Consumo de suplementos de hierro, basado en las estructuras del modelo de creencias de salud, en niños de 6 a 24 meses en el sureste de Irán
Published
Feb 19, 2024
Almetrics
Dimensions
Google Scholar
Seyedeh Shirin Lotfipur Rafsanjani
https://orcid.org/0000-0001-7423-9856
Mahdieh Masoomi
https://orcid.org/0000-0001-6010-2226
Fatemeh Askari
https://orcid.org/0000-0001-7748-5753
Mahdi Abdolkarimi
https://orcid.org/0000-0002-2781-2821
https://orcid.org/0000-0001-7423-9856
Mahdieh Masoomi
https://orcid.org/0000-0001-6010-2226
Fatemeh Askari
https://orcid.org/0000-0001-7748-5753
Mahdi Abdolkarimi
https://orcid.org/0000-0002-2781-2821
##plugins.themes.bootstrap3.article.details##
Abstract
Objetivo: La deficiencia de hierro es uno de los problemas comunes durante la infancia. El propósito de este estudio fue explorar el consumo de suplementos de hierro y los factores que lo afectan, según constructos del modelo de creencias sobre la salud. Metodología: En este estudio descriptivo se seleccionaron 402 madres de niños de 6 a 12 meses mediante un muestreo aleatorio polietápico. Se evaluaron mediante un cuestionario tanto el desempeño de las madres con respecto a la provisión de suplementos de hierro como el estado de las construcciones del modelo de creencias de salud. Los datos se analizaron mediante análisis de varianza, coeficiente de correlación de Pearson y pruebas de regresión lineal. Resultados: El estudio evidenció que, a pesar de una conciencia adecuada de las madres sobre la provisión de suplementos, fue desfavorable el consumo de suplementos de hierro (62,7% había reportado un desempeño bajo). La prueba de correlación de Pearson mostró que solo el puntaje de susceptibilidad percibida no mostró una relación significativa con el comportamiento (p = 0,174). Los resultados de la regresión mostraron que las variables incluidas en el modelo explicaron un total de 24,1% de la varianza del cambio en la puntuación de comportamiento (R² ajustado = 0,241). Conclusión: Dada la situación desfavorable con respecto al consumo de suplementos de hierro dados a los bebés, el uso la teoría de creencias sobre la salud puede ser efectivo para persuadir a las madres. Las enfermeras de salud comunitaria pueden tener más éxito en mejorar este índice, proporcionando una intervención educativa basada en las estructuras de este modelo, especialmente porque ayudaría a eliminar las barreras percibidas por las madres.
Keywords
deficiencia de hierro, modelo de creencias sobre salud, bebé, madresiron-deficiency, health belief model, infant, mothersdeficiência de ferro, modelo de crenças em saúde, bebê, mães
References
1. Cerami C. Iron nutriture of the fetus, neonate, infant, and child. Ann Nutr Metab. 2017;71 Suppl 3(Suppl 3):8-14. https://doi.org/10.1159/000481447
2. McLean E, Cogswell M, Egli I, Wojdyla D, de Benoist B. Worldwide prevalence of anaemia, WHO vitamin and mineral nutrition information system, 1993-2005. Public Health Nutr. 2009; 12(4):444–54. https://doi.org/10 .1017/S1368980008002401
