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The compliance of free folic acid supplements among pregnant women in rural areas of Northwestern China: The role of related knowledge

BACKGROUND: High prevalence of neural tube defects remains one of the major threats to newborns in rural China. Folic acid supplementation before and during early pregnancy can effectively reduce the risk of neural tube defects. Despite the efforts of the free folic acid mass distribution, the actua...

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Autores principales: Yang, Jie, Reheman, Zulihumaer, Liu, Yunjie, Wang, Yuan, Wang, Nan, Ye, Jinbiao, Li, Yangyuan, Nie, Jingchun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9868550/
https://www.ncbi.nlm.nih.gov/pubmed/36699923
http://dx.doi.org/10.3389/fpubh.2022.1079779
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author Yang, Jie
Reheman, Zulihumaer
Liu, Yunjie
Wang, Yuan
Wang, Nan
Ye, Jinbiao
Li, Yangyuan
Nie, Jingchun
author_facet Yang, Jie
Reheman, Zulihumaer
Liu, Yunjie
Wang, Yuan
Wang, Nan
Ye, Jinbiao
Li, Yangyuan
Nie, Jingchun
author_sort Yang, Jie
collection PubMed
description BACKGROUND: High prevalence of neural tube defects remains one of the major threats to newborns in rural China. Folic acid supplementation before and during early pregnancy can effectively reduce the risk of neural tube defects. Despite the efforts of the free folic acid mass distribution, the actual usage of folic acid supplements was still suboptimal among rural pregnant women in China. The objective of this study is to investigate if and how knowledge can influence the picking up and intake of the free folic acid supplements distributed by the government. METHODS: We collected survey data from 821 pregnant women in rural areas of Shaanxi, China, in March and December of 2021. Face-to-face interviews and questionnaire surveys were conducted with every participant. Univariate and multivariate logistic regression analyses were performed to test the relationship between knowledge and dependent variables. RESULTS: Our study found that there were 76.4% of pregnant women would pick up folic acid supplements distributed by the government and only 44.5% of women would use folic acid before current pregnancy. Awareness of folic acid policy both affects the picking up (OR: 6.708, 95% CI: 4.672–9.632) and periconceptional intake (OR: 1.912, 95% CI:1.326–2.758) of folic acid supplements. Knowledge of health and nutrition in pregnancy showed no significant relationship with the picking up and periconceptional intake of folic acid supplements but was positively associated with the intake duration (Coefficient: 9.278, 95% CI: 2.966–15.591). CONCLUSION: Despite the relatively high level of picking up, the actual folic acid usage was not ideal among pregnant women in rural areas of China. Folic acid policy awareness was positively associated with the picking up and intake of folic acid before and during conception. Knowledge of health and nutrition about pregnancy was related to a longer duration of folic acid intake but had no impact on the picking up rate and periconceptional intake of folic acid supplements.
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spelling pubmed-98685502023-01-24 The compliance of free folic acid supplements among pregnant women in rural areas of Northwestern China: The role of related knowledge Yang, Jie Reheman, Zulihumaer Liu, Yunjie Wang, Yuan Wang, Nan Ye, Jinbiao Li, Yangyuan Nie, Jingchun Front Public Health Public Health BACKGROUND: High prevalence of neural tube defects remains one of the major threats to newborns in rural China. Folic acid supplementation before and during early pregnancy can effectively reduce the risk of neural tube defects. Despite the efforts of the free folic acid mass distribution, the actual usage of folic acid supplements was still suboptimal among rural pregnant women in China. The objective of this study is to investigate if and how knowledge can influence the picking up and intake of the free folic acid supplements distributed by the government. METHODS: We collected survey data from 821 pregnant women in rural areas of Shaanxi, China, in March and December of 2021. Face-to-face interviews and questionnaire surveys were conducted with every participant. Univariate and multivariate logistic regression analyses were performed to test the relationship between knowledge and dependent variables. RESULTS: Our study found that there were 76.4% of pregnant women would pick up folic acid supplements distributed by the government and only 44.5% of women would use folic acid before current pregnancy. Awareness of folic acid policy both affects the picking up (OR: 6.708, 95% CI: 4.672–9.632) and periconceptional intake (OR: 1.912, 95% CI:1.326–2.758) of folic acid supplements. Knowledge of health and nutrition in pregnancy showed no significant relationship with the picking up and periconceptional intake of folic acid supplements but was positively associated with the intake duration (Coefficient: 9.278, 95% CI: 2.966–15.591). CONCLUSION: Despite the relatively high level of picking up, the actual folic acid usage was not ideal among pregnant women in rural areas of China. Folic acid policy awareness was positively associated with the picking up and intake of folic acid before and during conception. Knowledge of health and nutrition about pregnancy was related to a longer duration of folic acid intake but had no impact on the picking up rate and periconceptional intake of folic acid supplements. Frontiers Media S.A. 2023-01-09 /pmc/articles/PMC9868550/ /pubmed/36699923 http://dx.doi.org/10.3389/fpubh.2022.1079779 Text en Copyright © 2023 Yang, Reheman, Liu, Wang, Wang, Ye, Li and Nie. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Public Health
Yang, Jie
Reheman, Zulihumaer
Liu, Yunjie
Wang, Yuan
Wang, Nan
Ye, Jinbiao
Li, Yangyuan
Nie, Jingchun
The compliance of free folic acid supplements among pregnant women in rural areas of Northwestern China: The role of related knowledge
title The compliance of free folic acid supplements among pregnant women in rural areas of Northwestern China: The role of related knowledge
title_full The compliance of free folic acid supplements among pregnant women in rural areas of Northwestern China: The role of related knowledge
title_fullStr The compliance of free folic acid supplements among pregnant women in rural areas of Northwestern China: The role of related knowledge
title_full_unstemmed The compliance of free folic acid supplements among pregnant women in rural areas of Northwestern China: The role of related knowledge
title_short The compliance of free folic acid supplements among pregnant women in rural areas of Northwestern China: The role of related knowledge
title_sort compliance of free folic acid supplements among pregnant women in rural areas of northwestern china: the role of related knowledge
topic Public Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9868550/
https://www.ncbi.nlm.nih.gov/pubmed/36699923
http://dx.doi.org/10.3389/fpubh.2022.1079779
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