巴西孕期多种维生素使用情况的预测因素。
Predictors of multivitamin use during pregnancy in Brazil.
作者信息
Wehby George L, Castilla Eduardo E, Lopez-Camelo Jorge S, Murray Jeffrey C
机构信息
College of Public Health, Department of Health Management and Policy, University of Iowa, E204, GH, Iowa City, IA 52242, USA.
出版信息
Int J Public Health. 2009;54(2):78-87. doi: 10.1007/s00038-009-8103-8.
OBJECTIVES
The study aimed at identifying predictors of multivitamin use during pregnancy in Brazil.
METHODS
Birth registry data of 1,774 infants at maternity hospitals in Brazil were used. The effects of maternal health and fertility risk indicators, enabling factors and other maternal characteristics on multivitamin use were evaluated both pooled and stratified by African ancestry.
RESULTS
About 14% of the women used multivitamins during pregnancy. Number of previous live births, maternal age and education, number of ultrasound exams and year of pregnancy had significant effects on multivitamin use in the group reporting African ancestry. Maternal acute illnesses and education had significant effects on use in the group without African ancestry. Significant geographic variation in multivitamin use was observed in both groups.
CONCLUSIONS
The study identifies several risk indicators, health care access and enabling factors that are predictive of multivitamin use with differences by African ancestry. The study highlights the importance of increasing the awareness of women of childbearing age of the benefits of multivitamin use and identifies barriers that need to be addressed to promote use.
目的
本研究旨在确定巴西孕期使用多种维生素的预测因素。
方法
使用了巴西妇产医院1774名婴儿的出生登记数据。通过非洲血统对孕产妇健康和生育风险指标、促成因素及其他孕产妇特征对多种维生素使用的影响进行了汇总评估和分层评估。
结果
约14%的女性在孕期使用多种维生素。既往活产数、孕产妇年龄和教育程度、超声检查次数及怀孕年份对报告有非洲血统的人群中多种维生素的使用有显著影响。孕产妇急性疾病和教育程度对无非洲血统的人群中多种维生素的使用有显著影响。两组中均观察到多种维生素使用存在显著的地理差异。
结论
本研究确定了几个风险指标、医疗保健可及性和促成因素，这些因素可预测多种维生素的使用情况，且因非洲血统存在差异。该研究强调了提高育龄妇女对使用多种维生素益处的认识的重要性，并确定了促进使用需要解决的障碍。
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