3. Safiri S, Kolahi AA, Noori M, Nejadghaderi SA, Karamzad N, Bragazzi NL, Sullman MJ, Abdollahi M, Collins GS, Kaufman JS, Grieger JA. Burden of anemia and its underlying causes in 204 countries and territories, 1990–2019: results from the Global Burden of Disease Study 2019. Journal Hematology Oncol. 2021;14(1):1-6. https://doi.org/10.1186/s13045-021-01202-2
4. Ngimbudzi EB, Lukumay AM, Muriithi AW, Dhamani KA, Petrucka PM. Mothers’ knowledge, beliefs, and practices on causes and prevention of anaemia in children aged 6-59 months: a case study at Mkuranga District Hospital, Tanzania. Open Journal of
Nursing. 2016;6(4):342. https://doi.org/10.4236/ojn.2016.64036
5. Adham D, Abazari M, Abbasgholizadeh N, Mirzazadeh A,Tahmoresi M. A survey of iron supplementation consumption and its related factors in children aged 6-24 months: a case study in Ardabil City. Journal of Health [Internet]. 2017;8(1):20-26. Available from: https://healthjournal.arums.ac.ir/article-1-1158-en.html
6. Larijani N, Khorsandi M, Ranjbaran M, Nakhjavani N. Prediction of iron deficiency anemia preventive behaviors of children by rural
women city of Babol: application of health belief model. Pajouhan Sci J.2016;14:48-58. https://doi.org/10.21859/psj-140448
7. Huang Z, Jiang FX, Li J, Jiang D, Xiao TG, Zeng JH. Prevalence and risk factors of anemia among children aged 6–23 months in Huaihua,
Hunan Province. BMC Public Health. 2018;18:1-1. https://doi.org/10.1186/s12889-018-6207-x
8. Riahi M, Mozafar Saadati H, Mohammadi M, Soleimani F. The prevalence of anemia in children
aged 6 to 12 months: a populationbased study. Tehran Univ Med J.2019;77(4):228-33. https://doi.org/10.1016/j.arcped.2019.08.007
9. Hassan TH, Badr MA, Karam NA, Zkaria M, El Saadany HF, Rahman DM, Shahbah DA, Al Morshedy SM, Fathy M, Esh AM, Selim AM. Impact of iron deficiency anemia on the function of the immune system in children. Medicine. 2016;95(47):e5395. https://doi.org/10.1097/MD.0000000000005395
10. Mekonnen A, Alemnew W, Abebe Z, Demissie GD. Adherence to iron with folic acid supplementation among pregnant women attending antenatal care in public health centers in Simada District, Northwest Ethiopia: using health belief model perspective. Patient Prefer Adherence. 2021;15:843-51. https://doi.org/10.2147/PPA.S299294
11. Ngimbudzi E, Lukumay A, Muriithi A, Dhamani K, Petrucka P. Mothers’ knowledge, beliefs, and practices on causes and prevention of anaemia in children aged 6-59 months: a case study at Mkuranga District Hospital, Tanzania. Open J Nursing. 2016;6:342-52. https://doi.org/10.4236/ojn.2016.64036
12. Mirzei H, Shojaeizadeh D, Tol A, Ghasemi ghale ghasemi S, Shirzad M. Application of Health Belief Model (HBM) to promote preventive behaviors against irondeficiency anemia among female students of high school Fereydan City: a quasi-experimental study.Iran J Health Educ Health Promot. 2018;5(4):260-9. https://doi.org/10.30699/acadpub.ijhehp.5.4.260
13. Low M, Farrell A, Biggs BA, Pasricha SR. Effects of daily iron supplementation in primary-school aged children: systematic review and metaanalysis of randomized controlled trials. CMAJ. 2013;185:E791-802. https://doi.org/10.1503/cmaj.130628
14. World Health Organization. Guideline: daily iron supplementation in infants and children. Geneva, Switzerland: World Health Organization; 2016.
