Awareness among Parents of Beta Thalassemia Major and Intermedia Patients in Three Centers in Baghdad and Al-Nasiriyah, Iraq in 2017

Authors

  • Mohammed Tareq Mutar Student at Baghdad University College of Medicine
  • Mustafa Majid Student at Baghdad University College of Medicine
  • Ammar Jaleel Student at Baghdad University College of Medicine
  • Ali Saad Student at Baghdad University College of Medicine
  • Ali Abdulmortafea Student at Baghdad University College of Medicine
  • Hashim Talib Student at Baghdad University College of Medicine

DOI:

https://doi.org/10.5195/ijms.2019.315

Keywords:

Thalassemia, Awareness, Prevention, Transmission, Blood Transfusion

Abstract

Background: Thalassemia is an autosomal recessive disease common in Iraq with a prevalence of 35.7 per 100000. Beta thalassemia major is a life-threatening condition with many complications which if not managed could cause death at an early age. This cross-sectional study aimed to assess the awareness of parents/caregivers of children with beta-thalassemia major and intermedia, as enhancing awareness is the first and the most important step in all prevention programs

Methods: We conducted this study in three thalassemia centers (two in Baghdad and one in Al-Nasiriyah) from July 20th, 2017 to September 20th, 2017. This study involved 193 parents of thalassemic children under the age of 15 who come to the centers frequently for blood transfusion. The study assessed the awareness questionnaire through interviews. Data analysis was performed using the Statistical Package for the Social Sciences program (SPSS) version 24.

Results: We found that awareness was low in many aspects. The highest knowledge was for foods that thalassemic patients shouldn't eat and for the early manifestation signs in thalassemic patients which is 94.8% and 86%, respectively. The lowest knowledge was for the consideration of human immune deficiency virus as a transfusion-transmitted disease and for the chance of having an affected child when both parents are carriers which were 37.3% and 11.9%, respectively.

Conclusion: Parents have low awareness of thalassemia in many aspects. Thalassemia care centers may need to provide more education for the parents of patients with thalassemia.

Metrics

Metrics Loading ...

References

Mohan H. Textbook of Pathology. 7 ed. New Delhi: Jaypee Brothers Medical Publishers; 2015.

Colledge N, Davidson S, Ralston S, Walker B. Davidson's principles and practice of medicine. 21 ed. Edinburgh, New York: Churchill Livingstone/Elsevier, 2010. P.1029-1030.

Modell B, Darlison M. Global epidemiology of haemoglobin disorders and derived service indicators. Bull World Health Organ. 2008;86(6):480–487.

Kadhim KA, Baldawi KH. Lami FH. Prevalence, Incidence, Trend, and Complications of Thalassemia in Iraq. Hemoglobin. 2017 May;41(3):164-168.

Muncie HL Jr, Campbell J. α And β thalassemia. Am Fam Physician. 2009;80(4):339–344.

Saxena R, Banerjee T, Aniyery RB. Thalassemia and its Management during Pregnancy. World J Anemia. 2017;1(1):5-17.

Vichinsky EP. Changing patterns of thalassemia worldwide. Ann NY Acad Sci. 2005;1054:18–24.

AL Jadir SM, Jalal MZ, AL Ghreer MF, AL Hamdani MS, AL Omaree WR. Osteoporosis in Iraqi patients with thalassemia. Arthritis Res Ther. 2012;14(Suppl 1):P4.

Karakas S, Tellioglu AM, Bilgin M, Omurlu IK, Caliskan S, Coskun S. Craniofacial Characteristics of Thalassemia Major Patients. Eurasian J Med. 2016 Oct;48(3):204–208.

Amini F, Jafari A, Eslamian L, Sharifzadeh S: A cephalometric study on craniofacial morphology of Iranian children with beta-thalassemia major. Orthod Craniofacial Res, 2007;10:36–44

Abdulzahra MS, Al-Hakeim HK, Ridha MM. Study of the effect of iron overload on the function of endocrine glands in male thalassemia patients. Asian J Transfus Sci. 2011 Jul-Dec;5(2):127–131.

Kremastinos DT, Farmakis D, Aessopos A, Hahalis G, Hamodraka E, Tsiapras D, et al. β-Thalassemia Cardiomyopathy. Circulation: Heart Failure. 2010;3:451-458.

Arif F, Fayyaz J, Hamid A. Awareness among parents of children with thalassemia major. J Pak Med Assoc. 2008;58:621-3.

Anie KA, Massaglia P. Psychological therapies for thalassaemia. Cochrane Database Syst Rev. 2014 Mar 6;(3):CD002890.

Jenn NC. Designing A Questionnaire. Malays Fam Physician. 2006;1(1):32–35.

Boynton P. M, Greenhalgh, T. Selecting, designing, and developing your questionnaire. BMJ. 2004; 328:1312.

Leung WC. How to conduct a survey. Student BMJ. 2001 May;9:143-5.

Ishfaq K, Ahmad T, Naeem SB, Ali J, Zainab F. The knowledge of parents having thalassemia child. Isra Medical Journal, 2016;8(2):79-81.

Bilal M, Saleem M, Mustafa G, Naveed S. Level of Awareness about Thalassemia among Parents of Thalassaemic Children. Journal of Rawalpindi Medical College (JRMC); 2016;20(3):209-211.

Lucarelli G, Galimberti M, Polchi P, Angelucci E, Baronciani D, Giardini C. et al. Marrow transplantation in patients with thalassemia responsive to iron chelation therapy. N Engl J Med. 1993;329:840-44.

Hammadi AM, Azeez WA, Jasim FH, Alshammary N, Sewan AD, Alrawaq K, et al. First Report on Stem Cell Transplant from Iraq. Exp Clin Transplant. 2017 Feb;15(Suppl 1):133-135.

Machado T, Bomfim T, Souza L, Soares N, Santos F, Acosta A, et al. Types of marriages, population structure and genetic disease. Journal of Biosocial Science. 2013;45(4):461-470.

Rudra S, Chakrabarty P, Hossain MA, Ripon MJ, Rudra M, Mirza T. Awareness among Parents of β-Thalassemia Major Patients Regarding Prenatal Diagnosis and Premarital Screening in Day Care Centre of Transfusion Medicine Department. Mymensingh Med J. 2016 Jan;25(1):12-7.

Ahmadnezhad E, Sepehrvand N, Jahani F. Evaluation and Cost Analysis of National Health Policy of Thalassaemia Screening in West-Azerbaijan Province of Iran. Int J Prev Med. 2012 Oct;3(10):687–692.

Kalokairinou EM. The experience of β-thalassaemia and its prevention in Cyprus. Med Law 2017;26: 291–307.

Inati A, Zeineh N, Isma’eel H, Koussa S, Gharzuddine W, Taher A. β-thalassemia: The Lebanese experience. Clin Lab Haematol 2006;28:217–227.

Samavat A, Modell B. Iranian national thalassaemia screening programme. BMJ. 2004;329:1134–1137.

Antonio C, Kan YW. The Prevention of Thalassemia. Cold Spring Harb Perspect Med. 2013 Feb 1;3(2):a011775.

Published

2019-04-30

How to Cite

Mutar, M. T., Majid, M., Jaleel, A., Saad, A., Abdulmortafea, A., & Talib, H. (2019). Awareness among Parents of Beta Thalassemia Major and Intermedia Patients in Three Centers in Baghdad and Al-Nasiriyah, Iraq in 2017. International Journal of Medical Students, 7(1), 6–10. https://doi.org/10.5195/ijms.2019.315

Issue

Section

Original Article

Categories