摘要
目的:了解山西省城镇孕妇的叶酸发放及服用情况,探索影响叶酸规范服用率的因素。方法:2014年4~6月采用自行设计的调查问卷对山西省11个地市非农业户籍的1925例中、晚期孕妇进行调查。结果:全部调查对象中有94.5%人服用叶酸,其中有14.9%人规范服用叶酸;43.1%人收到过免费发放的叶酸,其中有97.0%人服用过叶酸,仅有16.4%人规范服用叶酸;多因素非条件Logistic回归分析结果显示,孕妇年龄25~30岁(OR=2.00,95%CI 1.34~2.97)和>35岁(OR=3.58,95%CI 1.89~6.76)、丈夫文化程度为大专及以上(OR=1.80,95%CI 1.04~3.11)、做过婚检(OR=1.58 95%CI 1.19~2.11)、非意外妊娠(OR=3.80,95%CI 2.31~6.26)是影响叶酸规范服用率的积极因素(P<0.05)。结论:山西省城镇孕妇的叶酸服用率较高,但规范服用率较低,单纯的免费发放叶酸不能提高叶酸的规范服用率,需要加大健康宣教力度,提高育龄妇女计划妊娠的意识和婚检率,改善叶酸的规范服用情况。
Objective To understand the situation of folic acid release to pregnant women and folic acid intake of pregnant women in urban areas of Shanxi province, and to explore the influence factors on rate of standard intake folic acid. Methods： From April to June 2014, 1925 middle or late stage pregnant women with non agricultural domicile from 11 cities of Shanxi province were investigated by self designed questionnaire. Results： Of all the pregnant women, 94.5% took folic acid, but only 14.9% of them took folic acid based on standard. 43.1% of all women had received free folic acid, of which 97.0% took folic acid and only 16.4% took folic acid based on standard. Unconditional multivariate logistic regression analysis had showed that the pregnant women with 25 to 30 years old （ OR =2.00, 95%CI=1.34 2.97 ） and women with 〉35 years old （ OR =3.58 95%CI=1.89 6.76）, the husband＇s education level equal to or above college （ OR =1.80, 95%CI=1.04 3.11）, accepted premarital examination （ OR =1.58, 95%CI=1.19 2.11）, and expected pregnancy （ OR =3.80, 95%CI=2.31 6.26） were positively influence factors on the rate of standard intake folic acid. Conclusion： The pregnant women in urban areas have higher rate of folic acid intake, but have lower rate of folic acid intake based on standard. The free distribution of folic acid simply cannot improve folic acid intake based on standard. The health educations need to be strengthened to raise the rate of planning pregnancy and the rate of premarital examination, and also need to improve taking folic acid based on standard.
作者
杨爽
刘宇龙
党文珊
张雪娟
YANG Shuang;LIU Yulong;DANG Wenshan;ZHANG Xuejuan(School of Public Health,Shanxi Medical University,Taiyuan,Shanxi Province,030001;Children＇s Hospital / Maternal and Child Health Care Hospital of Shanxi Province)
出处
《中国计划生育学杂志》
2018年第11期1019-1023,共5页
Chinese Journal of Family Planning
基金
山西省卫生和计划生育委员会资助项目(2014113)
关键词
山西省
城镇孕妇
叶酸
规范服用率
Shanxi Province
Urban pregnant women
Folic acid
Intake based on standard
