埃塞俄比亚南部迪拉镇接受产前保健服务的孕妇对产前铁叶酸补充剂的依从性及相关因素
Adherence to prenatal iron-folic acid supplementation and associated factors among pregnant women attending antenatal care services in Dilla town, South Ethiopia.
作者信息
Mamo Tizalegn Tesfaye, Ashenafi Eden, Gube Addisu Alemayehu, Bekele Tesfanew
机构信息
College of Health and Medical Sciences, Dilla University, Dilla, Ethiopia.
出版信息
Med Access Point Care. 2021 Apr 26;5:23992026211008805. doi: 10.1177/23992026211008805. eCollection 2021 Jan-Dec.
BACKGROUND
During pregnancy, due to the physiological and hormonal change, the requirement of iron-folic acid is enhanced. Therefore, the occurrence of iron/folic acid deficiency is relatively high and it is responsible for 95% of anemia during pregnancy.
OBJECTIVES
The aim of this study was to assess adherence to prenatal iron-folic acid supplementation (IFAS) and associated factors among pregnant women attending antenatal care services at public health facilities of Dilla town.
METHODS
Facility-based cross-sectional study design was employed selecting 403 pregnant women attending antenatal care services in three public health institutions of Dilla town. The women were included in the study by simple random sampling. Data were collected by interview and document review. Then it was entered into EPI Data version 3.1 and exported to SPSS version 20 for analysis. Bivariate and multivariate binary logistic regression techniques were used to identify independent predictors. A -value <0.05 was taken as indication of statistical significance.
RESULTS
From the total of planned 403 pregnant women, 396 participated in the study, with a response rate of 98.2%. Of these, 172 (43.4%) pregnant women were adhered to IFAS. The study also revealed that history of previous anemia (adjusted odds ratio (AOR) = 1.87; 95% confidence interval (CI): (1.01-3.47); = 0.04), frequency of antenatal care center (ANC) visits (AOR = 2.51; 95% CI: (1.17-5.37); = 0.01), knowledge of IFA supplement (AOR = 2.28; 95% CI: (1.36-3.82); = 0.002), and knowledge of anemia (AOR = 2.30; 95% CI: (1.40-3.77); = 0.001) were independent predictors of adherence to IFAS.
CONCLUSION
The finding of this study showed that less than half of the pregnant women were adhered to IFAS. History of previous anemia, frequency of ANC visits, knowledge of IFA supplement, and knowledge of anemia were the factors associated with adherence to IFA supplement.
背景
孕期由于生理和激素变化，铁叶酸需求量增加。因此，缺铁/叶酸情况相对高发，孕期95%的贫血由其导致。
目的
本研究旨在评估迪拉镇公共卫生机构接受产前保健服务的孕妇对产前铁叶酸补充剂（IFAS）的依从性及相关因素。
方法
采用基于机构的横断面研究设计，选取迪拉镇三家公共卫生机构中接受产前保健服务的403名孕妇。通过简单随机抽样将这些孕妇纳入研究。通过访谈和文件审查收集数据。然后将数据录入EPI Data 3.1版本，并导出到SPSS 20版本进行分析。采用双变量和多变量二元逻辑回归技术确定独立预测因素。P值<0.05表示具有统计学意义。
结果
在计划纳入的403名孕妇中，396名参与了研究，应答率为98.2%。其中，172名（43.4%）孕妇坚持服用IFAS。研究还显示，既往贫血史（调整比值比（AOR）=1.87；95%置信区间（CI）：（1.01 - 3.47）；P = 0.04）、产前保健中心（ANC）就诊频率（AOR = 2.51；95%CI：（1.17 - 5.37）；P = 0.01）、铁叶酸补充剂知识（AOR = 2.28；95%CI：（1.36 - 3.82）；P = 0.002）以及贫血知识（AOR = 2.30；95%CI：（1.40 - 3.77）；P = 0.001）是IFAS依从性的独立预测因素。
结论
本研究结果表明，不到一半的孕妇坚持服用IFAS。既往贫血史、ANC就诊频率、铁叶酸补充剂知识以及贫血知识是与铁叶酸补充剂依从性相关的因素。
Zotero 插件