Folic acid supplements to prevent neural tube defects: trends in East of Ireland 1996-2002.

Hdl Handle:
http://hdl.handle.net/10147/323799
Title:
Folic acid supplements to prevent neural tube defects: trends in East of Ireland 1996-2002.
Authors:
Ward, M; Hutton, J; Mc Donnell, R; Bachir, N; Scallan, E; O'Leary, M; Hoey, J; Doyle, A; Delany, V; Sayers, G
Affiliation:
Department of Public Health, Eastern Regional Health Authority, Dr. Steeven's Hospital, Dublin 8, Republic of Ireland.
Citation:
Ward M et al. Folic acid supplements to prevent neural tube defects: trends in East of Ireland 1996-2002. 2004, 97 (9):274-6 Ir Med J
Journal:
Irish medical journal
Issue Date:
Oct-2004
URI:
http://hdl.handle.net/10147/323799
PubMed ID:
15568585
Additional Links:
http://www.ncbi.nlm.nih.gov/pubmed/15568585
Abstract:
Promotion of folic acid to prevent neural Tube Defects (NTD) has been ongoing for ten years in Ireland, without a concomitant reduction in the total birth prevalence of NTD. The effectiveness of folic acid promotion as the sole means of primary prevention of NTD is therefore questionable. We examined trends in folic acid knowledge and peri-conceptional use from 1996-2002 with the aim of assessing the value of this approach. From 1996-2002, 300 women attending ante-natal clinics in Dublin hospitals annually were surveyed regarding their knowledge and use of folic acid. During the period the proportion who had heard of folic acid rose from 54% to 94% between 1996 and 2002 (c2 test for trend: p<0.001). Knowledge that folic acid can prevent NTD also rose from 21% to 66% (c2 test for trend: p<0.001). Although the proportion who took folic acid during pregnancy increased from 14% to 83% from 1996 to 2002 (c2 test for trend: p<0.001), peri-conceptional intake did not rise above 24% in any year. There is a high awareness of folic acid and its relation to NTD, which is not matched by peri-conceptional uptake. The main barrier to peri-conceptional uptake is the lack of pregnancy planning. To date promotional campaigns appear to have been ineffective in reducing the prevalence of NTD in Ireland. Consequently, fortification of staple foodstuffs is the only practical and reliable means of primary prevention of NTD.
Item Type:
Article
Language:
en
Description:
Promotion of folic acid to prevent neural Tube Defects (NTD) has been ongoing for ten years in Ireland, without a concomitant reduction in the total birth prevalence of NTD. The effectiveness of folic acid promotion as the sole means of primary prevention of NTD is therefore questionable. We examined trends in folic acid knowledge and peri-conceptional use from 1996-2002 with the aim of assessing the value of this approach. From 1996-2002, 300 women attending ante-natal clinics in Dublin hospitals annually were surveyed regarding their knowledge and use of folic acid. During the period the proportion who had heard of folic acid rose from 54% to 94% between 1996 and 2002 (c2 test for trend: p<0.001). Knowledge that folic acid can prevent NTD also rose from 21% to 66% (c2 test for trend: p<0.001). Although the proportion who took folic acid during pregnancy increased from 14% to 83% from 1996 to 2002 (c2 test for trend: p<0.001), peri-conceptional intake did not rise above 24% in any year. There is a high awareness of folic acid and its relation to NTD, which is not matched by peri-conceptional uptake. The main barrier to peri-conceptional uptake is the lack of pregnancy planning. To date promotional campaigns appear to have been ineffective in reducing the prevalence of NTD in Ireland. Consequently, fortification of staple foodstuffs is the only practical and reliable means of primary prevention of NTD.
Keywords:
FOLIC ACID; PREGNANCY
Local subject classification:
NEURAL TUBE DEFECTS
MeSH:
Adult; Age Factors; Attitude to Health; Cross-Sectional Studies; Dietary Supplements; Female; Folic Acid; Health Knowledge, Attitudes, Practice; Humans; Ireland; Neural Tube Defects; Patient Compliance; Preconception Care; Pregnancy; Pregnancy Outcome; Probability; Retrospective Studies; Risk Assessment
ISSN:
0332-3102

