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Determinants of iron supplement adherence and hemoglobin status among 6-month-old infants in a high-poverty region of Peru Cover

Determinants of iron supplement adherence and hemoglobin status among 6-month-old infants in a high-poverty region of Peru

Open Access
|Sep 2026

Figures & Tables

Table 1.

Characteristics of the participating population.

Criterian%95% CIP-value
Anemia0.000
  Yes2442.138.5–45.7
  No3357.955.3–60.5
Sex of the infant0.050
  Man3154.451.7–47.1
  Women2645.642.9–47.1
Mother’s age0.010
  16–20 years old2136.833.2–39.7
  21–30 years old2747.445.7–50.1
  30<915.813.1–18.5
Mother’s educational level0.000
  Primary814.011.7–16.3
  Secondary4680.777.5–83.3
  Superior35.32.1–8.5
Occupation0.060
  Housewife5189.585.4–92.6
  Trade610.58.4–13.6
Socioeconomic status0.012
  Not poor35.32.1–8.5
  Poor4375.472.5–78.3
  Extreme poverty1119.316.8–22.8
Area of origin0.020
  Rural3968.465.9–71.9
  Urban1831.628.1–34.1

[i] Note: P < 0.05, there is a significant relationship with adherence; CI, confidence interval.

Table 2.

Hemoglobin level and adherence to ferrous sulfate in 6-month-old children.

CriteriaAdherentsNon-adherentTotal
n%n%n%
Adequate hemoglobin2950.947.03357.9
Inadequate hemoglobin23.52238.62442.1
Total3154.42645.657100

[i] Note: P < 0.05, there is a significant relationship.

Table 3.

Hemoglobin values in 6-month-old children (n = 57).

ValuesCriterian%
<7.0 g/dLSevere anemia00.0
7.0–9.9 g/dLModerate anemia35.3
10.0–10.9 g/dLMild anemia2136.8
≥11.0 g/dLWithout anemia3357.9
Table 4.

Factors associated with prophylactic adherence with ferrous sulfate in 6-month-old children.

Factors and Level*n%OR95% CIP-value
Individual1.801.20–2.700.005
  High1424.6
  Half00.0
  Low4375.4
Familiar1.501.10–2.050.020
  High1119.3
  Half610.5
  Low4070.2
Social0.750.60–0.950.010
  High1322.8
  Half2747.4
  Low1729.8
Institutional0.650.45–0.900.005
  High4986.0
  Half00.0
  Low814.0

Note: CI, confidence interval; OR, odds ratio;

* The values shown represent the level of adherence observed for each factor: low, half, or high; OR values >1 indicate an increase in the probability of non-adherence, while OR <1 indicate a decrease and greater protection for adherence;P ≥ 0.05, there is no significant relationship with non-adherence.

Table 5.

Factors associated with hemoglobin level in 6-month-old children.

FactorsHemoglobin (%)CORAORP-value
AdequateInadequate(95% CI)(95% CI)
Individual3 (5.3)11 (19.3)3.2 (1.8–5.6)2.8 (1.6–5.0)0.001
Familiar8 (14.0)9 (15.8)2.1 (1.3–3.4)2.0 (1.2–3.0)0.000
Social4 (7.0)5 (8.8)1.8 (1.0–3.0)1.5 (0.9–2.7)0.080
Institutional16 (28.1)1 (1.8)1.5 (0.8–2.8)1.3 (0.7–2.4)0.240
Total31 (54.4)26 (45.6)–––

[i] Note: OR (95% CI), crude OR with its confidence interval; OR values >1 indicate influence or harm with hemoglobin levels; AOR (95% CI), AOR with its confidence interval; AOR values >1 indicate greater influence with hemoglobin levels after adjustment; A P-value <0.05 indicates a significant correlation of each factor with the hemoglobin level; The Hosmer and Lemeshow test = 0.412 showed that the model fits well; AOR, adjusted odds ratio; CI, confidence interval; OR, odds ratio.

Figure 1.

Adhesion to ferrous sulfate according to direct and indirect methods.

DOI: https://doi.org/10.2478/fon-2026-0040 | Journal eISSN: 2544-8994 | Journal ISSN: 2097-5368
Language: English
Page range: 365 - 374
Submitted on: Nov 13, 2025
Accepted on: Dec 8, 2025
Published on: Sep 25, 2026
Published by: Shanxi Medical Periodical Press
In partnership with: Paradigm Publishing Services

© 2026 Jhan Carlos Manuel Fernández-Delgado, Francisca Edita Díaz-Villanueva, Edgardo Álvarez-Muñoz, Jordan Llego, published by Shanxi Medical Periodical Press
This work is licensed under the Creative Commons Attribution 4.0 License.