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Aetiological factors and perception of anaemia in Tunisian women of reproductive age

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Show simple item record El Ati, J. en_US Lefèvre, P. en_US Béji, C. en_US Ben Rayana, C. en_US Gaigi, S. en_US Delpeuch, F. en_US 2008-09-18T11:25:34Z 2008-09-18T11:25:34Z 2008
dc.identifier.issn 1368-9800
dc.identifier.other ITG-H2A en_US
dc.identifier.other HEALTH en_US
dc.identifier.other U-EPID en_US
dc.identifier.other JIF en_US
dc.identifier.other DOI en_US
dc.identifier.other UPD6 en_US
dc.identifier.other ABSTRACT en_US
dc.identifier.other FTA
dc.description.abstract OBJECTIVES: To identify aetiological factors in anaemia and to explore knowledge, perceptions and attitudes towards anaemia. DESIGN: Two cross-sectional surveys and sixteen focus group discussions. SETTING: The two regions with the highest prevalence of anaemia in Tunisia, Greater Tunis (GT) and the South West (SW). SUBJECTS: Two representative samples of 687 (GT) and 729 (SW) women of reproductive age; 108 women were included in focus group discussions. RESULTS: Among anaemic women, 63.4% in the GT region and 80.2% in the SW displayed iron deficiency (ID). Genetic haemoglobinopathies accounted for 10.0% and 3.6% of the cases of anaemia in the two regions, respectively. After adjustment for confounders, the major factors for iron-deficiency anaemia were low dietary Fe intake (OR = 5.0, 95% CI 3.0, 8.4), drinking tea after eating (OR = 3.4, 95% CI 2.0, 5.7) and pica (OR = 2.1, 95% CI 1.1, 3.9). Most of the women related anaemia to the following causes: malnutrition, lack of hygiene, and their heavy workload and responsibilities in the household. Many women connected anaemia with hypotension. Few established a relationship between ID and anaemia. They had confidence in their doctor for treatment, but many complained they were not given sufficient information. Low dietary Fe intake, inappropriate food practices and inadequate perceptions contribute to the aetiology of anaemia in women. CONCLUSIONS: These results point out to the need for a strategy combining food fortification, Fe supplementation for pregnant women, nutritional education for the general public and at-risk specific target groups, and training of health professionals. en_US
dc.language English en_US
dc.publisher Cambridge University Press en_US
dc.subject Blood disorders en_US
dc.subject Anemia en_US
dc.subject Iron deficiency en_US
dc.subject Etiology en_US
dc.subject Perceptions en_US
dc.subject Women en_US
dc.subject Tunisia en_US
dc.subject Africa, North en_US
dc.title Aetiological factors and perception of anaemia in Tunisian women of reproductive age en_US
dc.type Article en_US
dc.citation.issue 7 en_US
dc.citation.jtitle Public Health Nutrition en_US
dc.citation.volume 11 en_US
dc.citation.pages 729-736 en_US Cambridge en_US
dc.citation.jabbreviation Public Health Nutr en_US

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