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The association between anemia in infants, and maternal knowledge and adherence to iron supplementation in southern Israel.
Isr Med Assoc J 2007; 9(7):521-4IM

Abstract

BACKGROUND

Iron deficiency is the most prevalent anemia in infants and is known to be a major public health problem.

OBJECTIVE

To examine mothers' knowledge and adherence with recommendations regarding iron supplementation and assess their association with the prevalence of anemia in infants.

METHODS

Data on 101 infants and mothers of infants born between November 2000 and February 2001 and living in a small Jewish town in southern Israel were collected using a structured questionnaire and the infants' medical charts. Anemia was defined as serum hemoglobin less than 11 g/dl. Independent variables include socioeconomic data, mothers' knowledge, and adherence to treatment as reported by them. Chi-square test was used to analyze categorical variables, t-test was used for continuous variables, and hemoglobin was tested at 9-12 months of age.

RESULTS

Of the 101 infants in the study, 47% had serum hemoglobin under 11 g/dl. Of the mothers, 62 (62%) were partially or completely non-compliant with iron supplementation; 34 (34%) had low level of knowledge regarding anemia. Multivariate logistic regression analysis revealed a significant and inverse relationship between the presence of anemia and the level of maternal knowledge (odds ratio = 5.6, 95% confidence interval 1.6-9.7; P = 0.006) and reported adherence with iron supplementation (3.2, 1.1-9.7; P = 0.04) after controlling for confounding factors: maternal education, socioeconomic status, breastfeeding, and meat consumption.

CONCLUSIONS

The presence of iron deficiency anemia in infants in southern Israel is inversely affected by the level of maternal knowledge of anemia and adherence to iron supplementation. Low level of knowledge is also directly related to low adherence.

Authors+Show Affiliations

Ministry of Health, Southern District, Beer Sheva, Israel.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

17710783

Citation

Bilenko, Natalya, et al. "The Association Between Anemia in Infants, and Maternal Knowledge and Adherence to Iron Supplementation in Southern Israel." The Israel Medical Association Journal : IMAJ, vol. 9, no. 7, 2007, pp. 521-4.
Bilenko N, Yehiel M, Inbar Y, et al. The association between anemia in infants, and maternal knowledge and adherence to iron supplementation in southern Israel. Isr Med Assoc J. 2007;9(7):521-4.
Bilenko, N., Yehiel, M., Inbar, Y., & Gazala, E. (2007). The association between anemia in infants, and maternal knowledge and adherence to iron supplementation in southern Israel. The Israel Medical Association Journal : IMAJ, 9(7), pp. 521-4.
Bilenko N, et al. The Association Between Anemia in Infants, and Maternal Knowledge and Adherence to Iron Supplementation in Southern Israel. Isr Med Assoc J. 2007;9(7):521-4. PubMed PMID: 17710783.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The association between anemia in infants, and maternal knowledge and adherence to iron supplementation in southern Israel. AU - Bilenko,Natalya, AU - Yehiel,Mazal, AU - Inbar,Yael, AU - Gazala,Eli, PY - 2007/8/23/pubmed PY - 2007/9/14/medline PY - 2007/8/23/entrez SP - 521 EP - 4 JF - The Israel Medical Association journal : IMAJ JO - Isr. Med. Assoc. J. VL - 9 IS - 7 N2 - BACKGROUND: Iron deficiency is the most prevalent anemia in infants and is known to be a major public health problem. OBJECTIVE: To examine mothers' knowledge and adherence with recommendations regarding iron supplementation and assess their association with the prevalence of anemia in infants. METHODS: Data on 101 infants and mothers of infants born between November 2000 and February 2001 and living in a small Jewish town in southern Israel were collected using a structured questionnaire and the infants' medical charts. Anemia was defined as serum hemoglobin less than 11 g/dl. Independent variables include socioeconomic data, mothers' knowledge, and adherence to treatment as reported by them. Chi-square test was used to analyze categorical variables, t-test was used for continuous variables, and hemoglobin was tested at 9-12 months of age. RESULTS: Of the 101 infants in the study, 47% had serum hemoglobin under 11 g/dl. Of the mothers, 62 (62%) were partially or completely non-compliant with iron supplementation; 34 (34%) had low level of knowledge regarding anemia. Multivariate logistic regression analysis revealed a significant and inverse relationship between the presence of anemia and the level of maternal knowledge (odds ratio = 5.6, 95% confidence interval 1.6-9.7; P = 0.006) and reported adherence with iron supplementation (3.2, 1.1-9.7; P = 0.04) after controlling for confounding factors: maternal education, socioeconomic status, breastfeeding, and meat consumption. CONCLUSIONS: The presence of iron deficiency anemia in infants in southern Israel is inversely affected by the level of maternal knowledge of anemia and adherence to iron supplementation. Low level of knowledge is also directly related to low adherence. SN - 1565-1088 UR - https://www.unboundmedicine.com/medline/citation/17710783/The_association_between_anemia_in_infants_and_maternal_knowledge_and_adherence_to_iron_supplementation_in_southern_Israel_ L2 - http://www.ima.org.il/IMAJ/ViewArticle.aspx?year=2007&month=07&page=521 DB - PRIME DP - Unbound Medicine ER -