Date Available

12-18-2018

Year of Publication

2018

Document Type

Graduate Capstone Project

Degree Name

Master of Public Health (M.P.H.)

College

Public Health

Faculty

Dr. Melody Ryan

Faculty

Dr. Sarah Wackerbarth

Faculty

Dr. Steven Fleming

Abstract

BACKGROUND: Shoulder to Shoulder Global (STSG) recognizes anemia as a cause of morbidity among patients in Santo Domingo, Ecuador. Little research has been done to assess targetable anemia risk factors to serve as a foundation for future pharmacotherapeutic interventions. This study sought to identify risk factors for anemia in this population.

METHODS: Data obtained from existing patient records from January 1, 2010 to August 31, 2016 included hemoglobin/hematocrit, age, sex, pregnancy status, and presenting community. Chi-square tests compared means to examine risk factors associated with anemia. Poisson regression and incidence rate ratios (IRR) were used to estimate risk factors associated with anemia.

RESULTS: Of the 1145 subjects with complete data for analysis, 67.2% were female, 33% were children under five, 1.6% were pregnant, and 42.8% were anemic. Subjects were distributed throughout the seven communities with 11.2% presenting from an indigenous community. Risk factors for anemia were age <5 years and presenting from the communities of Plan de Vivienda, Los Naranjos, or El Bua. Neither sex, nor pregnancy were significantly associated risk factors with anemia.

CONCLUSION: Risk factors for anemia in this population have not previously been determined. In this study, risk factors were age group <5 years and presentation from three different communities. A limitation of the study is its observational design. Additional research should evaluate the effectiveness of STSG health interventions on anemia.

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