Evidence map›Paper›PMID 33082184›Full record

ArticleBMJ open2020

Is fatigue a cue to obtain iron supplements in Odisha, India? A mixed methods investigation.

Hagere Yilma, Erica Sedlander, Rajiv N Rimal, Soumik Pattnaik

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Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Hagere YilmaPrevention and Community Health, The George Washington University Milken Institute of Public Health, Washington, District of Columbia, USA hyilma@gwu.edu.ORCID 0000-0002-4042-3484
Erica SedlanderPrevention and Community Health, The George Washington University Milken Institute of Public Health, Washington, District of Columbia, USA.
Rajiv N RimalHealth, Behavior and Society, Johns Hopkins Bloomberg School of Public Health Center for Teaching and Learning, Baltimore, Maryland, USA.
Soumik PattnaikManagement, D-COR Consulting, Bhubaneswar, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis study aims to understand if fatigue, the main symptom of anaemia, is a health concern that cues women and their referent groups to obtain iron folic acid supplements.

designThis is a mixed methods study that consisted of a cross-sectional perceptual mapping and card sorting activity along with 16 focus group discussions with women of reproductive age, mothers-in-law and men. Participants of the perceptual mapping and card sorting activity were asked to compare images of anaemia-related items and concepts. Participants in the focus group discussions were asked about their daily life, aspirations and concerns among women and perceptions of anaemia and iron supplementation in the community. The quantitative data were analysed through multidimensional scaling and analyses of variance in SPSS. The qualitative data were analysed through applied thematic analysis using NVivo.

settingBhubaneswar, Odisha, India.

participantsWomen of reproductive age (n=30), mothers-in-law (n=30) and married men (n=30) were randomly selected to participate in the perceptual mapping and card sorting exercise. A separate sample of each group was randomly selected for the focus group discussions (n=148). PRIMARY AND SECONDARY OUTCOME MEASURES: We collected perceptions of dissimilarity between anaemia-related items, including fatigue and medical items; the extent to which these items were perceived as important to health or likable; and qualitative information about gender norms.

resultsCognitive maps and card sorting revealed that fatigue was conceptualised distinctly from items related to medical treatment and that perceptions around fatigue's importance to health were low. Women from the focus groups reported that fatigue is a regular part of their daily life.

conclusionOur results indicate that fatigue is currently not an adequate cue to seek treatment, perhaps due to the normalisation of fatigue as a part of women's daily life.

Indexed as

CuesIronCross-Sectional StudiesDietary SupplementsFatigueFemaleFolic AcidHumansIndiaMaleFolic AcidIronanaemianutritionpublic healthqualitative research

Identifiers

PMID33082184
PMCPMC7577027

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.