Adherencia al consumo de suplementos de hierro y factores asociados en gestantes peruanas

Translated title of the contribution: Adherence to iron supplements consumption and associated factors in Peruvian pregnant women

Oscar Munares-García, Guillermo Gómez-Guizado

Research output: Contribution to journalArticlepeer-review

Abstract

Introduction: Anemia during pregnancy is considered a public health problem. The strategy for its reduction includes iron supplementation. Objective: Analyze adherence to iron supplements in pregnant women treated in health facilities of the Peruvian Ministry of Health. Methods: A cross-sectional sentinel surveillance study of adherence to iron salts was conducted in 1038 pregnant women from Peru, who were treated in hospitals, health centers and health posts, and who received iron supplements. A structured interview was applied to measure the factors to adherence, and adherence was determined when supplement consumption was > 75%. Descriptive statistics and logistic regression were applied. Results: 42.3 % of the pregnant women were adherents to the iron supplement. Adherence was associated with: having a university education (ORa 3.4; CI 95 % 1.5:7.7), consumption of foods rich in iron (ORa 1.6; 95% CI 1.1:2.5), do not discontinue the treatment due to discomfort (ORa: 2.8 CI 95% 1.7:4.6) and living at an altitude between 1001 m.a.s.l to 2000 m.a.s.l (ORa 4.0; CI 95 % 1.6:10.1). These factors explain between 12% and 16% of the adherence rates, and were predictive to identify adherence in pregnant women with an area under the curve of 70.4%. Conclusions: Treatment with iron salts in pregnant women is insufficient, so the consumption of foods rich in iron and other fortified foods basically aimed at pregnant women should be included in their diet, in a comprehensive and simultaneous way. In addition, health strategies must be drawn up to identify social determinants, such as educational level, that affect adherence to treatment, with a view to reduce their influence.

Translated title of the contributionAdherence to iron supplements consumption and associated factors in Peruvian pregnant women
Original languageSpanish
Article numbere1026
JournalRevista Cubana de Salud Publica
Volume47
Issue number4
StatePublished - 1 Oct 2021

Bibliographical note

Funding Information:
Equipo de Vigilancia Centinela del INS/CENAN: H?ctor Ch?vez, Oscar Miranda, Milagros Llanos. Soporte inform?tico: Carlos Cosser. Personal de Campo: Daniel lbuqerque, Ana Zelada, Irina Hizo, Andrea Campos, Mercedes Apaza, Hayde? Sullcaray, Paola Ortega, Ingrid Santander, Sandra Calder?n, Zumaya Limache, Corina Cuellar. Personal de Supervisi?n: Sulma V?squez, Mariela Contreras, Amanda Satalaya, Ana Escriba, Lucy de la Cruz y Rolando Maldonado.

Publisher Copyright:
© 2021, Editorial Ciencias Medicas. All rights reserved.

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