15. Safari Moradabadi A, Madani A, Mohsenizadeh M, Rasti R, Dadipoor S. Investigating the awareness and performance of mothers of 6-24 months infants in using iron supplementation in 2013. J Prevent Med [Internet]. 2014;1(2):31-37. Available from: http://jpm.hums.ac.ir/article-1-53-en.html
16. Raeis M, Alidosti M, Raeisi Dehkordi Z, Saeli MJ, Mahmoudi MT. Survey of mother's behavior based on health belief model on using iron complementation in children 6 to 24 months in Shahrekord city. J Res Med Sci [Internet]. 2014;38(2):120-5. Available from: http://pejouhesh.sbmu.ac.ir/article-1-1342-en.html
17. Mansourian M, Qorbani M, Rahimzadeh Bazraki H, Charkazi R, Asayesh H, Rastgari Mehr B, Rezapoor
A. Effect of nutritional education based on HBM model on anemia in Golestan girl guidance school students. J Health Educ Health Prom [Internet]. 2014;1(2):51. Available from: http://journal.ihepsa.ir/article-1-88-en.html
18. Abbasi Shavazi M, Rahaei Z, Rashidian Maybodi SH, Salehi Abargouei A. Predictors of iron supplement consumption in high school girls: an application of the health promotion model. J Educ Comm Health. 2019;6(2):79-85. https://doi.org/10.29252/jech.6.2.79
19. Turawa E, Awotiwon O, Dhansay MA, Cois A, Labadarios D, Bradshaw D, Pillay-van Wyk V. Prevalence of anaemia, iron deficiency, and iron
deficiency anaemia in women of reproductive age and children under 5 years of age in South Africa
(1997-2021): a systematic review. Int J Environ Res Public Health. 2021;18(23):12799. https://doi.org/10.3390/ijerph182312799
20. Abdinia, B. Maternal knowledge and performance about use of iron and multivitamin supplements in children in northwest of Iran. Int J Pediatr. 2014;2(2.2):119-23. https://doi.org/10.22038/ijp.2014.2438
21. Saeidi M, Vakili R, Khakshour A, Taghizadeh Moghaddam H, Kiani MA. Iron and multivitamin supplements in children and its association
with growth rate. Int J Pediatr. 2014;2(2.1):21. https://doi.org/10.22038/ijp.2014.2475
22. Nagata JM, Gatti LR, Barg FK. Social determinants of iron supplementation among women of reproductive age: a systematic review of qualitative data. Matern Child Nutr. 2012;8(1):1-18. https://doi.org/10.1111/j.1740-8709.2011.00338.x
23. Sharma H, Singh SK, Srivastava S. Socio-economic inequality and spatial heterogeneity in anaemia among children in India: evidence
from NFHS-4 (2015–16). Clin Epidemiol Global Health. 2020 Dec 1;8(4):1158-71. https://doi.org/10.1016/j.cegh.2020.04.009
24. Arastoo S, Soleymani A, Toloee A, Ahmadi Shadmehri M. Mothers’ knowledge and practice towards the
effects of iron supplementation on tooth staining and dental caries in Yazd, Iran. J Dent Mater Tech. 2020;9(1):21-6. https://doi.org/10.22038/jdmt.2020.44088.1319
25. FesharakiNia A, SharifZadeh G. Effective factors on mothers' performance regarding supplementary
iron-drop taking by their children in Birjand. J Birjand Uni Med Sci [Internet]. 2006;13(3):9-15. Available from: http://journal.bums.ac.ir/article-1-105-en.html
26. Powers JM, Nagel M, Raphael JL, Mahoney DH, Buchanan GR, Thompson DI. Barriers to and facilitators of iron therapy in children with iron deficiency anemia. J Pediatr. 2020;219:202-8. https://doi.org/10.1016/j.jpeds.2019.12.040
27. Powers JM, Daniel CL, McCavit TL, Buchanan GR. Deficiencies in the management of iron deficiency anemia during childhood. Pediatr
Blood Cancer. 2016;63:743–5. https://doi.org/10.1002/pbc.25861
28. Salama AM. Utilizing health belief model to enhance the preventive behavior against irondeficiency anemia among pregnant women. IOSR J Nurs Health Sci. 2018;7:59-69. https://doi.org/10.9790/1959-0704015969
