Yuan Shuai, Liu Weimei, Shen Zhixin, Ren Meitian, Hao Shuangying
Department of Pathology, School of Medicine, Henan Polytechnic University, Jiaozuo, 454000, Henan, China.
Department of Pathology, The Second People's Hospital of Jiaozuo City, The First Affiliated Hospital of Henan Polytechnic University, 454000, Jiaozuo, Henan, China.
BMC Pregnancy Childbirth. 2025 Mar 19;25(1):314. doi: 10.1186/s12884-025-07436-z.
Sodium benzoate, a common food preservative, may harm fetuses, which could increase the safety concern for pregnant women, but the knowledge, attitude, and practice (KAP) of food preservatives' impact on health among pregnant women is limited. This study explored the KAP of pregnant women regarding food preservatives.
This cross-sectional study was conducted in Henan Province between March and April 2023 among pregnant women. An investigated-designed questionnaire was administered to collect the demographic characteristics and KAP scores. Scores of < 60%, 60-79%, and ≥ 80% were considered poor, moderate, and good, respectively.
The study collected 515 valid questionnaires [303 (58.83%) < 30-years-old participants] for analysis. The knowledge, attitude, and practice scores were 10.21 ± 2.90 (/17; 60.06%), 29.59 ± 2.73 (/40; 73.98%), and 22.86 ± 3.56 (/30; 76.20%), respectively. The structural equation model (SEM) showed that the knowledge of food preservatives directly affected attitudes (β = 0.168, P = 0.005) and practice (β = 0.250, P = 0.021) and indirectly affected practice (β = 0.047, P = 0.004). The attitudes toward food preservatives directly affected practice (β = 0.280, P = 0.021).
Pregnant women in Henan Province have moderate knowledge, attitudes, and practices toward food preservatives. Education interventions are needed to improve the knowledge gaps identified in this study, which could also be encountered in other regions.
Not applicable.
苯甲酸钠是一种常见的食品防腐剂，可能会对胎儿造成伤害，这可能会增加孕妇对其安全性的担忧，但孕妇对食品防腐剂对健康影响的知识、态度和行为（KAP）有限。本研究探讨了孕妇对食品防腐剂的KAP情况。
本横断面研究于2023年3月至4月在河南省的孕妇中进行。采用自行设计的调查问卷收集人口统计学特征和KAP得分。得分<60%、60 - 79%和≥80%分别被认为较差、中等和良好。
本研究共收集了515份有效问卷[303名（58.83%）年龄<30岁的参与者]进行分析。知识、态度和行为得分分别为10.21±2.90（/17；60.06%）、29.59±2.73（/40；73.98%）和22.86±3.56（/30；76.20%）。结构方程模型（SEM）显示，食品防腐剂知识直接影响态度（β = 0.168，P = 0.005）和行为（β = 0.250，P = 0.021），并间接影响行为（β = 0.047，P = 0.004）。对食品防腐剂的态度直接影响行为（β = 0.280，P = 0.021）。
河南省孕妇对食品防腐剂的知识、态度和行为处于中等水平。需要进行教育干预以改善本研究中发现的知识差距，其他地区可能也会遇到类似情况。
不适用。
