Analysis on the status of knowledge, practice and related health services of folic acid among women of childbearing age in Lanzhou City
10.3760/cma.j.cn101441-20200721-00405
- VernacularTitle:兰州市城区孕产妇叶酸知信行及相关卫生服务现况分析
- Author:
Xinyue CHEN
1
;
Gexiang ZHANG
;
Haixia WANG
;
Yanping LI
Author Information
1. 兰州大学公共卫生学院营养与食品卫生研究所，兰州730000
- Publication Type:Journal Article
- Keywords:
Folate;
Knowledge-attitude-behavior;
Maternal;
Health services
- From:
Chinese Journal of Reproduction and Contraception
2022;42(3):287-292
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To understand the knowledge, belief, practice and related health services of pregnant and lying-in women in Lanzhou City, provide data reference for improving this health strategy.Methods:A cross-sectional research method was used to randomly select pregnant and lying-in women who underwent pregnancy examinations and hospitalized deliveries in some medical institutions in Lanzhou City from May 2019 to December 2019 by age group as the research objects. Face-to-face questionnaire surveys were used to obtain folic acid knowledge, behavior and acceptance of related health services, and its influencing factors were analyzed by multivariate logistic regression.Results:Totally 1060 questionnaires were distributed, and 1060 questionnaires were recovered, of which 1046 were valid questionnaires, with an effective rate of 98.70%. The awareness rate of folic acid knowledge among pregnant and lying-in women in Lanzhou City was 79.06% (827/1046), and the correct rate of question and answer that folic acid could prevent fetal neural tube defects was 89.48% (936/1046). The rate of taking folic acid was 89.29% (934/1046). The proportion of pregnant women who started taking folic acid before pregnancy was 48.82% (456/1046), and the proportion of pregnant women taking folic acid was 40.04% (374/934). In terms of hygienic use, only 19.91% (186/1046) of pregnant women received free folic acid. The results of multivariate logistic analysis showed that education level is below undergraduate degree, family monthly income is 2000-5999 yuan ( OR=4.15, 95% CI=1.634-10.514), folic acid supplementation is not necessary ( OR=0.14, 95% CI=0.045-0.433), it is believed that the current folic acid policy/propaganda has no effect ( OR=0.30, 95% CI=0.186-0.474) affected the awareness rate of folic acid knowledge; pregnancy times are 1 ( OR=4.02, 95% CI=1.436-11.224), has miscarriage history ( OR=2.72, 95% CI=1.328-5.581), no knowledge of folic acid ( OR=0.16, 95% CI=0.100-0.249), folic acid supplementation is not necessary ( OR=0.12, 95% CI=0.040-0.371) affected the rate of taking folic acid. Conclusion:In Lanzhou, maternal folic acid supplementary knowledge, concepts, and behaviors need to be improved. Except for personal and family factors, the existing related health services still have narrow coverage, insufficient publicity, lack of targeted pre-marital education, and unavailable folic acid distribution channels. It is suggested that the folic acid supplementation strategy should be improved in terms of improving the health awareness of women of childbearing age and improving the effectiveness of health services according to local conditions.
