Folic acid supplementation and social deprivation
Autor: | Louise Parker, Judith Rankin, Donna M. Hammal, Caroline L Relton |
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Rok vydání: | 2005 |
Předmět: |
Adult
medicine.medical_specialty Psychosocial Deprivation Medicine (miscellaneous) Early pregnancy factor Cohort Studies Folic Acid Pregnancy Surveys and Questionnaires Humans Medicine Neural Tube Defects Family history Poverty Gynecology Nutrition and Dietetics biology business.industry Obstetrics Age Factors Public Health Environmental and Occupational Health Middle Aged medicine.disease Folic acid supplementation Social deprivation Socioeconomic Factors Folic acid Dietary Supplements biology.protein Regression Analysis Gestation Female business Cohort study |
Zdroj: | University of Bristol-PURE |
ISSN: | 1475-2727 1368-9800 |
Popis: | ObjectiveTo assess the use of folic acid supplementation in relation to small-area measures of social deprivation.DesignCohort study.SettingAntenatal clinic, Women's Outpatients Services, Cumberland Infirmary, Carlisle, UK.SubjectsFour hundred and fifty women attending their 18-week antenatal clinic appointment. No selection criteria were applied. Townsend scores were allocated using postcodes to provide a small-area measure (enumeration district) of social deprivation.ResultsEighty-nine per cent of women took folic acid prior to their 18-week antenatal clinic appointment; 48% of women took folic acid before 4 weeks of gestation. Younger women and more socially deprived women were less likely to use folic acid supplements before 4 weeks of gestation. Women with a family history of neural tube defects were no more likely to take folic acid than were women with no family history of neural tube defects.ConclusionA high proportion of women reported taking folic acid supplements during pregnancy but less than half took them at the most important time in early pregnancy. Younger women and women who were more socio-economically deprived were much less likely to take folic acid during the critical periconceptional period. Future strategies should promote prenatal folic acid supplementation in women under the age of 24 and in women of low socio-economic status. Further attention should also be given to the use of folic acid supplements in women with a family history of neural tube defects. |
Databáze: | OpenAIRE |
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