论文部分内容阅读
目的了解四川省城乡孕妇叶酸服用情况,发现叶酸普及工作中的城乡差别及各自工作的重点、难点,为进一步完善全省出生缺陷一级预防工作提供参考依据。方法随机抽取四川省6个市(成都、内江、乐山、南充、眉山、自贡),由上述地区的妇幼保健院和计划生育机构分别对城市和农村的孕期妇女进行调查。结果发放调查问卷1 200份(城乡各600份),回收有效问卷1 179份,回收率98.25%。1 179名孕妇中,曾服用过叶酸1 015名(86.09%),孕前即开始服用者仅316人(31.14%)。从服用的依从性来看,坚持每天服用叶酸920人(78.05%),城市略高于农村(P>0.05)。是否计划内怀孕、是否知道叶酸的作用和医生是否推荐对城乡孕妇能否正确服用叶酸均有影响(P<0.05);年龄、家庭人均月收入对城市孕妇服用叶酸有显著性影响(P<0.05);是否知道叶酸的发放地点对农村孕妇服用叶酸有显著性影响(P<0.05)。结论四川省城乡孕妇叶酸服用率仍有待提高,根据城乡差异的特点有针对性加大宣传实施力度,在扩大覆盖面的同时,加强正确服用叶酸知识的宣传。
Objective To understand the use of folic acid in pregnant women in urban and rural areas of Sichuan Province and to find out the key points and difficulties in the popularization of folic acid in urban and rural areas and to provide reference for further improving primary prevention of birth defects in the province. Methods Six cities in Sichuan Province (Chengdu, Neijiang, Leshan, Nanchong, Meishan and Zigong) were randomly selected. Maternal and child health care institutions and family planning institutions in the above areas were investigated respectively for pregnant women in urban and rural areas. Results A total of 1 200 questionnaires were sent out (600 copies for both urban and rural areas), 1 179 valid questionnaires were collected, and the recovery rate was 98.25%. Of the 1 179 pregnant women who had taken 1105 folic acid (86.09%), only 316 (31.14%) started taking the medicine before their pregnancy. From taking the compliance point of view, insist on taking folic acid every day 920 people (78.05%), the city slightly higher than the rural (P> 0.05). Whether the planned pregnancy, whether the role of folic acid and whether the doctor recommended the right urban and rural women can take the correct effect of folic acid (P <0.05); age, average monthly household income of urban women taking folic acid significantly (P <0.05 ); Whether or not the location of folic acid was known to have a significant effect on folic acid intake in rural pregnant women (P <0.05). Conclusion The folic acid intake rate of pregnant women in urban and rural areas of Sichuan still needs to be improved. According to the characteristics of urban-rural differences, efforts are made to intensify the implementation of the publicity campaigns. At the same time of expanding the coverage, publicity of the correct use of folic acid knowledge should be strengthened.