nach oben

Maternal and Child Health Journal

Erschienen in:

01.11.2009

Assessing Awareness, Knowledge and Use of Folic Acid in Kansas Women Between the Ages of 18 and 44 Years

verfasst von: Glynda F. Sharp, Lorenda A. Naylor, Jinwen Cai, Melissa L. Hyder, Pradeep Chandra, V. James Guillory

Erschienen in: Maternal and Child Health Journal | Ausgabe 6/2009

Einloggen, um Zugang zu erhalten

Abstract

Taking folic acid daily, before and during early pregnancy, has been proven to reduce neural tube birth defects (NTD). Unfortunately, many women fail to take it daily as recommended. Objectives To assess women’s self-reported awareness, knowledge and use of folic acid. Methods Data were obtained by cross-sectional, random digit-dialing, computer-assisted telephone interviews with 250 women in Kansas. Associations were determined by chi-squared analysis. Results Eighty-eight percent of childbearing age women in Kansas have a general awareness of folic acid, 20% have knowledge that it reduces birth defects, but only 25% report taking it daily. Awareness was associated with high school or greater education (P < .0001), incomes over $25,000 (P = 0.0003), being married (P = 0.0035), being white (P = 0.0135), having health insurance (P = 0.0152) and being capable of pregnancy (P = 0.0119). Knowledge that folic acid reduces birth defects was associated with being aware of the USPHS recommendation (P < .0001), being capable of pregnancy (P = 0.0043), being pregnant (P = 0.0061), and being aware of folic acid (P = 0.0379). Taking folic acid daily was associated with currently being pregnant (P = 0.0126). Conclusions Women less likely to take folic acid on a daily basis were young, non-Caucasians who reported less education, less income and no health insurance. Based upon these data, multi-level education campaigns that specifically target lower-SES women should be considered.

Petrini, J., Damus, K., Russell, R., Poschman, K., Davidoff, M. J., & Mattison, D. (2002). Contribution of birth defects to infant mortality in the United States. Teratology, 66(Suppl 1), S3–S6. doi:10.1002/tera.90002.PubMedCrossRef

Mitchell, L. E., Adzick, N. S., Melchionne, J., Pasquariello, P. S., Sutton, L. N., & Whitehead, A. S. (2004). Spina bifida. Lancet, 364(9448), 1885–1895. doi:10.1016/S0140-6736(04)17445-X.PubMedCrossRef

CDC. (1995). Economic costs of birth defects and cerebral palsy––United States, 1992. Morbidity and Mortality Weekly Report, 1995(14), 493–505.

Wasserman, C. R., Shaw, G. M., Selvin, S., Gould, J. B., & Syme, S. L. (1998). Socioeconomic status, neighborhood social conditions, and neural tube defects. American Journal of Public Health, 88(11), 1674–1680.PubMedCrossRef

Czeizel, A. E., & Dudas, I. (1992). Prevention of the first occurrence of neural-tube defects by periconceptional vitamin supplementation. The New England Journal of Medicine, 327(26), 1832–1835.PubMed

Group, M. V. S. R. (1991). Prevention of neural tube defects: Results of the MRC Vitamin Study. Lancet, 338, 132–137.

Shaw, G. M., Schaffer, D., Velie, E. M., Morland, K., & Harris, J. A. (1995). Periconceptional vitamin use, dietary folate, and the occurrence of neural tube defects. Epidemiology (Cambridge, Mass), 6(3), 219–226. doi:10.1097/00001648-199505000-00005.

Henshaw, S. K. (1998). Unintended pregnancy in the United States. Family Planning Perspectives, 30(1), 24–29. doi:10.2307/2991522.PubMedCrossRef

CDC. (1992). Recommendations for the use of folic acid to reduce the number of cases of spina bifida and other neural tube defects. Morbidity and Mortality Weekly Report 1992, 41(RR-14), 001.

10.

Administration USFaD. (1996). Folic acid fortification, FDA fact sheet. February 29.

11.

CDC. (2004). Spina bifida anencephaly before and after folic acid mandate––United States 1995–1996 and 1999–2000. Morbidity and Mortality Weekly Report 1995–1996 and 1999–2000, 53, 362–365.

12.

Green-Raleigh, K., Carter, H., Mulinare, J., Prue, C., & Petrini, J. (2006). Trends in folic acid awareness and behavior in the United States: The Gallup Organization for the March of Dimes Foundation Surveys, 1995–2005. Maternal and Child Health Journal, 10, S177–S182. doi:10.1007/s10995-006-0104-0.PubMedCrossRef

13.

Herndorf, A. M., Haydu, S. C., & Takahashi, E. R. (2007). Trends in folic acid supplement intake among women of reproductive age in California, 2002–2006. Morbidity and Mortality Weekly Report, 56(42), 1106–1109.

14.

Centers for Disease Control. (1999) Behavioral risk factor surveillance system questionnaire, module 13: Folic acid, p. 81. http://www.cdc.gov/brfss/questionnaires/pdf-ques/99brfss.pdf. Accessed 14 August 2000.

15.

Centers for Disease Control and Prevention. National Center for Health Statistics. (1997). National Health Interview Survey. ftp://ftp.cdc.gov/pub/Health_Statistics/NCHS/Survey_Questionnaires/NHIS/1997/frmanual.pdf. Accessed 14 August 2000.

16.

Southwest Missouri State University, Department of Sociology & Anthropology, Springfield, MO. January 16, 2001.

17.

Agresti, A. (2002). Categorical data analysis (2nd ed., p. 476).

18.

U.S. Census Bureau. (2000). American fact finder, Kansas. http://factfinder.census.gov. Accessed 22 January 2008.

19.