2. McLean E, Cogswell M, Egli I, Wojdyla D, de Benoist B. Worldwide prevalence of anaemia, WHO vitamin and mineral nutrition information system, 1993-2005. Public Health Nutr. 2009; 12(4):444–54. https://doi.org/10 .1017/S1368980008002401
3. Safiri S, Kolahi AA, Noori M, Nejadghaderi SA, Karamzad N, Bragazzi NL, Sullman MJ, Abdollahi M, Collins GS, Kaufman JS, Grieger JA. Burden of anemia and its underlying causes in 204 countries and territories, 1990–2019: results from the Global Burden of Disease Study 2019. Journal Hematology Oncol. 2021;14(1):1-6. https://doi.org/10.1186/s13045-021-01202-2
4. Ngimbudzi EB, Lukumay AM, Muriithi AW, Dhamani KA, Petrucka PM. Mothers’ knowledge, beliefs, and practices on causes and prevention of anaemia in children aged 6-59 months: a case study at Mkuranga District Hospital, Tanzania. Open Journal of
Nursing. 2016;6(4):342. https://doi.org/10.4236/ojn.2016.64036
5. Adham D, Abazari M, Abbasgholizadeh N, Mirzazadeh A,Tahmoresi M. A survey of iron supplementation consumption and its related factors in children aged 6-24 months: a case study in Ardabil City. Journal of Health [Internet]. 2017;8(1):20-26. Available from: https://healthjournal.arums.ac.ir/article-1-1158-en.html
6. Larijani N, Khorsandi M, Ranjbaran M, Nakhjavani N. Prediction of iron deficiency anemia preventive behaviors of children by rural
women city of Babol: application of health belief model. Pajouhan Sci J.2016;14:48-58. https://doi.org/10.21859/psj-140448
7. Huang Z, Jiang FX, Li J, Jiang D, Xiao TG, Zeng JH. Prevalence and risk factors of anemia among children aged 6–23 months in Huaihua,
Hunan Province. BMC Public Health. 2018;18:1-1. https://doi.org/10.1186/s12889-018-6207-x
8. Riahi M, Mozafar Saadati H, Mohammadi M, Soleimani F. The prevalence of anemia in children
aged 6 to 12 months: a populationbased study. Tehran Univ Med J.2019;77(4):228-33. https://doi.org/10.1016/j.arcped.2019.08.007
9. Hassan TH, Badr MA, Karam NA, Zkaria M, El Saadany HF, Rahman DM, Shahbah DA, Al Morshedy SM, Fathy M, Esh AM, Selim AM. Impact of iron deficiency anemia on the function of the immune system in children. Medicine. 2016;95(47):e5395. https://doi.org/10.1097/MD.0000000000005395
10. Mekonnen A, Alemnew W, Abebe Z, Demissie GD. Adherence to iron with folic acid supplementation among pregnant women attending antenatal care in public health centers in Simada District, Northwest Ethiopia: using health belief model perspective. Patient Prefer Adherence. 2021;15:843-51. https://doi.org/10.2147/PPA.S299294
11. Ngimbudzi E, Lukumay A, Muriithi A, Dhamani K, Petrucka P. Mothers’ knowledge, beliefs, and practices on causes and prevention of anaemia in children aged 6-59 months: a case study at Mkuranga District Hospital, Tanzania. Open J Nursing. 2016;6:342-52. https://doi.org/10.4236/ojn.2016.64036
12. Mirzei H, Shojaeizadeh D, Tol A, Ghasemi ghale ghasemi S, Shirzad M. Application of Health Belief Model (HBM) to promote preventive behaviors against irondeficiency anemia among female students of high school Fereydan City: a quasi-experimental study.Iran J Health Educ Health Promot. 2018;5(4):260-9. https://doi.org/10.30699/acadpub.ijhehp.5.4.260
13. Low M, Farrell A, Biggs BA, Pasricha SR. Effects of daily iron supplementation in primary-school aged children: systematic review and metaanalysis of randomized controlled trials. CMAJ. 2013;185:E791-802. https://doi.org/10.1503/cmaj.130628
14. World Health Organization. Guideline: daily iron supplementation in infants and children. Geneva, Switzerland: World Health Organization; 2016.
