Rural-Urban Differential of Iron Supplementation Compliance during Pregnancy among Reproductive aged Women in Ethiopia
Background & aim: The global burden of iron deficiency anemia remains substantial, accounting for 41.8% of the population. This study assessed the rural‒urban differential in iron supplementation compliance during pregnancy among reproductive-aged women.Methods: A comparative cross-sectional stu...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Mashhad University of Medical Sciences
2023-04-01
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| Series: | Journal of Midwifery & Reproductive Health |
| Subjects: | |
| Online Access: | https://jmrh.mums.ac.ir/article_21764_27acc6050fa5f59ebbf28adcbc3f6237.pdf |
| _version_ | 1797846159671164928 |
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| author | Mandefro Geremew Zenebe Tefera Wondimnew Gashaw Sindu Ayalew Eyaya Habtie |
| author_facet | Mandefro Geremew Zenebe Tefera Wondimnew Gashaw Sindu Ayalew Eyaya Habtie |
| author_sort | Mandefro Geremew |
| collection | DOAJ |
| description | Background & aim: The global burden of iron deficiency anemia remains substantial, accounting for 41.8% of the population. This study assessed the rural‒urban differential in iron supplementation compliance during pregnancy among reproductive-aged women.Methods: A comparative cross-sectional study was conducted among women aged 15-49 in all parts of Ethiopia. The study was conducted from January 18 to June 27, 2016. After data related to the compliance with iron supplementation were obtained from the demographic survey, a mixed-effects logistic regression model was performed on a weighted sample of 3096 (563 urban and 2533 rural). Significant relationships were determined using multivariable logistic regression analysis. Results: The general proportion of iron supplementation compliance was 15.07% (95% CI= 13.8%-16.4%). However, the proportion of adherence to iron among urban and rural women was 17.7% (95% CI=14.8%-21.1%) and 11.2% (95% CI=10.1% -12.5%), respectively. Urban areas were associated with exposure to media (AOR=2.04, 95% CI, 1.07, 3.89) and frequent ANC≥4 (AOR=2.31, 95% CI, 1.10, 4.86). However, those with a high school education level were 65% less likely to adhere to iron supplementation. Additionally, for Rural, the odds of iron supplementation adherence were higher for primary (AOR=1.39, 95% CI, 1.03, 1.89) and secondary education (AOR=1.77, 95% CI, 1.02, 3.08), unemployed women (AOR=1.35, 95% CI, 1.04, 1.76), first ANC registration at 1st 13 months (AOR=3.03, 95% CI, 1.41, 6.54), and 2nd trimester (AOR=2.82, 95% CI, 1.34, 5.95).Conclusion: The proportion of iron use adherence through gestation is low in both urban and rural Ethiopia compared to the national recommendation. |
| first_indexed | 2024-04-09T17:50:25Z |
| format | Article |
| id | doaj.art-6bc760fa1e064f56b6067f9169098e7a |
| institution | Directory Open Access Journal |
| issn | 2345-4792 |
| language | English |
| last_indexed | 2024-04-09T17:50:25Z |
| publishDate | 2023-04-01 |
| publisher | Mashhad University of Medical Sciences |
| record_format | Article |
| series | Journal of Midwifery & Reproductive Health |
| spelling | doaj.art-6bc760fa1e064f56b6067f9169098e7a2023-04-16T09:04:09ZengMashhad University of Medical SciencesJournal of Midwifery & Reproductive Health2345-47922023-04-011123704371210.22038/jmrh.2023.66128.192721764Rural-Urban Differential of Iron Supplementation Compliance during Pregnancy among Reproductive aged Women in EthiopiaMandefro Geremew0Zenebe Tefera1Wondimnew Gashaw2Sindu Ayalew3Eyaya Habtie4Lecturer, Department of Midwifery, College of Medicine and Health Science, Wollo University, EthiopiaLecturer, Department of Midwifery, College of Medicine and Health Science, Wollo University, EthiopiaLecturer, Department of Midwifery, College of Medicine and Health Science, Wollo University, EthiopiaLecturer, Department of Midwifery, College of Medicine and Health Science, Wollo University, EthiopiaLecturer, Department of Midwifery, College of Medicine and Health Science, Debretabor University, EthiopiaBackground & aim: The global burden of iron deficiency anemia remains substantial, accounting for 41.8% of the population. This study assessed the rural‒urban differential in iron supplementation compliance during pregnancy among reproductive-aged women.Methods: A comparative cross-sectional study was conducted among women aged 15-49 in all parts of Ethiopia. The study was conducted from January 18 to June 27, 2016. After data related to the compliance with iron supplementation were obtained from the demographic survey, a mixed-effects logistic regression model was performed on a weighted sample of 3096 (563 urban and 2533 rural). Significant relationships were determined using multivariable logistic regression analysis. Results: The general proportion of iron supplementation compliance was 15.07% (95% CI= 13.8%-16.4%). However, the proportion of adherence to iron among urban and rural women was 17.7% (95% CI=14.8%-21.1%) and 11.2% (95% CI=10.1% -12.5%), respectively. Urban areas were associated with exposure to media (AOR=2.04, 95% CI, 1.07, 3.89) and frequent ANC≥4 (AOR=2.31, 95% CI, 1.10, 4.86). However, those with a high school education level were 65% less likely to adhere to iron supplementation. Additionally, for Rural, the odds of iron supplementation adherence were higher for primary (AOR=1.39, 95% CI, 1.03, 1.89) and secondary education (AOR=1.77, 95% CI, 1.02, 3.08), unemployed women (AOR=1.35, 95% CI, 1.04, 1.76), first ANC registration at 1st 13 months (AOR=3.03, 95% CI, 1.41, 6.54), and 2nd trimester (AOR=2.82, 95% CI, 1.34, 5.95).Conclusion: The proportion of iron use adherence through gestation is low in both urban and rural Ethiopia compared to the national recommendation.https://jmrh.mums.ac.ir/article_21764_27acc6050fa5f59ebbf28adcbc3f6237.pdfcomplianceiron userural‒urbanethiopia |
| spellingShingle | Mandefro Geremew Zenebe Tefera Wondimnew Gashaw Sindu Ayalew Eyaya Habtie Rural-Urban Differential of Iron Supplementation Compliance during Pregnancy among Reproductive aged Women in Ethiopia Journal of Midwifery & Reproductive Health compliance iron use rural‒urban ethiopia |
| title | Rural-Urban Differential of Iron Supplementation Compliance during Pregnancy among Reproductive aged Women in Ethiopia |
| title_full | Rural-Urban Differential of Iron Supplementation Compliance during Pregnancy among Reproductive aged Women in Ethiopia |
| title_fullStr | Rural-Urban Differential of Iron Supplementation Compliance during Pregnancy among Reproductive aged Women in Ethiopia |
| title_full_unstemmed | Rural-Urban Differential of Iron Supplementation Compliance during Pregnancy among Reproductive aged Women in Ethiopia |
| title_short | Rural-Urban Differential of Iron Supplementation Compliance during Pregnancy among Reproductive aged Women in Ethiopia |
| title_sort | rural urban differential of iron supplementation compliance during pregnancy among reproductive aged women in ethiopia |
| topic | compliance iron use rural‒urban ethiopia |
| url | https://jmrh.mums.ac.ir/article_21764_27acc6050fa5f59ebbf28adcbc3f6237.pdf |
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