Determinants of folic acid use in a multi-ethnic population of pregnant women: a cross-sectional study
| Autor: | Eleonora Jansen, Danny Coomans, L Leemans, Stephane Steurbaut, Walter Foulon, Mohamed Baraka, Alain Dupont, Monika Laubach |
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| Rok vydání: | 2011 |
| Předmět: |
Adult
medicine.medical_specialty Adolescent Turkey Cross-sectional study Population Ethnic group Logistic regression Young Adult Folic Acid Belgium Pregnancy Surveys and Questionnaires Ethnicity Medicine Humans Neural Tube Defects education education.field_of_study business.industry Obstetrics Obstetrics and Gynecology Prenatal Care Odds ratio Emigration and Immigration Middle Aged medicine.disease Confidence interval Arabs Cross-Sectional Studies Logistic Models Socioeconomic Factors Pediatrics Perinatology and Child Health Cohort Educational Status Female business |
| Zdroj: | Journal of perinatal medicine. 39(6) |
| ISSN: | 1619-3997 |
| Popis: | AIMS To investigate the possible differences in folic acid use and to identify the determinants of antenatal folic acid use among multi-ethnic pregnant women. METHODS Three hundred and fifty pregnant women participated in this cross-sectional study in a university hospital in Brussels, Belgium. A questionnaire was used to obtain data on socio-demographic characteristics and folic acid use. χ(2)-tests and binary logistic regression analyses were performed using SPSS 17. RESULTS In the overall cohort, 59.2% used folic acid supplements during pregnancy. This supplement use was associated with an age of 26-35 years, being of Western origin, with high education and employment status, understanding physician's instructions, and early booking for antenatal care. Education (odds ratio, OR: 2.24; 95% confidence interval, CI: 1.08-4.63) and early booking for antenatal care OR: 2.45; 95% CI: 1.11-5.40) were the most important determinants. In particular for Arab/Turkish women, a lower employment status OR: 0.42; 95% CI: 0.24-0.73) was associated with a higher risk of not using folic acid supplements. CONCLUSIONS The lower use of folic acid supplements in Arab/Turkish ethnicities, which may be associated with an increased risk of neural tube defects, is related to socio-economic factors rather than to lower educational attainment. As recommended by other studies, fortification of ethnic minority food may be warranted to reduce the risk of neural tube defects. |
| Databáze: | OpenAIRE |
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