中国全科医学2017，Vol.20Issue(3)：354-359,6.DOI:10.3969/j.issn.1007-9572.2017.03.017
陕西省妇女围孕期微量营养素增补现况调查及其影响因素分析
Periconceptional Micronutrient Supplementation of Women in Shaanxi Province and Its Risk Factors
摘要
Abstract
Objective To investigate the periconceptional micronutrient supplementation of pregnant women in Shaanxi provide,analyze its risk factors and help the relevant departments to formulate the maternal and child health policy. Methods According to the inclusion criteria,30 027 women from 20 counties and 10 urban districts in Shaanxi province were selected by stratified multistage random sampling method from 2010 to 2013. A face ― to ― face questionnaire survey was conducted. The demographic characteristics of the women( including ethnicity,domicile,geographical distribution,age,age of the spouse, educational degree,education,educational degree of the spouse,family income per month,family history of mental retardation, family history of birth defects,whether being sick during pregnancy,whether taking antenatal care,parity,previous abortion history,previous history of birth defects),status of periconceptional micronutrients( including folic acid,calcium,iron,and multi―micronutrients)supplementation( including the types of nutrients used,duration of taking)were collected. Multivariate Logistic regression was used to analyze the influencing factors of micronutrient supplementation during periconceptional period. Results A total of 30 027 questionnaires were distributed,29 953 valid questionnaires were recovered,the effective response rate was 99. 75﹪. There were 4 693 women ( 15. 67﹪)who did not take any micronutrients during periconceptional period,25 260(84. 33﹪)took at least one kind of micronutrients,and among these 7 400(24. 71﹪)took micronutrients less than or equal to 30 days. In the periconceptional micronutrients supplementation,the number of women who never took folic acid, calcium,iron and compound micronutrients was respectively 9 989 ( 33. 35﹪),12 886 ( 43. 02﹪),28 206 ( 94. 17﹪), and 28 856(96. 34﹪),the number of women who had took folic acid,calcium,iron and compound micronutrients for no more than 30 days was respectively 4 178(13. 95﹪),5 161(17. 23﹪),689(2. 30﹪),and 455(1. 52﹪),while that of women who had took the above four supplements for more than 30 days was respectively 15 040 ( 50. 21﹪), 11 150 (37. 22﹪),732(2. 44﹪),633(2. 11﹪). The results of logistic regression showed that Guanzhong region〔OR ﹦2. 59, 95﹪CI(2. 37,2. 82)〕,Shannan region〔OR ﹦2. 80,95﹪CI(2. 51,3. 13)〕,age between 23 and 35〔OR ﹦1. 27, 95﹪CI(1. 14,1. 41)〕,spouse's age between 23 and 35〔OR ﹦1. 14,95﹪CI(1. 01,1. 29)〕,educational degree of junior high school〔OR﹦1. 55,95﹪CI(1. 37,1. 76)〕,educational degree of senior high school or above〔OR﹦2. 28,95﹪CI(1. 95,2. 66)〕,spouse's educational degree of junior high school〔OR ﹦1. 31,95﹪CI(1. 14,1. 50)〕,spouse's educational degree of senior high school or above〔OR﹦1. 63,95﹪CI(1. 38,1. 92)〕,sick during pregnancy〔OR﹦1. 67, 95﹪CI(1. 55,1. 81)〕,antenatal care〔OR﹦4. 34,95﹪CI(3. 32,5. 67)〕,primiparas〔OR ﹦1. 42,95﹪CI(1. 29, 1. 55)〕,previous history of abortion〔OR ﹦1. 26,95﹪ CI(1. 12,1. 42)〕were the influencing factors of micronutrient supplementation status during periconceptional period ( p 〈0. 05 ) . Conclusion The rate of periconceptional micronutrient supplementation in Shaanxi province is 84. 33﹪. The supplementation of folic acid is better,but the supplementation of calcium, iron,multi―micronutrients is not ideal. In addition,more work should be done to strengthen preconceptional supplementation propoganda of women from northern part of Shaanxi province,low educational level women and multiparaes,and thus improve the intake rate of micronutrients during preconceptional period.关键词
微量营养系/孕妇/围孕期/营养调查/影响因素分析Key words
Micronutrients/Pregnant women/Periconceptional/Nutrition surveys/Root cause analysis分类
医药卫生引用本文复制引用
秦博文,应佳,雷倩,屈鹏飞,柏如海,颜虹..陕西省妇女围孕期微量营养素增补现况调查及其影响因素分析[J].中国全科医学,2017,20(3):354-359,6.基金项目
国家自然科学基金资助项目 （）
