Department of Family & Preventive Medicine, Emory University School of Medicine, 1256 Briarcliff Road, Atlanta, GA 30322, USA.
Am J Health Promot. 2013 Jan-Feb;27(3 Suppl):S58-65. doi: 10.4278/ajhp.120109-QUAL-7.
To determine the reproductive risks of women using the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) and the acceptability of delivering preconception screening and counseling with the WIC encounter.
A mixed methods approach to include quantitative analysis of reproductive risks and qualitative analysis of post-counseling interviews.
A WIC clinic in Clayton County, Georgia.
A quota sample of 150 African-American women 18 to 44 years of age recruited from the attendees of WIC nutrition classes for postpartum and breastfeeding women and mothers of children under 5. Intervention. A brief individual counseling based upon identified risks.
Participants were administered a risk assessment questionnaire by a member of the study team to determine topics for brief counseling. Following standardized brief counseling, participants completed an individual semistructured interview. The risk assessment questionnaire was analyzed quantitatively; transcripts from the post-counseling interviews were analyzed thematically.
Reproductive risks were prevalent among women of reproductive age seeking WIC services: unintended pregnancy (27%), history of sexually transmitted infection (49%), inadequate folic acid supplementation (66%), intimate partner violence (47%), tobacco use (21%), binge drinking (10%), and illicit drug use (5%). The vast majority of WIC clients found the preconception risk assessment and brief counseling to be acceptable and important.
WIC constitutes a suitable location for identifying low-income African-American women in need of preconception and reproductive health services and at risk for poor reproductive health outcomes.
确定使用妇女、婴儿和儿童特别补充营养计划（WIC）的妇女的生殖风险，以及在 WIC 就诊时提供孕前筛查和咨询的可接受性。
一种混合方法，包括对生殖风险的定量分析和对咨询后访谈的定性分析。
佐治亚州克莱顿县的一个 WIC 诊所。
从参加产后和母乳喂养妇女营养课程以及 5 岁以下儿童母亲的 WIC 营养班中招募的 150 名 18 至 44 岁的非裔美国妇女，采用配额抽样。
根据确定的风险进行简短的个体咨询。在进行标准化的简短咨询后，参与者完成了个人半结构化访谈。风险评估问卷进行了定量分析；咨询后的访谈记录进行了主题分析。
寻求 WIC 服务的育龄妇女存在生殖风险：意外怀孕（27%）、性传播感染史（49%）、叶酸补充不足（66%）、亲密伴侣暴力（47%）、吸烟（21%）、狂饮（10%）和非法药物使用（5%）。绝大多数 WIC 客户发现孕前风险评估和简短咨询是可以接受的，也是重要的。
WIC 是确定需要孕前和生殖健康服务且存在不良生殖健康结局风险的低收入非裔美国妇女的合适场所。
