Fators Associated with Non-adherence to Iron Supplements among Pregnant Women in Southernmost Provinces of Thailand: A Hospital – Based Longitudinal Survey
Keywords:
Non-adherence, Iron supplements, Pregnant women, Southernmost provinces of ThailandAbstract
This research aimed to evaluate the situation and determine the associated factors of the non-adherence to iron supplements among pregnant women during the services of ante-natal care clinics. The hospital-based longitudinal survey was conducted in three provinces of southernmost Thailand from January to September 2015. Two-hundred and ninety-five PW with 2nd and 3rd trimester of gestational age were recruited by purposive sampling methods. The self-administered questionnaire was used to collect data. Alpha’s Cronbach of an instrument’s validity was 0.82. Independent variables described as the percentage, mean (SD). Logistic regression was utilized to assess the associated factors of the non-adherence to iron supplements. The prevalence of non-adherence to iron supplements was 42%. The main cause of the non-adherence was the PW did not give attention to taking iron supplements during their pregnancy. About one-fifth of participants showed a lack of knowledge regarding the benefits of iron supplements. Gestational age, educational levels, food intake, and understand in iron supplements’ benefits were significantly associated with the non-adherence to iron supplements. The prevalence of non-adherence to iron supplements in the southernmost provinces of Thailand was high. The health education program toward the iron supplements’ benefits and food intake during pregnancy should be advocated, especially among women in early gestational pregnancy.
References
Abay A, Yalew HW, Tariku A & Gebeye E. (2017). Determinants of prenatal anemia in Ethiopia. Arch Public Health, 75, 51.
Balarajan Y, Ramakrishnan U, Ozaltin E, Shankar AH & Subramanian SV. (2011). Anaemia in low-income and middle-income countries. Lancet, 378: 2123-35.
Bentley ME & Griffiths PL. (2003). The burden of anemia among women in India. Eur J Clin Nutr, 57, 52-60.
Chathurani U, Dharshika I, Galgamuwa D, Wickramasinghe ND, Agampodi TC & Agampodi SB. (2012). Anaemia in pregnancy in the district of Anuradhapura, Sri Lanka--need for updating prevalence data and screening strategies. Ceylon Med J, 57: 101-6.
Chou FH, Kuo SH & Wang RH. (2008). A longitudinal study of nausea and vomiting, fatigue and perceived stress in, and social support for, pregnant women through the three trimesters. Kaohsiung J Med Sci, 24, 306-14.
Dairo MD & Lawoyin TO. (2006). Demographic factors determining compliance to iron supplementation in pregnancy in Oyo State, Nigeria. Niger J Med, 15, 241-4.
Department of Health, Ministry of Public Health Thailand. (2019a). Annual Report. Retrieved Demcember 23, 2019, from:https://hdcservice.moph.go.th/hdc/reports/report.php?source= pformated/format1.php&cat_id=1ed90bc32310b503b7ca9b32af425ae5&id=1c1b8e24aff59258a806f122e264031e
Department of Health, Ministry of Public Health Thailand. (2019b). Annual Report. Retrieved Demcember 23, 2019, from:https://hdcservice.moph.go.th/hdc/reports/report.php?source= pformated/format1.php&cat_id=46522b5bd1e06d24a5bd81917257a93c&id=9024b8ee2bd07548c8f12517eb3021e6
Department of Provincial Administration, Ministry of the Interior, (2019). Official statistics registration systems. Retrieved Demcember 23, 2019, from:https://stat.bora.dopa.go.th /stat/statnew/statINTERNET/#/
Gebreamlak B, Dadi AF & Atnafu A. (2017). High adherence to iron/folic acid supplementation during pregnancy time among antenatal and postnatal care attendant mothers in governmental health centers in Akaki Kality Sub City, Addis Ababa, Ethiopia: hierarchical negative binomial poisson regression. PLoS One, 12, e0169415.
Kozuki N, Lee AC & Katz J. (2012). Moderate to severe, but not mild, maternal anemia is associated with increased risk of small-for-gestational-age outcomes. J Nutr, 142, 358-62.
Lacerte P, Pradipasen M, Temcharoen P, Imamee N & Vorapongsathorn T. (2011). Determinants of adherence to iron/folate supplementation during pregnancy in two provinces in Cambodia. Asia Pac J Public Health, 23, 315-23.
Lebso M, Anato A & Loha E. (2017). Prevalence of anemia and associated factors among pregnant women in Southern Ethiopia: a community based cross-sectional study. PLoS One, 12: e0188783.
McLean E, Cogswell M, Egli I, Wojdyla D & de Benoist B. (2009). Worldwide prevalence of anaemia, WHO Vitamin and Mineral Nutrition Information System, 1993-2005. Public Health Nutr, 12, 444-454.
