Iron supplementation compliance among pregnant women in Bicol, Philippines

To quantify factors influencing iron supplementation compliance and haemoglobin (Hb) concentrations among pregnant women participating in an iron supplementation programme under routine field conditions. Cross-sectional interviews and Hb measurements. Albay and Sorsogon provinces, Bicol, Philippines...

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Veröffentlicht in:Public health nutrition 2008, Vol.11 (1), p.76-82
Hauptverfasser: Lutsey, Pamela L, Dawe, David, Villate, Ellen, Valencia, Shiela, Lopez, Ofelia
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container_title Public health nutrition
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creator Lutsey, Pamela L
Dawe, David
Villate, Ellen
Valencia, Shiela
Lopez, Ofelia
description To quantify factors influencing iron supplementation compliance and haemoglobin (Hb) concentrations among pregnant women participating in an iron supplementation programme under routine field conditions. Cross-sectional interviews and Hb measurements. Albay and Sorsogon provinces, Bicol, Philippines. Three hundred and forty-six pregnant women receiving iron supplements via the Philippine iron supplementation programme. 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 benefits 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. 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.
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Cross-sectional interviews and Hb measurements. Albay and Sorsogon provinces, Bicol, Philippines. Three hundred and forty-six pregnant women receiving iron supplements via the Philippine iron supplementation programme. Women had a mean Hb concentration of 10.75 +/- 1.43 g dl-1, and 56.4% were anaemic (Hb &lt; 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 benefits 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. 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. 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Cross-sectional interviews and Hb measurements. Albay and Sorsogon provinces, Bicol, Philippines. Three hundred and forty-six pregnant women receiving iron supplements via the Philippine iron supplementation programme. Women had a mean Hb concentration of 10.75 +/- 1.43 g dl-1, and 56.4% were anaemic (Hb &lt; 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 benefits 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. 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. 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Cross-sectional interviews and Hb measurements. Albay and Sorsogon provinces, Bicol, Philippines. Three hundred and forty-six pregnant women receiving iron supplements via the Philippine iron supplementation programme. Women had a mean Hb concentration of 10.75 +/- 1.43 g dl-1, and 56.4% were anaemic (Hb &lt; 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 benefits 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. 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.</abstract><cop>Cambridge, UK</cop><pub>Cambridge University Press</pub><pmid>17519048</pmid><doi>10.1017/S1368980007000237</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record>
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source MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals
subjects Adult
adverse effects
Anaemia
Anemia
anemia (disease)
childbirth
children
Clinical trials
Compliance
Consumption
Cross-Sectional Studies
Data collection
Demographics
Dietary Supplements
Female
Health Knowledge, Attitudes, Practice
hematologic tests
Hemoglobin
Hemoglobins - analysis
human health
Humans
Interviews
Interviews as Topic
Iron
Iron deficiency
iron deficiency anemia
Iron, Dietary - administration & dosage
Iron, Dietary - blood
Maternal & child health
Midwifery
Nutrition
Nutrition research
Patient Compliance
Philippines
postnatal development
Pregnancy
pregnancy outcome
pregnant women
Prenatal Care
Provinces
Public health
Regression Analysis
Side effects
Supplementation
Supplements
Taste
Womens health
title Iron supplementation compliance among pregnant women in Bicol, Philippines
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