<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0864-3466</journal-id>
<journal-title><![CDATA[Revista Cubana de Salud Pública]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cubana Salud Pública]]></abbrev-journal-title>
<issn>0864-3466</issn>
<publisher>
<publisher-name><![CDATA[Editorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0864-34662021000400002</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Adherencia al consumo de suplementos de hierro y factores asociados en gestantes peruanas]]></article-title>
<article-title xml:lang="en"><![CDATA[Adherence to iron supplements consumption and associated factors in Peruvian pregnant women]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Munares-García]]></surname>
<given-names><![CDATA[Oscar]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gómez-Guizado]]></surname>
<given-names><![CDATA[Guillermo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Nacional Mayor de San Marcos Facultad de Medicina Humana "San Fernando" Departamento Académico de Obstetricia]]></institution>
<addr-line><![CDATA[ Lima]]></addr-line>
<country>Peru</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de San Martín de Porres Facultad de Medicina Centro Nacional de Alimentación y Nutrición Instituto Nacional de Salud]]></institution>
<addr-line><![CDATA[ Lima]]></addr-line>
<country>Peru</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2021</year>
</pub-date>
<volume>47</volume>
<numero>4</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0864-34662021000400002&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0864-34662021000400002&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0864-34662021000400002&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  La anemia durante el embarazo se considera un problema de salud pública. La estrategia para su reducción incluye la administración de suplementos de hierro.  Objetivo:  Analizar la adherencia al suplemento de hierro en gestantes atendidas en los establecimientos de salud del Ministerio de Salud del Perú.  Métodos:  Se realizó un estudio transversal de vigilancia centinela de adherencia a sales de hierro en 1038 gestantes del Perú, atendidas en hospitales, centros de salud y puestos de salud, que recibieron suplementos de hierro. Se aplicó una entrevista estructurada para medir los factores a la adherencia y se determinó adherencia cuando el consumo de suplementos fuera &gt; 75 %. Se aplicó la estadística descriptiva y regresión logística.  Resultados:  El 42,3 % de las gestantes fueron adherentes al suplemento de hierro. Se asociaron a la adherencia: tener educación universitaria (ORa 3,4; IC 95 % 1,5:7,7), consumir alimentos ricos en hierro (ORa 1,6; IC 95 % 1,1:2,5), no suspender el tratamiento por molestias (ORa: 2,8 IC 95 % 1,7:4,6) y residir en una altitud entre 1001 m s. n. m. a 2000 m s. n. m. (ORa 4,0; IC 95 % 1,6:10,1). Estos factores explican entre el 12 % y el 16 % de la adherencia, y fueron predictivos para identificar adherencia en gestantes con un área bajo la curva del 70,4 %.  Conclusiones:  El tratamiento con sales de hierro en gestante es insuficiente, por lo que debe incluirse en su dieta, de manera integral y simultánea, el consumo de alimentos ricos en hierro y otros fortificados dirigidos básicamente a las embarazadas. Además, se deben trazar estrategias de salud que permitan identificar determinantes sociales, como el nivel educativo, que inciden en la adherencia al tratamiento, con vista a disminuir su influencia.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Anemia during pregnancy is considered a public health problem. The strategy for its reduction includes iron supplementation.  Objective:  Analyze adherence to iron supplements in pregnant women treated in health facilities of the Peruvian Ministry of Health.  Methods:  A cross-sectional sentinel surveillance study of adherence to iron salts was conducted in 1038 pregnant women from Peru, who were treated in hospitals, health centers and health posts, and who received iron supplements. A structured interview was applied to measure the factors to adherence, and adherence was determined when supplement consumption was &gt; 75%. Descriptive statistics and logistic regression were applied.  Results:  42.3 % of the pregnant women were adherents to the iron supplement. Adherence was associated with: having a university education (ORa 3.4; CI 95 % 1.5:7.7), consumption of foods rich in iron (ORa 1.6; 95% CI 1.1:2.5), do not discontinue the treatment due to discomfort (ORa: 2.8 CI 95% 1.7:4.6) and living at an altitude between 1001 m.a.s.l to 2000 m.a.s.l (ORa 4.0; CI 95 % 1.6:10.1). These factors explain between 12% and 16% of the adherence rates, and were predictive to identify adherence in pregnant women with an area under the curve of 70.4%.  Conclusions:  Treatment with iron salts in pregnant women is insufficient, so the consumption of foods rich in iron and other fortified foods basically aimed at pregnant women should be included in their diet, in a comprehensive and simultaneous way. In addition, health strategies must be drawn up to identify social determinants, such as educational level, that affect adherence to treatment, with a view to reduce their influence.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[anemia]]></kwd>
<kwd lng="es"><![CDATA[adherencia]]></kwd>
<kwd lng="es"><![CDATA[sales de hierro]]></kwd>
<kwd lng="es"><![CDATA[embarazo]]></kwd>
<kwd lng="en"><![CDATA[Anemia]]></kwd>
<kwd lng="en"><![CDATA[adherence]]></kwd>
<kwd lng="en"><![CDATA[iron salts]]></kwd>
<kwd lng="en"><![CDATA[pregnancy]]></kwd>
</kwd-group>
</article-meta>
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