Narathiwat Provincial Public Health Office, (2019). Annual Report. Narathiwat 2019 p. 110.
Nazik E, & Eryilmaz G. (2014). Incidence of pregnancy-related discomforts and management approaches to relieve them among pregnant women. J Clin Nurs, 23, 1736-50.
Nisar YB, Dibley MJ & Aguayo VM. (2016). Iron-folic acid supplementation during pregnancy reduces the risk of stunting in children less than 2 years of age: a retrospective cohort study. Nepal. Nutrients, 8, 67.
Pattani Public Health Center. (2019). Statistical evidences of pregnant women from year 2012-2014. Thailand: Pattani Province Public Health office. (In Thai).
Pena-Rosas JP & Viteri FE. (2006). Effects of routine oral iron supplementation with or without folic acid for women during pregnancy. Cochrane Database Syst Rev: CD004736
Rahman MM, Abe SK, Rahman MS, Rahman MS, Kanda M, Narita S, … & Shibuya K. (2016). Maternal anemia and risk of adverse birth and health outcomes in low- and middle-income countries: systematic review and meta-analysis. Am J Clin Nutr, 103, 495-504.
Sadore AA, Gebretsadik LA & Hussen MA. (2015). Compliance with iron-folate supplement and associated factors among antenatal care attendant mothers in Misha District, South Ethiopia: community based cross-sectional study. J Environ Public Health. 2015, 781973.
Seck BC & Jackson RT. (2008). Determinants of compliance with iron supplementation among pregnant women in Senegal. Public Health Nutr, 11, 596-605.
Sekhavat L, Davar R & Hosseinidezoki S. (2011). Relationship between maternal hemoglobin concentration and neonatal birth weight. Hematology, 16, 373-376.
Senadheera D, Goonewardene M & Mampitiya I. (2017). Anaemia and iron deficiency in pregnant women attending an antenatal clinic in a teaching hospital in Southern Sri Lanka. Ceylon Med J; 62, 175-83.
Stevens GA, Finucane MM, De-Regil LM, Paciorek CJ, Flaxman SR, Branca F, … & Ezzati PM . (2013). Global, regional, and national trends in haemoglobin concentration and prevalence of total and severe anaemia in children and pregnant and non-pregnant women for 1995-2011: a systematic analysis of population-representative data. Lancet Glob Health, 1, e16-25.
Ugwu EO, Olibe AO, Obi SN & Ugwu AO. (2014). Determinants of compliance to iron supplementation among pregnant women in Enugu, Southeastern Nigeria. Niger J Clin Pract, 17, 608-12.
United Nations, Department of Economic and Social Affairs, Population Division (2016). Estimates andProjections of the Number of Women Aged 15-49 Who Are Married or in a Union: 2016 Revision. New York: United Nations.
World Health Organization. (2001). Iron deficiency anaemia: assessment, prevention, and control. A guide for programme managers. Geneva, Switzerland: World Health Organization. WHO/NHD/01.3. 2001. Retrieved April, 2017 from: http://www.who.int/nutrition/ publications/en/ida_assessment_prevention_control.pdf
World Health Organization. (2008). Worldwide prevalence of anaemia: 1993-2005: WHO global database on anaemia. Geneva: World Health Organization.
World Health Organization. (2009). Global health risks: mortality and burden of disease attributable to selected major risks. Geneva: World Health Organization.
World Health Organization. (2012). Daily iron and folic acid supplementation in pregnant women. Geneva: World Health Organization.
World Health Organization. (2016). Recommendations on antenatal care for a positive pregnancy experience. Geneva, Switzerland: World Health Organization.
Xiong X, Buekens P, Alexander S, Demianczuk N & Wollast E. (2000). Anemia during pregnancy and birth outcome: a meta-analysis. Am J Perinatol, 17, 137-46.
Xu X, Liu S, Rao Y, Shi Z, Wang L, Sharma M, Zhao Y. (2016). Prevalence and sociodemographic and lifestyle determinants of anemia during pregnancy: a cross-sectional study of pregnant women in China. Int J Environ Res Public Health, 13, 908.
Yala Provincial Public Health Office, (2019). Annual Report. Yala 2019 p. 85-2. (In Thai).
Yekta Z, Ayatollahi H, Pourali R & Farzin A. (2008). Predicting factors in iron supplement intake among pregnant women in urban care setting. J Res Health Sci, 8, 39-45.
Zhang Q, Ananth CV, Rhoads GG & Li Z. (2009). The impact of maternal anemia on perinatal mortality: a population-based, prospective cohort study in China. Ann Epidemiol, 19, 793-9.
