埃塞俄比亚阿姆哈拉州西部梅查地区孕妇产前铁叶酸补充剂依从性的相关因素：一项横断面研究
Factors associated with compliance of prenatal iron folate supplementation among women in Mecha district, Western Amhara: a cross-sectional study.
作者信息
Taye Bekele, Abeje Gedefaw, Mekonen Alemetsehaye
机构信息
Bahir Dar University College of Medicine and Health Sciences, Bahirdar, Ethiopia.
出版信息
Pan Afr Med J. 2015 Jan 15;20:43. doi: 10.11604/pamj.2015.20.43.4894. eCollection 2015.
INTRODUCTION
Iron and folate supplementation can effectively control and prevent anaemia in pregnancy. In Ethiopia, all pregnant women are prescribed iron folate during their ANC visit. However, limited adherence is thought to be a major reason for the low effectiveness of iron supplementation programs. Therefore this study was done to investigate factors associated with compliance of prenatal iron folate supplementation among women who gave birth in the last 12 months before the survey in Mecha district.
METHODS
Community based cross sectional study design was employed in Mecha district from June 25 - July 15/2013. A sample of 634 women who gave birth 12 months before the survey was included in the study. Study participants were selected by systematic random sampling technique after allocating the total sample to each kebele proportionally. Data were collected using a pre-tested structured Amharic questionnaire. Collected data were edited, coded and entered to Epi info version 3.1 and exported to' SPSS version 16. Bivariate and multivariable analysis was computed.
RESULTS
A total of 628 women who gave birth twelve months before the survey were enrolled. In this study only 20.4% of participants were compliant with iron foliate supplementation. In multivariable analysis, age of the mother, educational status of the mother, knowledge of anaemia and iron folate tablets, and history of anaemia during pregnancy were significantly associated with compliance to iron folate supplementation (P<.05). Belief that too many tablets would harm the baby and fear of side effects were the major reasons given for noncompliance.
CONCLUSION
Compliance to iron folate supplementation is very low in the study area. Increasing female education and increasing knowledge of women about anaemia and iron folate tablets are recommended to increase compliance to iron folate supplementation.
引言
铁剂和叶酸补充剂能够有效控制和预防孕期贫血。在埃塞俄比亚，所有孕妇在孕期保健门诊就诊时都会被开具铁叶酸片。然而，依从性有限被认为是铁剂补充项目效果不佳的主要原因。因此，本研究旨在调查在调查前最后12个月内在梅查区分娩的妇女中，与产前铁叶酸补充剂依从性相关的因素。
方法
2013年6月25日至7月15日在梅查区采用基于社区的横断面研究设计。研究纳入了634名在调查前12个月分娩的妇女。在按比例将总样本分配到每个行政区后，通过系统随机抽样技术选取研究参与者。使用经过预测试的结构化阿姆哈拉语问卷收集数据。收集到的数据经过编辑、编码后录入Epi info 3.1版本，并导出至SPSS 16版本。进行了双变量和多变量分析。
结果
共有628名在调查前12个月分娩的妇女被纳入研究。在本研究中，只有20.4%的参与者依从铁叶酸补充剂。在多变量分析中，母亲的年龄、母亲的教育程度、对贫血和铁叶酸片的了解以及孕期贫血史与铁叶酸补充剂的依从性显著相关（P<0.05）。认为药片过多会伤害婴儿以及对副作用的恐惧是不依从的主要原因。
结论
研究区域内铁叶酸补充剂的依从性非常低。建议提高女性教育水平，增加女性对贫血和铁叶酸片的了解，以提高铁叶酸补充剂服用的依从性。
Zotero 插件