赵秋萍,程慧玲,陈玲,查建梅
ZHAO Qiuping,CHENG Huiling,CHEN Ling,ZHA Jianmei

• 1:张家港市妇幼保健所药剂科

摘要(Abstract)：

目的调查分析张家港市妊娠期妇女叶酸服用行为及影响因素。方法选择2014-08~12在张家港市妇幼保健所孕检建卡的1 213名妊娠妇女作为调查对象,电话调查叶酸的知晓和服用情况。结果 1 213名调查对象叶酸认知率为88.95%,服用率为84.67%,依从率为73.90%,有效依从率为35.25%。叶酸认知水平、年龄、文化程度、有无职业、孕次是影响妊娠妇女服用叶酸行为的主要影响因素。结论张家港市妊娠妇女叶酸知识的认知率及服用率较高,有效依从率较低,应该加强重点人群的宣教,多部门长期合作,确保有效依从率的提升。
OBJECTIVE To investigate and analysis the factors of folic acid intake among pregnant women in Zhangjiagang.METHODS From August to December in 2014,1 213 pregnant women in Maternal and Child Health Institute of Zhangjiagang were chosen as survey objects,they were investigated by telephone calls,including the awareness and application of folic acid.RESULTS The awareness rate of folic acid was 88.95% of 1 213 pregnant women,84.67% of them had taken folic acid,and the compliance rate was 73.90%,effective compliance rate was 35.25%. The knowledge on folic acid,the age of pregnant women,the degree of education,job and the number of pregnancy were influence factors for folic acid application in pregnant women.CONCLUSION The awareness and application rate of folic acid among pregnant women in Zhangjiagang was high,but the effective compliance rate was low,more attention should be paid to the target population,and the multi-sectoral cooperation should be strengthened in order to improve the effective compliance rate.

关键词(KeyWords)： 叶酸;妊娠期妇女;服用率;依从行为
folic acid;pregnant women;application rate;compliance behavior

Abstract:

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基金项目(Foundation):

作者(Author): 赵秋萍,程慧玲,陈玲,查建梅
ZHAO Qiuping,CHENG Huiling,CHEN Ling,ZHA Jianmei

参考文献(References)：

• [1]宁玲,张金胜.叶酸在妊娠期的应用研究[J].中国当代医药,2012,19(30)22-23.
• [2]杨慧明,毛萌.早期营养对生命质量的远期影响[J].实用儿科临床杂志,2009,24(11):803.
• [3]Gjergja R,Stipoljey F,Hafner T,et al.Knowledge and use of folic acid in Croatian pregnant womena need for health care education initiative[J].Reprod Toxicol,2006,21(1):16-20.
• [4]Ionescu-Ittu R,Marelli AJ,Mackie AS,et al.Prevalence of severe congenital heart disease after folic acid fortification of grain products:time trend analysis in Quebec,Canada[J].BMJ,2009,338:b1673.
• [5]白亚娜,朱军,王敏珍,等.甘肃省围孕期妇女服用叶酸依从行为现状及叶酸依从性的界定研究[J].卫生研究,2011,(40):183-186.
• [6]梁建文,温小鲜.围孕期妇女补充叶酸预防神经管畸形的效果分析[J].中国医院用药评价与分析,2014,14(6):512-514.
• [7]孙宗梅.叶酸对孕妇胎儿神经管畸形的预防效果观察[J].中国实用医药,2014,9(23):170-171.
• [8]刘鹏,白亚娜,胡晓斌,等.孕产妇服用叶酸有效依从行为影响因素的Logistic回归分析[J].中国卫生统计2012,(29):113-114,117.
• [9]Li Z,Ren A,Zhang L,et al.Periconceptional use of folic acid in Shanxi Province of northern China[J].Public Health Nutr,2007,10(5):471-476.
• [10]彭敬,欧阳红梅.我市城区孕早期妇女叶酸与出生缺陷预防认知调查[J].调查与实验研究,2013,51(34):13-15.
• [11]冯月华,吴小璐,梁法亮,等.江门市育龄及孕期妇女增补叶酸预防NTDs的KAP现况调查[J].右江民族医学院学报,2015,36(1):113-116.
• [12]张帆,徐俪烜,易聪,等.海南农村育龄妇女叶酸增补情况分析[J].中国计划生育学杂志,2012,20(8):568-571.
• [13]孙喜红,王志萍,赵仲堂,增补叶酸预防神经管缺陷及其影响因素[J].中华疾病控制杂志,2009,13(5)569-571.
• [14]郑山,王敏珍,白亚娜,等.家人及专业人员对育龄妇女孕期叶酸服用行为的影响分析[J].卫生研究,2011,40(1):71-73,77.