Self-reported adherence to iron-folic acid supplementation and its associated factors among pregnant women attending antenatal care in Tamale Metropolis, Ghana

4区医学

World review of nutrition and dietetics Pub Date : 2023-06-30 DOI:10.26596/wn.202314242-50

M. Y. Konlan, H. A. K. Abiwu, M. Adokiya

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Abstract

BackgroundThis study assessed self-reported adherence to iron-folic acid supplementation and its associated factors among pregnant women attending antenatal care in Tamale Metropolis, Northern Ghana.MethodsThis was a health facility-based cross-sectional design. A total of 389 pregnant women attending antenatal care (ANC) were consented and recruited to participate in the study, using systematic sampling. Data were collected using a questionnaire on socio-demographic characteristics, obstetric factors, iron-folic acid (IFA) supplements, and adherence (self-reported). Respondents who consumed ≥70% (5/7 per week) of IFA tablets were considered to be adherent and vice-versa. Logistic regression models were used to determine factors associated with IFA adherence.ResultsIFA adherence was 41% among the respondents. Using multivariate logistic regression, secondary education [AOR=1.37, (95% CI= 1.18-1.82)], having ≥4 ANC visits [AOR=1.44, (95% CI= 1.28-1.67)], urban residence [AOR=1.59, (95% CI= 1.36-1.97)] and receiving IFA supplements at a health facility [AOR=1.98, (95% CI=1.02-3.83)] were associated with higher IFA adherence.ConclusionIron-folic acid adherence was low (41%). Education, residence, ANC visits and supply of IFA supplements at the health facility attended were associated with IFA adherence. Barriers to IFA adherence were mainly forgetfulness, unavailability of IFA, and perceived side effects.

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在加纳Tamale大都会参加产前保健的孕妇中，自我报告坚持补充叶酸铁及其相关因素

本研究评估了加纳北部Tamale大都会参加产前保健的孕妇自我报告的叶酸铁补充依从性及其相关因素。方法采用基于卫生机构的横断面设计。采用系统抽样的方法，共有389名参加产前护理(ANC)的孕妇被同意并招募参与研究。数据通过社会人口特征、产科因素、叶酸铁(IFA)补充剂和依从性(自我报告)问卷收集。服用≥70%(每周5/7)IFA片剂的受访者被认为是依从性的，反之亦然。Logistic回归模型用于确定与IFA依从性相关的因素。结果受访患者的fa依从性为41%。采用多因素logistic回归分析，中等教育程度[AOR=1.37， (95% CI= 1.18-1.82)]、就诊≥4次ANC [AOR=1.44， (95% CI= 1.28-1.67)]、城市居住[AOR=1.59， (95% CI= 1.36-1.97)]和在医疗机构接受IFA补充剂[AOR=1.98， (95% CI=1.02-3.83)]与较高的IFA依从性相关。结论叶酸铁依附性低(41%)。教育、居住、非裔美国人的访问和在参加的保健设施提供IFA补充剂与IFA依从性有关。坚持使用IFA的障碍主要是健忘、无法获得IFA和可感知的副作用。

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来源期刊

World review of nutrition and dietetics Nursing-Nutrition and Dietetics

自引率

0.00%

发文量

114

期刊介绍： Volumes in this series consist of exceptionally thorough reviews on topics selected as either fundamental to improved understanding of human and animal nutrition, useful in resolving present controversies, or relevant to problems of social and preventive medicine that depend for their solution on progress in nutrition. Many of the individual articles have been judged as among the most comprehensive reviews ever published on the given topic. Since the first volume appeared in 1959, the series has earned repeated praise for the quality of its scholarship and the reputation of its authors.