Determinants of folic acid knowledge and use among antenatal women.

Hdl Handle:
http://hdl.handle.net/10147/323766
Title:
Determinants of folic acid knowledge and use among antenatal women.
Authors:
McDonnell, R; Johnson, Z; Doyle, A; Sayers, G
Affiliation:
Health Information Unit, Eastern Health Board, Dr Steeven's Hospital, Dublin, Republic of Ireland.
Citation:
McDonnell R et al. Determinants of folic acid knowledge and use among antenatal women. J Public Health Med. 1999, 21 (2):145-9
Journal:
Journal of public health medicine
Issue Date:
Jun-1999
URI:
http://hdl.handle.net/10147/323766
PubMed ID:
10432242
Additional Links:
http://www.ncbi.nlm.nih.gov/pubmed/10432242
Abstract:
Although recommendations on folic acid use were issued by health authorities in a number of countries in the early 1990s, uptake of peri-conceptional folic acid is still disappointingly low. Regardless of food fortification policies, folic acid promotion will probably be required in most countries to optimize folate levels among women of child-bearing age. The aim of this study was to examine folic acid knowledge and use, and their determinants among antenatal women in the east of Ireland in 1997.; Three hundred antenatal women attending their initial booking appointment in three Dublin maternity hospitals were surveyed. An interviewer-administered questionnaire was used with questions on folic acid knowledge and use, and demographic and obstetric questions. A univariate analysis of data was undertaken followed by a multivariate analysis using logistic regression to determine factors predicting knowledge and use of folic acid.; Seventy-six per cent of respondents had heard of folic acid, 16 per cent had taken it before pregnancy and 51 per cent during pregnancy. Women who had planned their pregnancy, were married and were relatively affluent were significantly more likely to have heard of folic acid, to know that it could prevent neural tube defects and to have taken it peri-conceptionally. Less affluent women tended to use their general practitioner (GP) more as a source of information and advice than those who were better off. In multivariate analysis, marriage and planned pregnancy were important predictors of folic acid knowledge whereas planned pregnancy advice given before pregnancy and relative affluence were predictive of peri-conceptional use.; Many women know of folic acid but do not take it peri-conceptionally. Women may associate folic acid with pregnancy and less with pre-pregnancy. Greater emphasis on peri-conceptional use should improve folic acid uptake. Focusing on less affluent women for folic acid promotion by GPs and other primary care professionals is also important.
Item Type:
Article
Language:
en
Description:
BACKGROUND: Although recommendations on folic acid use were issued by health authorities in a number of countries in the early 1990s, uptake of peri-conceptional folic acid is still disappointingly low. Regardless of food fortification policies, folic acid promotion will probably be required in most countries to optimize folate levels among women of child-bearing age. The aim of this study was to examine folic acid knowledge and use, and their determinants among antenatal women in the east of Ireland in 1997. METHODS: Three hundred antenatal women attending their initial booking appointment in three Dublin maternity hospitals were surveyed. An interviewer-administered questionnaire was used with questions on folic acid knowledge and use, and demographic and obstetric questions. A univariate analysis of data was undertaken followed by a multivariate analysis using logistic regression to determine factors predicting knowledge and use of folic acid. RESULTS: Seventy-six per cent of respondents had heard of folic acid, 16 per cent had taken it before pregnancy and 51 per cent during pregnancy. Women who had planned their pregnancy, were married and were relatively affluent were significantly more likely to have heard of folic acid, to know that it could prevent neural tube defects and to have taken it peri-conceptionally. Less affluent women tended to use their general practitioner (GP) more as a source of information and advice than those who were better off. In multivariate analysis, marriage and planned pregnancy were important predictors of folic acid knowledge whereas planned pregnancy advice given before pregnancy and relative affluence were predictive of peri-conceptional use. CONCLUSIONS: Many women know of folic acid but do not take it peri-conceptionally. Women may associate folic acid with pregnancy and less with pre-pregnancy. Greater emphasis on peri-conceptional use should improve folic acid uptake. Focusing on less affluent women for folic acid promotion by GPs and other primary care professionals is also important.
Keywords:
PREGNANCY; FOLIC ACID
MeSH:
Adult; Cross-Sectional Studies; Female; Folic Acid; Health Knowledge, Attitudes, Practice; Humans; Ireland; Marital Status; Multivariate Analysis; Neural Tube Defects; Preconception Care; Pregnancy; Prenatal Care; Questionnaires
ISSN:
0957-4832

