Evidence map›Paper›PMID 33941108›Full record

ArticleBMC pregnancy and childbirth2021

Predictors of iron consumption for at least 90 days during pregnancy: Findings from National Demographic Health Survey, Pakistan (2017-2018).

Sumera Aziz Ali, Savera Aziz Ali, Shama Razzaq, Nayab Khowaja, Sarah Gutkind, Fazal Ur Raheman, Nadir Suhail

Open access · goldAbstract read
In one paragraph

Article in BMC pregnancy and childbirth, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.0field-weighted citation impact, top 28% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 9 citations in OpenAlex.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors at 5 institutions in 3 countries.

Sumera Aziz AliDepartment of Epidemiology, Columbia University, New York, USA. sa3778@cumc.columbia.edu.ORCID http://orcid.org/0000-0001-8996-7995
Savera Aziz AliDepartment of Nursing, University of Alberta, Edmonton, Canada.
Shama RazzaqDepartment of Community Health Sciences Jinnah Medical and Dental College, Karachi, Pakistan.
Nayab KhowajaLiaquat University of Medical and Health Sciences, Jamshoro, Pakistan.
Sarah GutkindDepartment of Epidemiology, Columbia University, New York, USA.
Fazal Ur RahemanDepartment of Medicine, Aga Khan University, Karachi, Pakistan.
Nadir SuhailLiaquat University of Medical and Health Sciences, Jamshoro, Pakistan.
Liaquat University of Medical & Health Sciences · PKUniversity of Alberta · CAAga Khan University · PKColumbia University · USJinnah Medical & Dental College · PK

Funding

Substance Abuse Epidemiology Training Program (SAETP) at Columbia UniversityT32DA031099 · NIDA · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI DEBORAH S HASIN, Silvia Saboia Martins · 2012 to 2026
$6.1M
NIDA NIH HHS T32 DA031099
6 · The paper itself

Abstract

backgroundIron supplementation is considered an imperative strategy for anemia prevention and control during pregnancy in Pakistan. Although there is some evidence on the predictors of iron deficiency anemia among Pakistani women, there is a very limited understanding of factors associated with iron consumption among Pakistani pregnant women. Thus, this study aimed to investigate the predictors of iron consumption for at least ≥90 days during pregnancy in Pakistan.

methodsWe analyzed dataset from the nationally representative Pakistan Demographic Health Survey 2017-2018. The primary outcome of the current study was the consumption of iron supplementation for ≥90 days during the pregnancy of the last birth. Women who had last childbirth 5 years before the survey and who responded to the question of iron intake were included in the final analysis (n = 6370). We analyzed the data that accounted for complex sampling design by including clusters, strata, and sampling weights.

resultsAround 30% of the women reported consumed iron tablets for ≥90 days during their last pregnancy. In the multivariable logistic regression analysis, we found that factors such as women's age (≥ 25 years) (adjusted prevalence ratio (aPR) = 1.52; 95% CI: 1.42-1.62)], wealth index (rich/richest) (aPR = 1.25; [95% CI: 1.18-1.33]), primary education (aPR = 1.33; [95% CI: 1.24-1.43), secondary education (aPR = 1.34; [95% CI: 1.26-1.43), higher education (aPR = 2.13; [95% CI: 1.97-2.30), women's say in choosing husband (aPR = 1.68; [95% CI: 1.57-1.80]), ≥ five antenatal care visits (aPR =2.65; [95% CI (2.43-2.89]), history of the last Caesarian-section (aPR = 1.29; [95% CI: 1.23-1.36]) were significantly associated with iron consumption for ≥90 days.

conclusionThese findings demonstrate complex predictors of iron consumption during pregnancy in Pakistan. There is a need to increase the number of ANC visits and the government should take necessary steps to improve access to iron supplements by targeting disadvantaged and vulnerable women who are younger, less educated, poor, and living in rural areas.

Indexed as

Dietary SupplementsAdultAge FactorsAnemia, Iron-DeficiencyEducational StatusFemaleHumansIronPakistanPatient Acceptance of Health CarePregnancyPregnancy ComplicationsPrenatal CareSocioeconomic FactorsIronDemographic health surveyIron consumptionPakistanPredictorsPregnancy

Identifiers

PMID33941108
PMCPMC8091661
OpenAlexW3158770902

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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.