Mekonen Enyew Getaneh, Alemu Samrawit Abebe
Department of Surgical Nursing, School of Nursing, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Department of Midwifery, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Heliyon. 2021 Jul 9;7(7):e07530. doi: 10.1016/j.heliyon.2021.e07530. eCollection 2021 Jul.
Anemia during pregnancy increases the risk of premature delivery as well as maternal and child mortality. More than 40% and almost one-third of pregnant women are anemic worldwide and in Ethiopia respectively. Iron supplementation is important to prevent anemia during pregnancy in developing countries including Ethiopia. Despite this fact, it is at a substandard level in Ethiopia. Therefore, this study was conducted to identify the determinant factors of poor adherence to iron supplementation among pregnant women in Ethiopia.
A cross-sectional study was conducted based on the EDHS data for 2016 from two city administrations and nine regions of Ethiopia. A total of 3, 266 women were included. Bivariable and multivariable logistic regression analysis was employed. P-value < 0.05 and odds ratios were used to determine the significance and strength of association.
Those pregnant women who had no mobile telephone [AOR; 0.79, 95% CI (0.65-0.95)], a history of cigarette smoking & alcohol use [AOR; 0.20, 95% CI (0.09-0.45)] and [AOR; 0.77, 95% CI (0.64-0.93)], and less than four antenatal care visits [AOR; 0.56, 95% CI (0.46, 0.68)] had higher odds of poor adherence.
Not having a mobile telephone, a history of smoking and alcohol use, and less than four antenatal care visits were determinant factors of poor adherence to iron supplementation. It is important to empower women, strengthen communication for behavioral change, and give attention to counseling pregnant women.
孕期贫血会增加早产以及母婴死亡的风险。全球超过40%的孕妇贫血，而在埃塞俄比亚，这一比例几乎达到三分之一。在包括埃塞俄比亚在内的发展中国家，补充铁剂对于预防孕期贫血很重要。尽管如此，埃塞俄比亚铁剂补充的情况仍未达标。因此，本研究旨在确定埃塞俄比亚孕妇铁剂补充依从性差的决定因素。
基于埃塞俄比亚两个市辖区和九个地区2016年的埃塞俄比亚人口与健康调查（EDHS）数据进行了一项横断面研究。共纳入3266名女性。采用双变量和多变量逻辑回归分析。P值<0.05和比值比用于确定关联的显著性和强度。
那些没有手机的孕妇[调整后比值比（AOR）；0.79，95%置信区间（CI）（0.65 - 0.95）]、有吸烟和饮酒史的孕妇[AOR；0.20，95%CI（0.09 - 0.45）]以及[AOR；0.77，95%CI（0.64 - 0.93）]，且产前检查次数少于四次的孕妇[AOR；0.56，95%CI（0.46，0.68）]，依从性差的几率更高。
没有手机、有吸烟和饮酒史以及产前检查次数少于四次是铁剂补充依从性差的决定因素。增强女性能力、加强行为改变方面的沟通以及关注对孕妇的咨询很重要。
