Contextualizing adherence: Iron supplementation treatment among Peruvian caretakers and their anemic children.
This article describes an ethnographic study of adherence to iron supplementation protocols in 50 anemic preschoolers and their caregivers living in a peri‐urban district in Lima, Peru. I use aspects of the syndemic approach to highlight the challenges caregivers face in following the recommended tr...
| Publicado en: | Medical Anthropology Quarterly Vol. 39; no. 4; pp. 1 - 15 |
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| Formato: | Artículo |
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Wiley-Blackwell
Dec2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=190305078&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 190305078 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 07455194 GFS jtl: Medical Anthropology Quarterly issn: 07455194 maglogo: Y pubinfo: dt: Dec2025 vid: 39 iid: 4 pid: 480 pub: Wiley-Blackwell artinfo: ui: 190305078 10.1111/maq.70014 ppf: 1 ppct: 14 formats: fmt: – @attributes: type: T – @attributes: type: P size: 272KB tig: atl: Contextualizing adherence: Iron supplementation treatment among Peruvian caretakers and their anemic children. aug: au: Dorsey, Achsah F. affil: Department of Anthropology, University of Massachusetts, Amherst Massachusetts, , USA su: Lima (Peru) Peru Ethnology research Patient compliance Caregivers Socioeconomics Iron supplements Anemia Decision making in children sug: subj: Ethnology research Patient compliance Caregivers Socioeconomics Lima (Peru) Peru Iron supplements Anemia Decision making in children keyword: adherence anemia iron supplementation adherence anemia iron supplementation ab: This article describes an ethnographic study of adherence to iron supplementation protocols in 50 anemic preschoolers and their caregivers living in a peri‐urban district in Lima, Peru. I use aspects of the syndemic approach to highlight the challenges caregivers face in following the recommended treatment and burden of treatment theory to develop a deeper understanding of adherence in a community with persistent childhood anemia. Interpreting adherence as an ideology also helps illuminate how health professionals' claims about patient behavior reflect social inequalities. Thematic analysis of qualitative data identified three major challenges to iron supplementation adherence—time constraints, acute health concerns, and child agency. These themes show how socioeconomic conditions and emotional burdens impact caregivers' ability to follow the prescribed treatment. Despite these challenges, the relatively high rate of adherence contests assumptions that lack of adherence is the primary explanation for persistent anemia rates among preschoolers living in this community. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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