15. Safari Moradabadi A, Madani A, Mohsenizadeh M, Rasti R, Dadipoor S. Investigating the awareness and performance of mothers of 6-24 months infants in using iron supplementation in 2013. J Prevent Med [Internet]. 2014;1(2):31-37. Available from: http://jpm.hums.ac.ir/article-1-53-en.html
16. Raeis M, Alidosti M, Raeisi Dehkordi Z, Saeli MJ, Mahmoudi MT. Survey of mother's behavior based on health belief model on using iron complementation in children 6 to 24 months in Shahrekord city. J Res Med Sci [Internet]. 2014;38(2):120-5. Available from: http://pejouhesh.sbmu.ac.ir/article-1-1342-en.html
17. Mansourian M, Qorbani M, Rahimzadeh Bazraki H, Charkazi R, Asayesh H, Rastgari Mehr B, Rezapoor
A. Effect of nutritional education based on HBM model on anemia in Golestan girl guidance school students. J Health Educ Health Prom [Internet]. 2014;1(2):51. Available from: http://journal.ihepsa.ir/article-1-88-en.html
18. Abbasi Shavazi M, Rahaei Z, Rashidian Maybodi SH, Salehi Abargouei A. Predictors of iron supplement consumption in high school girls: an application of the health promotion model. J Educ Comm Health. 2019;6(2):79-85. https://doi.org/10.29252/jech.6.2.79
19. Turawa E, Awotiwon O, Dhansay MA, Cois A, Labadarios D, Bradshaw D, Pillay-van Wyk V. Prevalence of anaemia, iron deficiency, and iron
deficiency anaemia in women of reproductive age and children under 5 years of age in South Africa
(1997-2021): a systematic review. Int J Environ Res Public Health. 2021;18(23):12799. https://doi.org/10.3390/ijerph182312799
20. Abdinia, B. Maternal knowledge and performance about use of iron and multivitamin supplements in children in northwest of Iran. Int J Pediatr. 2014;2(2.2):119-23. https://doi.org/10.22038/ijp.2014.2438
21. Saeidi M, Vakili R, Khakshour A, Taghizadeh Moghaddam H, Kiani MA. Iron and multivitamin supplements in children and its association
with growth rate. Int J Pediatr. 2014;2(2.1):21. https://doi.org/10.22038/ijp.2014.2475
22. Nagata JM, Gatti LR, Barg FK. Social determinants of iron supplementation among women of reproductive age: a systematic review of qualitative data. Matern Child Nutr. 2012;8(1):1-18. https://doi.org/10.1111/j.1740-8709.2011.00338.x
23. Sharma H, Singh SK, Srivastava S. Socio-economic inequality and spatial heterogeneity in anaemia among children in India: evidence
from NFHS-4 (2015–16). Clin Epidemiol Global Health. 2020 Dec 1;8(4):1158-71. https://doi.org/10.1016/j.cegh.2020.04.009
24. Arastoo S, Soleymani A, Toloee A, Ahmadi Shadmehri M. Mothers’ knowledge and practice towards the
effects of iron supplementation on tooth staining and dental caries in Yazd, Iran. J Dent Mater Tech. 2020;9(1):21-6. https://doi.org/10.22038/jdmt.2020.44088.1319
25. FesharakiNia A, SharifZadeh G. Effective factors on mothers' performance regarding supplementary
iron-drop taking by their children in Birjand. J Birjand Uni Med Sci [Internet]. 2006;13(3):9-15. Available from: http://journal.bums.ac.ir/article-1-105-en.html
26. Powers JM, Nagel M, Raphael JL, Mahoney DH, Buchanan GR, Thompson DI. Barriers to and facilitators of iron therapy in children with iron deficiency anemia. J Pediatr. 2020;219:202-8. https://doi.org/10.1016/j.jpeds.2019.12.040
27. Powers JM, Daniel CL, McCavit TL, Buchanan GR. Deficiencies in the management of iron deficiency anemia during childhood. Pediatr
Blood Cancer. 2016;63:743–5. https://doi.org/10.1002/pbc.25861
28. Salama AM. Utilizing health belief model to enhance the preventive behavior against irondeficiency anemia among pregnant women. IOSR J Nurs Health Sci. 2018;7:59-69. https://doi.org/10.9790/1959-0704015969
How to Cite
Lotfipur Rafsanjani, S. S., Masoomi, M., Askari, F., & Abdolkarimi, M. (2024). Consumo de suplementos de hierro, basado en las estructuras del modelo de creencias de salud, en niños de 6 a 24 meses en el sureste de Irán. Universitas Medica, 65. https://doi.org/10.11144/Javeriana.umed65.cshe
Issue
Section
Original Articles
This work is licensed under a Creative Commons Attribution 4.0 International License.