中国妇幼健康研究2011，Vol.22Issue(1)：36-39,4.DOI:10.3969/j.issn.1673-5293.2011.01.013
西安地区围孕期妇女出生缺陷KAP调查分析
An investigation and analysis of KAP on birth defects of periconceptional women in Xi'an areas
杨文方 1杨柳 1刘黎明 1李颖 2吴坚2
作者信息
- 1. 西安交通大学医学院第一附属医院,陕西,西安710061
- 2. 西安市计划生育服务中心,陕西,西安710003
- 折叠
摘要
Abstract
Objective To investigate knowledge, attitude and practice (KAP) of periconceptional women on birth defects in Xi'an areas and requirements of service subjects for reproduction health promotion in prevention of birth defects so as to provide technological support of health-education for the primary prevention. Methods In multi-stage random cluster sampling method, 319 women who planned to conceive and had conceived in year 2010 were selected from 7 counties and areas in Xi'an city and were investigated by interview and questionnaires. 315 valid questionnaires were collected. Results The general level of periconceptional women for knowledge of birth defects was low and their average score was 6.9 (The total score was 10). The rural women got less knowledge about birth defects than the urban women (t = 4.327, P ＜ 0.001 ) and the knowledge level about birth defects became higher as the woman received higher education (P ＜0.01 ). Regarding attitude, the periconceptional women who hoped urgently to participate training of knowledge about birth defects were 92.4％, but the proportion of women who got the knowledge by training were only 38. 1％. Regarding behavior, rate of premarital consultation and examination (45.7％) and rate of pregestational aristogenesis examination (58.1％) were lower than the rate of prenatal obstetrical routine examination ( 88.3％ ) before delivery ( P ＜ 0. 001 ). And heightened education level of the woman could increase participating rate of women in the three kinds of examination (P ＜0.05). The proportion of women who took the small dose folic acid was 79.2％, but the proportion of women who correctly took the folic acid was only 19.5％. The intake rate of folic acid among women who lived in rural areas or received less education or had lower incomes was significantly lower ( P ＜ 0.05 ). Conclusion The knowledge level about birth defects and participating rate of related medical examinations of periconceptional women in Xi' an city are both lower. And the method of taking folic acid is not standardized, especially in rural areas. Training service of aristogenesis promotion need to be enhanced.The primary prevention of birth defects and aristogenesis promotion need to be strengthened further.关键词
出生缺陷/知识、态度、行为调查/一级预防/叶酸Key words
birth defect/ KAP investigation/ primary prevention/ folic acid分类
医药卫生引用本文复制引用
杨文方,杨柳,刘黎明,李颖,吴坚..西安地区围孕期妇女出生缺陷KAP调查分析[J].中国妇幼健康研究,2011,22(1):36-39,4.
