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Adherence to Screening for Anemia in 9-Month-Old Full-Term Infants in Bangkok, Thailand
Kwanchanok Chienwittayakun1, Orapa Suteerojntrakool2,3, Piti Techavichit4
1Department of Pediatrics, Faculty of Medicine, Chulalongkorn University, Bangkok 10330, Thailand.
Insights
Anemia screening adherence in 9-month-old infants was 76.1%. Non-adherence was linked to long lab wait times, caregiver education, socioeconomic status, and inadequate complementary feeding.
Area of Science:
- Pediatrics
- Public Health
- Hematology
Background:
- Anemia is a significant global health issue in infants.
- Early detection through screening is crucial for preventing long-term developmental consequences.
- Understanding adherence barriers is vital for improving pediatric screening programs.
Purpose of the Study:
- To assess the adherence rate for anemia screening in 9-month-old infants.
- To identify factors contributing to non-adherence in anemia screening.
Main Methods:
- A descriptive cross-sectional study was conducted.
- Data collected from 234 infants aged 9 months at a pediatric clinic.
- Statistical analyses included percentages, chi-squared tests, and logistic regression.
Main Results:
- Adherence to anemia screening was 76.1%.
- The primary reason for non-adherence was extended waiting times for laboratory results (39.3%).
- Factors associated with non-adherence included lower caregiver education, lower socioeconomic status, and insufficient complementary feeding.
Conclusions:
- Waiting times for lab results are a major barrier to infant anemia screening.
- Healthcare providers should emphasize the importance of anemia screening and collaborate with parents on scheduling.
- Addressing socioeconomic and educational factors may improve screening adherence.
Objectives:
To determine adherence to the screening for anemia in 9-month-old full-term infants and factors associated with non-adherence to the screening for anemia.
Methods:
A descriptive cross-sectional study was conducted in 9-month-old full-term healthy infants who visited the General Pediatric and Well Child Care Clinic, King Chulalongkorn Memorial Hospital, Bangkok, Thailand. Demographic data, adherence to the screening, and factors associated with non-adherence to the screening were analyzed using percentage, χ2 test, and bivariate logistic regression.
Results:
A total of 234 full-term infants, aged 9 months, were included in the study between January and December 2019. The prevalence of adherence to the screening for anemia was 76.1% (95% CI 0.70-0.81). The most common cause of non-adherence to the screening was the waiting time for laboratory results (39.3%). Factors associated with non-adherence to the screening were low education of caregiver (AOR 2.684; 95% CI 1.451-4.966), low socio-economic status (AOR 2.26; 95% CI 1.568-3.258), and inadequate complementary food (AOR 1.961; 95% CI 1.107-3.473).
Conclusion:
The most common cause of non-adherence to the screening for anemia is the waiting time for laboratory results. Pediatricians and general practitioners should ensure the importance of anemia screening in infants and plan on anemia screening with parents.
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