Predictors of adherence to preconception and prenatal micronutrient supplementation in Vietnam

We examined predictors of adherence to preconception and prenatal micronutrient supplementation, using data from a randomized controlled trial in rural Vietnam. 5011 women of reproductive age were randomized to receive weekly PRECONCEPT supplements containing either: Folic Acid, Iron and Folic Acid...

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Main Authors: Gonzalez-Casanova, Ines, Nguyen, Phuong Hong, Harding, Kimberly B., Reinhart, Gregory A., Nguyen, Hieu, Truong, Truong V., Pham, Hoa, Nguyen, Son, Martorell, Reynaldo, Ramakrishnan, Usha
Format: Journal Article
Language:Inglés
Published: Wiley 2015
Subjects:
Online Access:https://hdl.handle.net/10568/149998
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author Gonzalez-Casanova, Ines
Nguyen, Phuong Hong
Harding, Kimberly B.
Reinhart, Gregory A.
Nguyen, Hieu
Truong, Truong V.
Pham, Hoa
Nguyen, Son
Martorell, Reynaldo
Ramakrishnan, Usha
author_browse Gonzalez-Casanova, Ines
Harding, Kimberly B.
Martorell, Reynaldo
Nguyen, Hieu
Nguyen, Phuong Hong
Nguyen, Son
Pham, Hoa
Ramakrishnan, Usha
Reinhart, Gregory A.
Truong, Truong V.
author_facet Gonzalez-Casanova, Ines
Nguyen, Phuong Hong
Harding, Kimberly B.
Reinhart, Gregory A.
Nguyen, Hieu
Truong, Truong V.
Pham, Hoa
Nguyen, Son
Martorell, Reynaldo
Ramakrishnan, Usha
author_sort Gonzalez-Casanova, Ines
collection Repository of Agricultural Research Outputs (CGSpace)
description We examined predictors of adherence to preconception and prenatal micronutrient supplementation, using data from a randomized controlled trial in rural Vietnam. 5011 women of reproductive age were randomized to receive weekly PRECONCEPT supplements containing either: Folic Acid, Iron and Folic Acid (IFA), or Multiple Micronutrients. Women who became pregnant (1744) received daily prenatal IFA (GESTCARE) supplements through delivery. Monitors visited women's homes every 14 d to deliver supplements and record consumption and side effects. 59% and 75% consumed all the tablets that they received for PRECONCEPT and GESTCARE, respectively. In logistic regression analyses, women anemic at baseline (OR, 95% CI=1.25, 1.06 1.47), farmers (OR, 95% CI=1.28, 1.07 1.53), and minority ethnicity (OR, 95% CI=1.50, 1.31 1.71) were more likely to have lower adherence to PRECONCEPT supplements and minority ethnicity with lower adherence to GESTCARE (OR, 95% CI=1.33, 1.01 1.77). There were no differences by type of supplement. Parity, body mass index, side effects, and education did not predict adherence (p>0.05). Adherence to preconception and prenatal supplementation was high among women from a rural province of Vietnam. Lower adherence in vulnerable groups suggests a need to develop tailored behavior change interventions to accompany micronutrient supplementation in this population. Funded by the Micronutrient Initiative and the Mathile Institute.
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spelling CGSpace1499982025-04-03T21:29:14Z Predictors of adherence to preconception and prenatal micronutrient supplementation in Vietnam Gonzalez-Casanova, Ines Nguyen, Phuong Hong Harding, Kimberly B. Reinhart, Gregory A. Nguyen, Hieu Truong, Truong V. Pham, Hoa Nguyen, Son Martorell, Reynaldo Ramakrishnan, Usha nutrition trace elements We examined predictors of adherence to preconception and prenatal micronutrient supplementation, using data from a randomized controlled trial in rural Vietnam. 5011 women of reproductive age were randomized to receive weekly PRECONCEPT supplements containing either: Folic Acid, Iron and Folic Acid (IFA), or Multiple Micronutrients. Women who became pregnant (1744) received daily prenatal IFA (GESTCARE) supplements through delivery. Monitors visited women's homes every 14 d to deliver supplements and record consumption and side effects. 59% and 75% consumed all the tablets that they received for PRECONCEPT and GESTCARE, respectively. In logistic regression analyses, women anemic at baseline (OR, 95% CI=1.25, 1.06 1.47), farmers (OR, 95% CI=1.28, 1.07 1.53), and minority ethnicity (OR, 95% CI=1.50, 1.31 1.71) were more likely to have lower adherence to PRECONCEPT supplements and minority ethnicity with lower adherence to GESTCARE (OR, 95% CI=1.33, 1.01 1.77). There were no differences by type of supplement. Parity, body mass index, side effects, and education did not predict adherence (p>0.05). Adherence to preconception and prenatal supplementation was high among women from a rural province of Vietnam. Lower adherence in vulnerable groups suggests a need to develop tailored behavior change interventions to accompany micronutrient supplementation in this population. Funded by the Micronutrient Initiative and the Mathile Institute. 2015-04-03 2024-08-01T02:50:25Z 2024-08-01T02:50:25Z Journal Article https://hdl.handle.net/10568/149998 en Limited Access Wiley Gonzalez-Casanova, Ines; Nguyen, Phuong Hong; Harding, Kimberly B.; Reinhart, Gregory A.; Nguyen, Hieu; Truong, Truong V.; Pham, Hoa; Nguyen, Son; Martorell, Reynaldo; and Ramakrishnan, Usha. 2015. Predictors of adherence to preconception and prenatal micronutrient supplementation in Vietnam. The FASEB Journal 29: 729.12. https://doi.org/10.1096/fasebj.29.1_supplement.729.12
spellingShingle nutrition
trace elements
Gonzalez-Casanova, Ines
Nguyen, Phuong Hong
Harding, Kimberly B.
Reinhart, Gregory A.
Nguyen, Hieu
Truong, Truong V.
Pham, Hoa
Nguyen, Son
Martorell, Reynaldo
Ramakrishnan, Usha
Predictors of adherence to preconception and prenatal micronutrient supplementation in Vietnam
title Predictors of adherence to preconception and prenatal micronutrient supplementation in Vietnam
title_full Predictors of adherence to preconception and prenatal micronutrient supplementation in Vietnam
title_fullStr Predictors of adherence to preconception and prenatal micronutrient supplementation in Vietnam
title_full_unstemmed Predictors of adherence to preconception and prenatal micronutrient supplementation in Vietnam
title_short Predictors of adherence to preconception and prenatal micronutrient supplementation in Vietnam
title_sort predictors of adherence to preconception and prenatal micronutrient supplementation in vietnam
topic nutrition
trace elements
url https://hdl.handle.net/10568/149998
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