贡德尔南部地区孕妇的产前维生素使用情况及其影响因素：多中心横断面研究
Prenatal vitamin utilization and its determinants among pregnant women in south Gondar zone: multicenter cross-sectional study.
作者信息
Mekuriaw Begizew Yimenu, Addisu Dagne, Yazie Ferede Wassie, Sisay Fillorenes Ayalew, Mitiku Assefa Kebie, Belachew Tegegne Wale, Seid Yimer Tigist, Wubet Habtie Bantider, Tadesse Selamawit Girma, Gobezie Negesse Zurbachew, Mebratie Alemie Fentie, Alachew Moges Kefale, Mengistu Temesgen Dessie, Yiregu Yonas Zenebe, Arage Rahel Birhanu, Dessie Anteneh Mengist, Gebeyehu Fikadu Geremew, Bishaw Mekonen Geremew, Alemayehu Habtam Desse, Ayalew Abeba Belay, Goshu Yitayal Ayalew, Berihun Erega Besfat
机构信息
Department of Midwifery, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.
Department of Anesthesia, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.
出版信息
Front Glob Womens Health. 2025 Jan 6;5:1474928. doi: 10.3389/fgwh.2024.1474928. eCollection 2024.
BACKGROUND
Prenatal vitamin and mineral supplements are commonly advised as clinical practice standard of care. In spite of Ethiopian government focus on maternal nutrition programmes targeting pregnant and lactating women, Micronutrient deficiencies are still quite common and are regarded as a serious public health issue and also little is known regarding utilization and barriers to prenatal vitamin use during pregnancy. This study aimed to assess utilization and associated factors of prenatal vitamins among pregnant women attending antenatal care at public hospitals in the south Gondar zone, 2024.
METHODS
Multi center crossectional study design was conducted among 416 pregnant women from March 1 to May 30, 2024. Systematic sampling technique was used to select the study participants. Data was collected using Interviewer administered questionnaire. After data, SPSS version 26 software was used for analysis. Factors associated with utilization of prenatal vitamins were identified using bi-variable and multi variable logistic regression models. Statistical significance was declared at 95%CI and -value < 0.05.
RESULT
In this study, we found that 87.5% (95% CI: 84.31, 90.34) of pregnant women did not use prenatal vitamins. Women not having formal education (AOR = 2.72, 95%CI: 1.44-5.15), being unplanned pregnancy (AOR = 2.58, 95%CI: 1.76-3.78), husband being decision maker in health care (AOR = 1.71, 95%CI:1.09-2.68), having poor knowledge (AOR = 3.27, 95%CI: 1.44-7.42) and unfavorable attitude (AOR = 3.63, 95%CI: 1.61-8.18) on prenatal vitamins were significantly associated with non-users of prenatal vitamins.
CONCLUSION
The proportion of non-users of prenatal vitamin were higher. Educational level of women, pregnancy plan, decision on health care, knowledge and attitude on prenatal vitamins had statistically significant with utilization of prenatal vitamins. Developing and implementing targeted educational programs to increase awareness about the importance and benefits of prenatal vitamins and encouraging women to take an active role in their healthcare decisions is recommended to improve the utilization of prenatal vitamins.
背景
产前维生素和矿物质补充剂通常被视为临床护理的标准做法。尽管埃塞俄比亚政府专注于针对孕妇和哺乳期妇女的孕产妇营养计划，但微量营养素缺乏仍然相当普遍，被视为一个严重的公共卫生问题，而且关于孕期产前维生素的使用情况及障碍了解甚少。本研究旨在评估2024年在南贡德尔地区公立医院接受产前护理的孕妇中产前维生素的使用情况及相关因素。
方法
于2024年3月1日至5月30日对416名孕妇进行了多中心横断面研究设计。采用系统抽样技术选择研究参与者。通过访谈员管理的问卷收集数据。数据收集完成后，使用SPSS 26版软件进行分析。使用双变量和多变量逻辑回归模型确定与产前维生素使用相关的因素。在95%置信区间和P值<0.05时宣布具有统计学意义。
结果
在本研究中，我们发现87.5%（95%置信区间：84.31，90.34）的孕妇未使用产前维生素。未受过正规教育的女性（调整后比值比[AOR]=2.72，95%置信区间：1.44 - 5.15）、意外怀孕（AOR = 2.58，95%置信区间：1.76 - 3.78）、丈夫是医疗保健决策人（AOR = 1.71，95%置信区间：1.09 - 2.68）、对产前维生素知识了解不足（AOR = 3.27，95%置信区间：1.44 - 7.42）以及对产前维生素态度不积极（AOR = 3.63，95%置信区间：1.61 - 8.18）与未使用产前维生素的情况显著相关。
结论
未使用产前维生素的比例较高。女性的教育水平、怀孕计划、医疗保健决策、对产前维生素的知识和态度与产前维生素的使用在统计学上具有显著相关性。建议制定并实施有针对性的教育计划，以提高对产前维生素重要性和益处的认识，并鼓励女性在其医疗保健决策中发挥积极作用，从而提高产前维生素的使用率。
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