Full metadata record

DC FieldValue Language
dc.contributor.authorWard, Men_GB
dc.contributor.authorHutton, Jen_GB
dc.contributor.authorMc Donnell, Ren_GB
dc.contributor.authorBachir, Nen_GB
dc.contributor.authorScallan, Een_GB
dc.contributor.authorO'Leary, Men_GB
dc.contributor.authorHoey, Jen_GB
dc.contributor.authorDoyle, Aen_GB
dc.contributor.authorDelany, Ven_GB
dc.contributor.authorSayers, Gen_GB
dc.date.accessioned2014-07-25T12:27:22Z-
dc.date.available2014-07-25T12:27:22Z-
dc.date.issued2004-10-
dc.identifier.citationWard M et al. Folic acid supplements to prevent neural tube defects: trends in East of Ireland 1996-2002. 2004, 97 (9):274-6 Ir Med Jen_GB
dc.identifier.issn0332-3102-
dc.identifier.pmid15568585-
dc.identifier.urihttp://hdl.handle.net/10147/323799-
dc.descriptionPromotion of folic acid to prevent neural Tube Defects (NTD) has been ongoing for ten years in Ireland, without a concomitant reduction in the total birth prevalence of NTD. The effectiveness of folic acid promotion as the sole means of primary prevention of NTD is therefore questionable. We examined trends in folic acid knowledge and peri-conceptional use from 1996-2002 with the aim of assessing the value of this approach. From 1996-2002, 300 women attending ante-natal clinics in Dublin hospitals annually were surveyed regarding their knowledge and use of folic acid. During the period the proportion who had heard of folic acid rose from 54% to 94% between 1996 and 2002 (c2 test for trend: p<0.001). Knowledge that folic acid can prevent NTD also rose from 21% to 66% (c2 test for trend: p<0.001). Although the proportion who took folic acid during pregnancy increased from 14% to 83% from 1996 to 2002 (c2 test for trend: p<0.001), peri-conceptional intake did not rise above 24% in any year. There is a high awareness of folic acid and its relation to NTD, which is not matched by peri-conceptional uptake. The main barrier to peri-conceptional uptake is the lack of pregnancy planning. To date promotional campaigns appear to have been ineffective in reducing the prevalence of NTD in Ireland. Consequently, fortification of staple foodstuffs is the only practical and reliable means of primary prevention of NTD.en_GB
dc.description.abstractPromotion of folic acid to prevent neural Tube Defects (NTD) has been ongoing for ten years in Ireland, without a concomitant reduction in the total birth prevalence of NTD. The effectiveness of folic acid promotion as the sole means of primary prevention of NTD is therefore questionable. We examined trends in folic acid knowledge and peri-conceptional use from 1996-2002 with the aim of assessing the value of this approach. From 1996-2002, 300 women attending ante-natal clinics in Dublin hospitals annually were surveyed regarding their knowledge and use of folic acid. During the period the proportion who had heard of folic acid rose from 54% to 94% between 1996 and 2002 (c2 test for trend: p<0.001). Knowledge that folic acid can prevent NTD also rose from 21% to 66% (c2 test for trend: p<0.001). Although the proportion who took folic acid during pregnancy increased from 14% to 83% from 1996 to 2002 (c2 test for trend: p<0.001), peri-conceptional intake did not rise above 24% in any year. There is a high awareness of folic acid and its relation to NTD, which is not matched by peri-conceptional uptake. The main barrier to peri-conceptional uptake is the lack of pregnancy planning. To date promotional campaigns appear to have been ineffective in reducing the prevalence of NTD in Ireland. Consequently, fortification of staple foodstuffs is the only practical and reliable means of primary prevention of NTD.-
dc.language.isoenen
dc.relation.urlhttp://www.ncbi.nlm.nih.gov/pubmed/15568585en_GB
dc.rightsArchived with thanks to Irish medical journalen_GB
dc.subjectFOLIC ACIDen_GB
dc.subjectPREGNANCYen_GB
dc.subject.meshAdult-
dc.subject.meshAge Factors-
dc.subject.meshAttitude to Health-
dc.subject.meshCross-Sectional Studies-
dc.subject.meshDietary Supplements-
dc.subject.meshFemale-
dc.subject.meshFolic Acid-
dc.subject.meshHealth Knowledge, Attitudes, Practice-
dc.subject.meshHumans-
dc.subject.meshIreland-
dc.subject.meshNeural Tube Defects-
dc.subject.meshPatient Compliance-
dc.subject.meshPreconception Care-
dc.subject.meshPregnancy-
dc.subject.meshPregnancy Outcome-
dc.subject.meshProbability-
dc.subject.meshRetrospective Studies-
dc.subject.meshRisk Assessment-
dc.subject.otherNEURAL TUBE DEFECTSen_GB
dc.titleFolic acid supplements to prevent neural tube defects: trends in East of Ireland 1996-2002.en_GB
dc.typeArticleen
dc.contributor.departmentDepartment of Public Health, Eastern Regional Health Authority, Dr. Steeven's Hospital, Dublin 8, Republic of Ireland.en_GB
dc.identifier.journalIrish medical journalen_GB

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