Goshu Yitayal Ayalew, Liyeh Tewachew Muche, Ayele Amare Simegn, Zeleke Liknaw Bewket, Kassie Yohannes Tesfahun
Department of Midwifery, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.
Debre Markos University, Debre Markos, Ethiopia.
J Nutr Metab. 2018 Jul 17;2018:4936080. doi: 10.1155/2018/4936080. eCollection 2018.
Preconception folic acid supplementation is the provision of folate for reproductive age group women who have a plan to be pregnant. According to different studies, in African countries, there is poor utilization of preconception folic supplementation. So this study aimed at assessing women's awareness on preconception care and its associated factors in Adet, Northwestern Ethiopia.
A community-based cross-sectional study was conducted from March 1 to April 1, 2016, among 422 reproductive age group women. Systematic random sampling was used to get the study unit, and the data were collected using pretested structured questionnaire via face-to-face interview. The collected data were entered, cleaned, checked using EpiData version 3.1, and finally analyzed using SPSS version 20. Descriptive summary of the data was presented in terms of percentage and frequency. Binary and multiple logistic regressions were used in order to identify predictors using odds ratio at 95% confidence interval.
In this study, a total of 422 reproductive age group women participated with a response rate of 100%. Of a total of 422 participants, 67 (15.9%) of the women had good awareness on preconception folic acid supplementation. Women's awareness on preconception folic acid supplementation was affected by having a chronic health problem, monthly household income, educational status, and a history of family planning use. Women who were educated (AOR 4.77, CI 1.85-6.98), had a history of family planning use (AOR 3.89, CI 1.77-8.55), had a chronic health problem (AOR 3.47, CI 2.68-5.98), and had a better monthly income (AOR 2.6, CI 2.05-6.76) had good awareness than their counterparts.
This study concluded that women's awareness on preconception folic acid supplementation was low. This finding suggests that there is a need to give emphasis and deliver health education about preconception folic acid supplementation for women.
孕前补充叶酸是为有怀孕计划的育龄妇女提供叶酸。根据不同研究，在非洲国家，孕前叶酸补充的利用率较低。因此，本研究旨在评估埃塞俄比亚西北部阿代特地区妇女对孕前保健的认知及其相关因素。
2016年3月1日至4月1日，在422名育龄妇女中开展了一项基于社区的横断面研究。采用系统随机抽样获取研究对象，通过面对面访谈使用经过预测试的结构化问卷收集数据。收集到的数据使用EpiData 3.1版本录入、清理和检查，最后使用SPSS 20版本进行分析。数据的描述性总结以百分比和频率呈现。采用二元和多元逻辑回归，以95%置信区间的比值比确定预测因素。
本研究共有422名育龄妇女参与，应答率为100%。在总共422名参与者中，67名（15.9%）妇女对孕前叶酸补充有良好认知。妇女对孕前叶酸补充的认知受到慢性健康问题、家庭月收入、教育程度和计划生育使用史的影响。受过教育的妇女（调整后比值比4.77，置信区间1.85 - 6.98）、有计划生育使用史的妇女（调整后比值比3.89，置信区间1.77 - 8.55）、有慢性健康问题的妇女（调整后比值比3.47，置信区间2.68 - 5.98）以及家庭月收入较高的妇女（调整后比值比2.6，置信区间2.05 - 6.76）比其对应人群有更好的认知。
本研究得出结论，妇女对孕前叶酸补充的认知较低。这一发现表明有必要强调并为妇女提供关于孕前叶酸补充的健康教育。