Full metadata record

DC FieldValue Language
dc.contributor.authorMcDonnell, Ren_GB
dc.contributor.authorJohnson, Zen_GB
dc.contributor.authorDoyle, Aen_GB
dc.contributor.authorSayers, Gen_GB
dc.date.accessioned2014-07-24T13:54:56Z-
dc.date.available2014-07-24T13:54:56Z-
dc.date.issued1999-06-
dc.identifier.citationMcDonnell R et al. Determinants of folic acid knowledge and use among antenatal women. J Public Health Med. 1999, 21 (2):145-9en_GB
dc.identifier.issn0957-4832-
dc.identifier.pmid10432242-
dc.identifier.urihttp://hdl.handle.net/10147/323766-
dc.descriptionBACKGROUND: Although recommendations on folic acid use were issued by health authorities in a number of countries in the early 1990s, uptake of peri-conceptional folic acid is still disappointingly low. Regardless of food fortification policies, folic acid promotion will probably be required in most countries to optimize folate levels among women of child-bearing age. The aim of this study was to examine folic acid knowledge and use, and their determinants among antenatal women in the east of Ireland in 1997. METHODS: Three hundred antenatal women attending their initial booking appointment in three Dublin maternity hospitals were surveyed. An interviewer-administered questionnaire was used with questions on folic acid knowledge and use, and demographic and obstetric questions. A univariate analysis of data was undertaken followed by a multivariate analysis using logistic regression to determine factors predicting knowledge and use of folic acid. RESULTS: Seventy-six per cent of respondents had heard of folic acid, 16 per cent had taken it before pregnancy and 51 per cent during pregnancy. Women who had planned their pregnancy, were married and were relatively affluent were significantly more likely to have heard of folic acid, to know that it could prevent neural tube defects and to have taken it peri-conceptionally. Less affluent women tended to use their general practitioner (GP) more as a source of information and advice than those who were better off. In multivariate analysis, marriage and planned pregnancy were important predictors of folic acid knowledge whereas planned pregnancy advice given before pregnancy and relative affluence were predictive of peri-conceptional use. CONCLUSIONS: Many women know of folic acid but do not take it peri-conceptionally. Women may associate folic acid with pregnancy and less with pre-pregnancy. Greater emphasis on peri-conceptional use should improve folic acid uptake. Focusing on less affluent women for folic acid promotion by GPs and other primary care professionals is also important.en_GB
dc.description.abstractAlthough recommendations on folic acid use were issued by health authorities in a number of countries in the early 1990s, uptake of peri-conceptional folic acid is still disappointingly low. Regardless of food fortification policies, folic acid promotion will probably be required in most countries to optimize folate levels among women of child-bearing age. The aim of this study was to examine folic acid knowledge and use, and their determinants among antenatal women in the east of Ireland in 1997.-
dc.description.abstractThree hundred antenatal women attending their initial booking appointment in three Dublin maternity hospitals were surveyed. An interviewer-administered questionnaire was used with questions on folic acid knowledge and use, and demographic and obstetric questions. A univariate analysis of data was undertaken followed by a multivariate analysis using logistic regression to determine factors predicting knowledge and use of folic acid.-
dc.description.abstractSeventy-six per cent of respondents had heard of folic acid, 16 per cent had taken it before pregnancy and 51 per cent during pregnancy. Women who had planned their pregnancy, were married and were relatively affluent were significantly more likely to have heard of folic acid, to know that it could prevent neural tube defects and to have taken it peri-conceptionally. Less affluent women tended to use their general practitioner (GP) more as a source of information and advice than those who were better off. In multivariate analysis, marriage and planned pregnancy were important predictors of folic acid knowledge whereas planned pregnancy advice given before pregnancy and relative affluence were predictive of peri-conceptional use.-
dc.description.abstractMany women know of folic acid but do not take it peri-conceptionally. Women may associate folic acid with pregnancy and less with pre-pregnancy. Greater emphasis on peri-conceptional use should improve folic acid uptake. Focusing on less affluent women for folic acid promotion by GPs and other primary care professionals is also important.-
dc.language.isoenen
dc.relation.urlhttp://www.ncbi.nlm.nih.gov/pubmed/10432242en_GB
dc.rightsArchived with thanks to Journal of public health medicineen_GB
dc.subjectPREGNANCYen_GB
dc.subjectFOLIC ACIDen_GB
dc.subject.meshAdult-
dc.subject.meshCross-Sectional Studies-
dc.subject.meshFemale-
dc.subject.meshFolic Acid-
dc.subject.meshHealth Knowledge, Attitudes, Practice-
dc.subject.meshHumans-
dc.subject.meshIreland-
dc.subject.meshMarital Status-
dc.subject.meshMultivariate Analysis-
dc.subject.meshNeural Tube Defects-
dc.subject.meshPreconception Care-
dc.subject.meshPregnancy-
dc.subject.meshPrenatal Care-
dc.subject.meshQuestionnaires-
dc.titleDeterminants of folic acid knowledge and use among antenatal women.en_GB
dc.typeArticleen
dc.contributor.departmentHealth Information Unit, Eastern Health Board, Dr Steeven's Hospital, Dublin, Republic of Ireland.en_GB
dc.identifier.journalJournal of public health medicineen_GB

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