Resumo
Objetivo: A deficiência de ferro é um dos problemas comuns durante a infância. O objetivo deste estudo é
investigar o status do consumo de suplementos de ferro e os fatores que o afetam com base nas construções do
modelo de crença em saúde. Metodologia: Neste estudo descritivo, 402 mães de crianças de 6 a 12 meses foram
selecionadas por meio de amostragem aleatória em vários estágios. O estado do desempenho das mães em relação ao fornecimento de suplementos de ferro e o estado dos construtos do modelo de crença em saúde foram avaliados por meio de um questionário cuja validade e confiabilidade foram confirmadas. Os dados foram analisados por meio de análise de variância, coeficiente de correlação de Pearson e testes de regressão linear. Resultados: o presente estudo mostrou que apesar do estado de consciência adequado, o escore do comportamento Consumo de suplementos de ferro não foi favorável. Assim que 62,7% relataram um baixo desempenho. O teste de correlação de Pearson mostrou que apenas o escore de suscetibilidade percebida não apresentou relação significativa com o comportamento (p = 0,174). Os resultados da regressão mostraram que as variáveis incluídas no modelo de regressão explicaram um total de 24,1% da variância da mudança no escore de comportamento (R² ajustado = 0,241). Conclusão: Considerando a situação desfavorável do comportamento de suplementação de ferro em lactentes, o uso de construtos da teoria das crenças em saúde pode ser eficaz para persuadir as mães. Os enfermeiros de saúde comunitária podem ter mais sucesso na melhoria desse índice, fornecendo intervenção educativa com base nas estruturas desse modelo, ajudando especialmente a remover as barreiras percebidas pelas mães.
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
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
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
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
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
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
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
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
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
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
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
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
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
World Health Organization. Guideline: daily iron supplementation in infants and children. Geneva, Switzerland: World Health Organization; 2016.
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
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
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
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
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
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
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
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
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
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
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
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
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
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

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