Compliance to micronutrient supplementation in children 3 to 24 months of age from a semi-rural community in Mexico

• Published in: Salud pública de México Vol. 54; no. 5; pp. 470 - 478
• Main Authors: López-Flores, Fernando, Neufeld, Lynnette Marie, Sotres-Álvarez, Daniela, García-Guerra, Armando, Ramakrishnan, Usha
• Format: Journal Article
• Language: English; Portuguese
• Published: Mexico Instituto Nacional de Salud Pública 01.10.2012
• Subjects: Adult; Birth Weight; Breast Feeding; child; Cough - epidemiology; cumplimiento de la medicación; Databases, Factual - statistics & numerical data; Diarrhea - epidemiology; Dietary Supplements; Double-Blind Method; Educational Status; Female; Fever - epidemiology; Health Policy & Services; Hemoglobins - analysis; Humans; Indians, North American - statistics & numerical data; Infant; Infant Food; infantil; Iron - administration & dosage; Male; Medication adherence; Medication Adherence - ethnology; Medication Adherence - statistics & numerical data; Mexico; Micronutrients - administration & dosage; Mothers - statistics & numerical data; México; nutrientes; nutrients; Randomized Controlled Trials as Topic - statistics & numerical data; Risk Factors; Rural Population - statistics & numerical data; Socioeconomic Factors; suplementos dietéticos; Vitamin A - administration & dosage; Mexico; Medication adherence; cumplimiento de la medicación; nutrientes; infantil; dietary supplements; México; Mexico; suplementos dietéticos; nutrients; child
• ISSN: 0036-3634; 1606-7916
• DOI: 10.1590/S0036-36342012000500003

To identify associated factors to compliance for multiple micronutrient (MM) or iron and vitamin A (IVITA) supplementation, in children (3 to 24 months old). 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. The compliance mean was high (MM:78.2%, IVITA:80.1%; 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). 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.