of the mild type and more prevalent in the Indian and Malays. HEC Press 2007 Article PeerReviewed application/pdf en http://psasir.upm.edu.my/id/eprint/37820/1/Anemia%20in%20pregnancy%20in%20Malaysia%20a%20cross-sectional%20survey.pdf Haniff, Jamaiyah and Das, Anita and Lim, Teck Onn and Chen, Won Sun and Mohd Nordin, Noraihan and Lekhraj Rampal, Sanjay Rampal and Bahrin, Safiah and Ganeslingam, Muralitharan and K. Kularatnam, Kumar Iswaran and Mohd Zaher, Zaki Morad (2007) Anemia in pregnancy in Malaysia: a cross-sectional survey. Asia Pacific Journal of Clinical Nutrition, 16 (3). pp. 527-536. ISSN 0964-7058; ESSN: 1440-6047 http://apjcn.nhri.org.tw/server/APJCN/16/3/index.php
spellingShingle Haniff, Jamaiyah
Das, Anita
Lim, Teck Onn
Chen, Won Sun
Mohd Nordin, Noraihan
Lekhraj Rampal, Sanjay Rampal
Bahrin, Safiah
Ganeslingam, Muralitharan
K. Kularatnam, Kumar Iswaran
Mohd Zaher, Zaki Morad
Anemia in pregnancy in Malaysia: a cross-sectional survey
title Anemia in pregnancy in Malaysia: a cross-sectional survey
title_full Anemia in pregnancy in Malaysia: a cross-sectional survey
title_fullStr Anemia in pregnancy in Malaysia: a cross-sectional survey
title_full_unstemmed Anemia in pregnancy in Malaysia: a cross-sectional survey
title_short Anemia in pregnancy in Malaysia: a cross-sectional survey
title_sort anemia in pregnancy in malaysia a cross sectional survey
url http://psasir.upm.edu.my/id/eprint/37820/1/Anemia%20in%20pregnancy%20in%20Malaysia%20a%20cross-sectional%20survey.pdf
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