TY - JOUR
T1 - Knowledge, attitude and practice level of women at the periconceptional period
T2 - A cross-sectional study in Shaanxi China
AU - Li, Danyang
AU - Huang, Liyan
AU - Yang, Wenfang
AU - Qi, Cuifang
AU - Shang, Li
AU - Xin, Juan
AU - Zeng, Lingxia
AU - Zhang, Min
AU - Song, Hui
AU - Chung, Mei Chun
N1 - Publisher Copyright:
© 2019 The Author(s).
PY - 2019/9/4
Y1 - 2019/9/4
N2 - Background: Identifying and understanding the knowledge, attitude and practice (KAP) level of women at the periconceptional period has implications for formulating and measuring the adverse pregnancy outcomes for primary prevention. Methods: A cross-sectional study among pregestational and pregnant women was conducted in Shaanxi during 2016-2017. Results: Among 791 participants, the average score of periconceptional healthcare knowledge awareness was 6.32 ± 1.78, whereas 28.8% of women have failed. Women who planned to or had undergone premarital and pre-pregnancy examinations accounted for 50.2, and 62.5%, respectively. Less than half (42.0%) of the women started taking folic acid (FA) before pregnancy, and only 37.9% of them took FA regularly at the right time. Multivariate analysis showed that age was the main factor influencing the Attitude and Practice level of women at the periconceptional period, and demonstrated a positive effect on the awareness of right timing of folic acid supplementation, and high rates of premarital and pre-pregnancy examinations. Also, the knowledge pass rate was increased with education level. Fewer women who have birth experience were willing to take FA consistently at the right time compared to those women without birth. Conclusions: The women at the periconceptional period in Shaanxi lacked the total KAP level of periconceptional healthcare, especially those who live in rural areas and have less education. Government agencies should reinforce more effective primary preventive measures and policies for the prevention of adverse pregnancy outcomes.
AB - Background: Identifying and understanding the knowledge, attitude and practice (KAP) level of women at the periconceptional period has implications for formulating and measuring the adverse pregnancy outcomes for primary prevention. Methods: A cross-sectional study among pregestational and pregnant women was conducted in Shaanxi during 2016-2017. Results: Among 791 participants, the average score of periconceptional healthcare knowledge awareness was 6.32 ± 1.78, whereas 28.8% of women have failed. Women who planned to or had undergone premarital and pre-pregnancy examinations accounted for 50.2, and 62.5%, respectively. Less than half (42.0%) of the women started taking folic acid (FA) before pregnancy, and only 37.9% of them took FA regularly at the right time. Multivariate analysis showed that age was the main factor influencing the Attitude and Practice level of women at the periconceptional period, and demonstrated a positive effect on the awareness of right timing of folic acid supplementation, and high rates of premarital and pre-pregnancy examinations. Also, the knowledge pass rate was increased with education level. Fewer women who have birth experience were willing to take FA consistently at the right time compared to those women without birth. Conclusions: The women at the periconceptional period in Shaanxi lacked the total KAP level of periconceptional healthcare, especially those who live in rural areas and have less education. Government agencies should reinforce more effective primary preventive measures and policies for the prevention of adverse pregnancy outcomes.
KW - Cross-sectional study
KW - KAP level
KW - Periconceptional period
KW - Shaanxi China
UR - https://www.scopus.com/pages/publications/85071777216
U2 - 10.1186/s12884-019-2481-6
DO - 10.1186/s12884-019-2481-6
M3 - 文章
C2 - 31484502
AN - SCOPUS:85071777216
SN - 1471-2393
VL - 19
JO - BMC Pregnancy and Childbirth
JF - BMC Pregnancy and Childbirth
IS - 1
M1 - 326
ER -