March of Dimes. (2003). Why don’t women take folic acid? Forgetfulness and Denial, latest survey finds. March of Dimes website. http://www.charitywire.com/charity91/04217.html. Accessed 13 December 2007.

20.

Anonymous. (1997). Knowledge and use of folic acid by US women. Nutrition Research Newsletter.

21.

Serbanescu, F., Rochat, R., Floyd, V., & Toomey, K. (1996). Knowledge, use of multivitamins containing folic acid among reproductive-aged women, Georgia, 1995. Morbidity and Mortality Weekly Report, 1996(45), 793–795.

22.

Petrini, J., Damus, K., Johnston, R., & Mattison, D. (1999). Knowledge and use of folic acid by women of childbearing age––United States 1995 and 1998. Morbidity and Mortality Weekly Report, 48(16), 325–327.

23.

Reeves, M., Rafferty, A., Simmeron, J., & Bach, J. (1998). Knowledge, use of folic acid among women of reproductive age, Michigan. Morbidity and Mortality Weekly Report, 2001(50), 185–189.

24.

Benjamin-Garner, R., Oakes, J., Meischke, H., Meshack, A., Stone, E., Zapka, J., et al. (2002). Sociodemographic differences in exposure to health information. Ethnicity and Disease, 12, 124–134. (Winter 2002).PubMed

25.

Canfield, M., Anderson, J., Waller, K., Palmer, S., & Kaye, C. (2000–2001). Folic acid awareness and use among women with a history of neural tube defect pregnancy––Texas, 2000–2001. Morbidity and Mortality Weekly Report, 51, 16–19.

26.

Feldkamp, M., Friedrichs, M., & Marti, K. (2002). Folic acid awareness, knowledge, and consumption among women of childbearing age in Utah, 1998–2000. American Journal of Medical Genetics, 107(1), 67–69. doi:10.1002/ajmg.10097.PubMedCrossRef

27.

Meyer, R., & Siega-Riz, A. (2002). Sociodemographic patterns in spina bifida birth prevalence trends: North Carolina, 1995–1999. Morbidity and Mortality Weekly Report, 51, 12–15.

28.

Chacko, M. R., Anding, R., Kozinetz, C. A., Grover, J. L., & Smith, P. B. (2003). Neural tube defects: Knowledge and preconceptional prevention practices in minority young women. Pediatrics, 112(3 Pt 1), 536–542. doi:10.1542/peds.112.3.536.PubMedCrossRef

29.

Cleves, M. A., Hobbs, C. A., Collins, H. B., Andrews, N., Smith, L. N., & Robbins, J. M. (2004). Folic acid use by women receiving routine gynecologic care. Obstetrics and Gynecology, 103(4), 746–753.PubMed

30.

de Jong-Van den Berg, L. T., Hernandez-Diaz, S., Werler, M. M., Louik, C., & Mitchell, A. A. (2005). Trends and predictors of folic acid awareness and periconceptional use in pregnant women. American Journal of Obstetrics and Gynecology, 192(1), 121–128. doi:10.1016/j.ajog.2004.05.085.PubMedCrossRef

31.

Goldberg, B. B., Alvarado, S., Chavez, C., Chen, B. H., Dick, L. M., Felix, R. J., et al. (2006). Prevalence of periconceptional folic acid use and perceived barriers to the postgestation continuance of supplemental folic acid: Survey results from a Teratogen Information Service. Birth Defects Research. Part A, Clinical and Molecular Teratology, 76(3), 193–199. doi:10.1002/bdra.20239.PubMedCrossRef

32.

Robbins, J. M., Hopkins, S. E., Mosley, B. S., Casey, P. H., Cleves, M. A., & Hobbs, C. A. (2006). Awareness and use of folic acid among women in the lower Mississippi Delta. The Journal of Rural Health, 22(3), 196–203. doi:10.1111/j.1748-0361.2006.00032.x.PubMedCrossRef

33.

Lindsey, L., Petrini, J., Carter, H., Prue, C., & Mulinare, J. (2005). Use of dietary supplements containing folic acid among women of childbearing age–United States, 2005. Morbidity and Mortality Weekly Report, 54(38), 955–958.

Titel: Assessing Awareness, Knowledge and Use of Folic Acid in Kansas Women Between the Ages of 18 and 44 Years
verfasst von: Glynda F. Sharp
Lorenda A. Naylor
Jinwen Cai
Melissa L. Hyder
Pradeep Chandra
V. James Guillory
Publikationsdatum: 01.11.2009
Verlag: Springer US
Erschienen in: Maternal and Child Health Journal / Ausgabe 6/2009
Print ISSN: 1092-7875
Elektronische ISSN: 1573-6628
DOI: https://doi.org/10.1007/s10995-008-0414-5

Live-Webinar "Chronische Unterbauch- und Viszeralschmerzen in der Praxis managen"

Springer Medizin

Assessing Awareness, Knowledge and Use of Folic Acid in Kansas Women Between the Ages of 18 and 44 Years

Abstract

Live-Webinar "Chronische Unterbauch- und Viszeralschmerzen in der Praxis managen"

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 6/2009

Associations Among Feeding Behaviors During Infancy and Child Illness at Two Years

Birth Weight Effects on Children’s Mental, Motor, and Physical Development: Evidence from Twins Data

Maternal Weight Gain During Pregnancy and Child Weight at Age 3 Years

The Couple Context of Pregnancy and its Effects on Prenatal Care and Birth Outcomes

The Health and Cognitive Growth of Latino Toddlers: At Risk or Immigrant Paradox?

Using Criteria-Based Audit to Improve the Management of Postpartum Haemorrhage in Resource Limited Countries: A Case Study of Malawi