Compliance to micronutrient supplementation in children 3 to 24 months of age from a semi-rural community in Mexico
Salud pública Méx
; 54(5): 470-478, sept.-oct. 2012. ilus, tab
Article
em En
| LILACS
| ID: lil-649919
Biblioteca responsável:
BR1.1
ABSTRACT
OBJECTIVE:
To identify associated factors to compliance for multiple micronutrient (MM) or iron and vitamin A (IVITA) supplementation, in children (3 to 24 months old). MATERIALS ANDMETHODS:
A database (n=465 children) from a randomized, controlled, clinical trial, carried out in a semi-rural setting in Mexico, was analyzed. The compliance rate of MM and IVITA supplements was calculated. Adequate compliance rate (AC>80%), and its association with children and households characteristics, was determined.RESULTS:
The compliance mean was high (MM78.2%, IVITA80.1%; p<0.05). The odds of AC were 59% greater in the children of IVITA than with MM group, although the estimate was only marginally significant (p=0.052). Maternal education (p<0.001), child birth weight (p=0.003), and children with cough (p<0.001) or fever (p=0.024) were significantly associated with AC and significantly marginal was maternal indigenous (p=0.071).CONCLUSION:
The high AC was consistent with others efficacy studies. More research is needed to document physiological, cultural, social and operative factors affecting compliance with supplementation.RESUMEN
OBJETIVO:
Identificar factores asociados con el cumplimiento del consumo de suplementos con micronutrimentos múltiples (MM) o con hierro y vitamina A (FEVITA) en niños (<24 meses de edad). MATERIAL YMÉTODOS:
Información de un ensayo clínico aleatorizado, doble ciego en una localidad semirrural en México. Se calculó el porcentaje de cumplimiento (n=465 niños), cumplimiento adecuado (CA >80%) y su asociación con varias características.RESULTADOS:
El cumplimiento fue alto (MM 78.2%, FEVITA 80.1%; p<0.05). Los momios de CA fueron 59% mayores en niños del grupo FEVITA que en MM (p=0.052). Escolaridad materna (p<0.001), peso al nacer del niño (p=0.003), porcentaje de tiempo con tos (p<0.001) y con fiebre (p=0.024) y marginalmente, la condición indígena materna (p=0.071) se asociaron con el CA.CONCLUSIONES:
La alta tasa de cumplimiento fue consistente con otros estudios. Es necesaria mayor investigación sobre factores fisiológicos, culturales, sociales y operativos relacionados con el cumplimiento del consumo de suplementos.Palavras-chave
Texto completo:
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Índice:
LILACS
Assunto principal:
Micronutrientes
/
Suplementos Nutricionais
/
Adesão à Medicação
Tipo de estudo:
Clinical_trials
/
Etiology_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Adult
/
Female
/
Humans
/
Infant
/
Male
País/Região como assunto:
Mexico
Idioma:
En
Revista:
SPM. Salud Publica de Mexico
/
Salud Publica Mex
/
Salud pública Méx
/
Salud pública Méx. (Online)
/
Salud pública de México
Assunto da revista:
SAUDE PUBLICA
Ano de publicação:
2012
Tipo de documento:
Article