Iron supplementation compliance among pregnant women in Bicol, Philippines
Iron supplementation compliance among pregnant women in Bicol, Philippines
复制标题
DOI：
10.1017/s1368980007000237
复制
发表时间：
2008-01-01
影响因子：
3.2
通讯作者：
Lopez, Ofelia
中科院分区：
文献类型：
--
作者：
Lutsey, Pamela L.;Dawe, David;Lopez, Ofelia
目的：量化在常规野外条件下参与补铁计划的孕妇的补铁依从性和血球蛋白(Hb)浓度的影响因素。设计：横断面访谈和Hb测量。地点：菲律宾比科尔的阿尔拜省和索索贡省。研究对象：346名通过菲律宾补铁计划接受补铁的孕妇。结果：妇女的平均Hb浓度为10.75+/-1.43gdl(-1)，56.4%患有贫血(Hb<；11.0gdl(-1))。平均而言，第一次产前检查发生在近4个月(3.80+/-1.56)。就诊次数与怀孕月数的比率为0.51+/-0.24。自我报告收到的药片消费量为85%(0.85+/-0.23)，尽管药片计数表明消费量为70%(0-70+/-0.35)。多元回归分析显示，较早的第一次产前检查和较高的自我报告依从性与Hb浓度呈正相关。此外，服用补充剂的健康感受和较高的健康规划知识与药丸消费量呈正相关，而体验副作用和不喜欢补充剂的味道与较低的药丸消费量相关。更多的活着的孩子与产前检查的频率呈负相关。儿童数量与Hb浓度呈负相关。结论：服药依从性与Hb浓度正相关。确定了几个与更好的遵从性相关的因素，包括婚姻状况、子女数量、健康计划知识、副作用、感知的健康益处以及对口味的厌恶。其中一些因素可以作为干预措施的途径，以提高依从性，并最终提高Hb浓度。
Objective: To quantify factors influencing iron supplementation compliance and hamoglobin (Hb) concentrations among pregnant women participating in an iron supplementation programme under routine field conditions.Design: Cross-sectional interviews and Hb measurements.Settings: Albay and Sorsogon provinces, Bicol, Philippines.Subjects: Three hundred and forty-six pregnant women receiving iron supplements via the Philippine iron supplementation programme.Results: Women had a mean Hb concentration of 10.75 +/- 1.43 g dl(-1), and 56.4% were anaemic (Hb < 11.0 g dl(-1)). On average, the first prenatal visit occurred at nearly 4 months (3.80 +/- 1.56). The ratio of visits to number of months pregnant was 0.51 +/- 0.24. Self-reported consumption of pills received was 85% (0.85 +/- 0.23), although pill counts suggested that consumption was 70% (0-70 +/- 0.35). Using multiple regression, an earlier first prenatal visit and greater self-reported compliance were positively associated with Hb concentrations. Additionally, perceived health bencfits from taking the supplements and higher health programme knowledge were positively associated with pill consumption, while experiencing side-effects and disliking the taste of the supplements were associated with lower pill consumption. A greater number of living children was negatively associated with the frequency of prenatal visits. The number of children was also directly negatively associated with Hb concentrations.Conclusions: Compliance was positively related to Hb concentrations. Several factors associated with greater compliance were identified, including marital status, number of children, health programme knowledge, side-effects, perceived health benefits, and dislike of taste. Some of these factors may serve as avenues for interventions to increase compliance, and ultimately Hb concentrations.