The effects of malaria and HIV co-infection on hemoglobin levels among pregnant women in Sekondi-Takoradi, Ghana.

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  • Author(s): Orish VN;Orish VN; Onyeabor OS; Boampong JN; Acquah S; Sanyaolu AO; Iriemenam NC
  • Source:
    International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics [Int J Gynaecol Obstet] 2013 Mar; Vol. 120 (3), pp. 236-9. Date of Electronic Publication: 2012 Dec 04.
  • Publication Type:
    Journal Article; Multicenter Study
  • Language:
    English
  • Additional Information
    • Source:
      Publisher: Wiley Country of Publication: United States NLM ID: 0210174 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1879-3479 (Electronic) Linking ISSN: 00207292 NLM ISO Abbreviation: Int J Gynaecol Obstet Subsets: MEDLINE
    • Publication Information:
      Publication: 2017- : Malden, MA : Wiley
      Original Publication: [New York, NY] Hoeber Medical Division, Harper & Row, [c1969-
    • Subject Terms:
      HIV* ; Pregnancy Complications, Infectious*; Anemia/*etiology ; HIV Infections/*complications ; Hemoglobins/*analysis ; Malaria/*complications; Adolescent ; Adult ; Anemia/blood ; Cohort Studies ; Coinfection ; Cross-Sectional Studies ; Female ; Ghana ; HIV Infections/blood ; Humans ; Logistic Models ; Malaria/blood ; Malaria/prevention & control ; Malaria, Falciparum/blood ; Malaria, Falciparum/complications ; Malaria, Falciparum/prevention & control ; Pregnancy ; Pregnancy Complications, Parasitic ; Risk Factors ; Young Adult
    • Abstract:
      Objective: To assess the burden of maternal malaria and HIV among pregnant women in Ghana and to determine the risk of anemia among women with dual infection.
      Methods: A cross-sectional study was conducted at 4 hospitals in the Sekondi-Takoradi metropolis, Ghana. The study group comprised 872 consenting pregnant women attending prenatal care clinics. Venous blood samples were screened for malaria, HIV, and hemoglobin level. Multivariate logistic regression analysis was performed to determine the association between malaria, HIV, and risk of anemia.
      Results: In all, 34.4% of the study cohort had anemia. Multivariate logistic regression analysis indicated that pregnant women with either malaria (odds ratio 1.99; 95% confidence interval, 1.43-2.77; P=<0.001) or HIV (odds ratio 1.78; 95% confidence interval, 1.13-2.80; P=0.014) had an increased risk of anemia. In adjusted models, pregnant women co-infected with both malaria and HIV displayed twice the risk of anemia. The adjusted odds ratio was 2.67 (95% confidence interval, 1.44-4.97; P=0.002).
      Conclusion: Pregnant women infected with both malaria and HIV are twice as likely to be anemic than women with a single infection or no infection. Measures to control malaria, HIV, and anemia during pregnancy are imperative to improve birth outcomes in this region of Ghana.
      (Copyright © 2012 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.)
    • Accession Number:
      0 (Hemoglobins)
    • Publication Date:
      Date Created: 20121211 Date Completed: 20130821 Latest Revision: 20161229
    • Publication Date:
      20231215
    • Accession Number:
      10.1016/j.ijgo.2012.09.021
    • Accession Number:
      23219288