{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,17]],"date-time":"2025-12-17T12:31:34Z","timestamp":1765974694019,"version":"3.48.0"},"reference-count":48,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,7,7]],"date-time":"2025-07-07T00:00:00Z","timestamp":1751846400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100017777","name":"Philanthropic Educational Organization","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100017777","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100023029","name":"Fulbright Program","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100023029","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000001","name":"National Science Foundation","doi-asserted-by":"publisher","award":["BCS\u20101731120"],"award-info":[{"award-number":["BCS\u20101731120"]}],"id":[{"id":"10.13039\/100000001","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["anthrosource.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Med Anthropol Q"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>This article describes an ethnographic study of adherence to iron supplementation protocols in 50 anemic preschoolers and their caregivers living in a peri\u2010urban 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\u2019 claims about patient behavior reflect social inequalities. Thematic analysis of qualitative data identified three major challenges to iron supplementation adherence\u2014time constraints, acute health concerns, and child agency. These themes show how socioeconomic conditions and emotional burdens impact caregivers\u2019 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.<\/jats:p>","DOI":"10.1111\/maq.70014","type":"journal-article","created":{"date-parts":[[2025,7,7]],"date-time":"2025-07-07T12:02:34Z","timestamp":1751889754000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Contextualizing adherence: Iron supplementation treatment among Peruvian caretakers and their anemic children"],"prefix":"10.1111","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8860-0307","authenticated-orcid":false,"given":"Achsah F.","family":"Dorsey","sequence":"first","affiliation":[{"name":"Department of Anthropology University of Massachusetts  Amherst Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,7,7]]},"reference":[{"volume-title":"The Economic Impact of Anemia on Peru","year":"2013","author":"Alcazar L.","key":"e_1_2_9_2_1"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjmed.2008.07.012"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.15386\/mpr-1201"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.7560\/708709"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.91.10.1580"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(10)62304-5"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.5334\/aogh.2896"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2020.113031"},{"volume-title":"Latin American Independence: An Anthology of Sources","year":"2010","author":"Chambers S. 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